Evaluation of rotational gait abnormality in the patients cerebral palsy

AKTAŞ Ş., Aiona M. D., Orendurff M.

Journal of Pediatric Orthopaedics, cilt.20, sa.2, ss.217-220, 2000 (SCI-Expanded, Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 20 Sayı: 2
  • Basım Tarihi: 2000
  • Doi Numarası: 10.1097/01241398-200003000-00016
  • Dergi Adı: Journal of Pediatric Orthopaedics
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.217-220
  • Anahtar Kelimeler: Cerebral palsy, Computed tomography, Femoral anteversion, Gait analysis, Physical examination, Tibial torsion
  • Trakya Üniversitesi Adresli: Evet

Özet

Internal rotation of hip is commonly seen in children with cerebral palsy. Existing muscle imbalance causes persistence of femoral deformity, which may contribute to rotational asymmetry. In cerebral palsy, gait deviations are the result of dynamic and static components, both caused by muscle imbalance. In this study we investigated the predictability of hip rotation in gait from the measurement of anatomic deformity. Computed tomography (CT) measurements of femoral anteversion and physical examination data failed to predict the hip rotation in gait. However, tibial (CT) measurements and physical examination data highly correlated with tibial rotation in gait. We conclude the dynamic component of hip rotation during gait is significant, as anatomic deformity did not predict gait deviations.