Understanding the implications of decreased femoral torsion on gait and running in children and adolescents might help orthopaedic surgeons to optimize treatment decisions. To date, there is limited evidence regarding the kinematic gait deviations between children with decreased femoral torsion and typically developing children as well as regarding the implications of the same on the adaptation of walking to running. A three dimensional gait analysis study was undertaken to compare gait deviations during running and walking among patients with decreased femoral torsion (n=15) and typically developing children (n=11). Linear mixed models were utilized to establish comparisons within and between the two groups and investigate the relation between clinical examination, spatial parameters and the difference in hip rotation between running and walking.Introduction
Method
A flexed knee gait is common in patients with bilateral spastic
cerebral palsy and occurs with increased age. There is a risk for
the recurrence of a flexed knee gait when treated in childhood,
and the aim of this study was to investigate whether multilevel
procedures might also be undertaken in adulthood. At a mean of 22.9 months (standard deviation 12.9), after single
event multi level surgery, 3D gait analysis was undertaken pre-
and post-operatively for 37 adult patients with bilateral cerebral
palsy and a fixed knee gait.Aims
Patients and Methods
Single-event multilevel surgery (SEMLS) has been used as an effective
intervention in children with bilateral spastic cerebral palsy (BSCP)
for 30 years. To date there is no evidence for SEMLS in adults with
BSCP and the intervention remains focus of debate. This study analysed the short-term outcome (mean 1.7 years, standard
deviation 0.9) of 97 ambulatory adults with BSCP who performed three-dimensional
gait analysis before and after SEMLS at one institution. Aims
Methods