Twenty-six nonoperated spastic hemiplegic children underwent three-dimensional kinetic gait analysis. We identified five patterns based on sagittal plane kinetics. Group I had a minimal gait disturbance, a drop foot pattern, and normal kinetics, Group II had a flexed knee but normal hip extension, Group III a flexed knee and hip, Group IV knee hyperextension and tibial arrest, and Group V knee hyperextension and persistent ankle dorsiflexion. We concluded that Group I had weak anterior tibial muscles, and in stance Group II a functionally tight gastrocnemius, Group III a functionally tight gastrocnemius and hip flexors, and Group IV a functionally tight soleus, and in Group V the patients generated an abnormally large fore-aft shear force and the gastrocnemius and soleus were not tight. Kinetics help in the understanding of gait aberrations in spastic hemiplegia.
%0 Journal Article
%1 Hullin1996
%A Hullin, M. G.
%A Robb, J. E.
%A Loudon, I. R.
%D 1996
%J J Pediatr Orthop B
%K Biomechanics; Cerebral Palsy; Child; Gait; Hemiplegia; Humans; Leg
%N 4
%P 247--251
%T Gait patterns in children with hemiplegic spastic cerebral palsy.
%V 5
%X Twenty-six nonoperated spastic hemiplegic children underwent three-dimensional kinetic gait analysis. We identified five patterns based on sagittal plane kinetics. Group I had a minimal gait disturbance, a drop foot pattern, and normal kinetics, Group II had a flexed knee but normal hip extension, Group III a flexed knee and hip, Group IV knee hyperextension and tibial arrest, and Group V knee hyperextension and persistent ankle dorsiflexion. We concluded that Group I had weak anterior tibial muscles, and in stance Group II a functionally tight gastrocnemius, Group III a functionally tight gastrocnemius and hip flexors, and Group IV a functionally tight soleus, and in Group V the patients generated an abnormally large fore-aft shear force and the gastrocnemius and soleus were not tight. Kinetics help in the understanding of gait aberrations in spastic hemiplegia.
@article{Hullin1996,
abstract = {Twenty-six nonoperated spastic hemiplegic children underwent three-dimensional kinetic gait analysis. We identified five patterns based on sagittal plane kinetics. Group I had a minimal gait disturbance, a drop foot pattern, and normal kinetics, Group II had a flexed knee but normal hip extension, Group III a flexed knee and hip, Group IV knee hyperextension and tibial arrest, and Group V knee hyperextension and persistent ankle dorsiflexion. We concluded that Group I had weak anterior tibial muscles, and in stance Group II a functionally tight gastrocnemius, Group III a functionally tight gastrocnemius and hip flexors, and Group IV a functionally tight soleus, and in Group V the patients generated an abnormally large fore-aft shear force and the gastrocnemius and soleus were not tight. Kinetics help in the understanding of gait aberrations in spastic hemiplegia.},
added-at = {2014-07-19T20:28:50.000+0200},
author = {Hullin, M. G. and Robb, J. E. and Loudon, I. R.},
biburl = {https://www.bibsonomy.org/bibtex/2f197b00a961cc0da4f8765a5b752f17a/ar0berts},
groups = {public},
interhash = {84a2261b9e95cfef77c21134aa01be71},
intrahash = {f197b00a961cc0da4f8765a5b752f17a},
journal = {J Pediatr Orthop B},
keywords = {Biomechanics; Cerebral Palsy; Child; Gait; Hemiplegia; Humans; Leg},
number = 4,
pages = {247--251},
pmid = {8897257},
timestamp = {2014-07-19T20:28:50.000+0200},
title = {Gait patterns in children with hemiplegic spastic cerebral palsy.},
username = {ar0berts},
volume = 5,
year = 1996
}