A comparison of gait in spinal muscular atrophy, type II and Duchenne muscular dystrophy
This study investigated and compared the gait of two patients with spinal muscular atrophy, type II (SMA II) and two patients with Duchenne muscular dystrophy (DMD). These diseases cause a progressive and proximal to distal muscular weakness resulting in the loss of ambulation. The DMD cases had com...
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| Veröffentlicht in: | Gait & posture 2005-06, Vol.21 (4), p.369-378 |
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| container_title | Gait & posture |
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| creator | Armand, Stéphane Mercier, Moı̈se Watelain, Eric Patte, Karine Pelissier, Jacques Rivier, François |
| description | This study investigated and compared the gait of two patients with spinal muscular atrophy, type II (SMA II) and two patients with Duchenne muscular dystrophy (DMD). These diseases cause a progressive and proximal to distal muscular weakness resulting in the loss of ambulation. The DMD cases had comparable muscle weakness with the SMA II cases on manual muscle testing and patients were assessed using kinematics, kinetics, electromyography and video analysis. SMA II and DMD patients employed different gait strategies for forward movement. SMA II patients used pelvic rotation initiated by the upper body to propel the leg forward and produce the necessary step-length whereas the DMD patients tended to use hip flexion and plantar flexion. Management of SMA II patients would include preservation of hip abductor and flexor strength to maintain mobility. |
| doi_str_mv | 10.1016/j.gaitpost.2004.04.006 |
| format | Article |
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These diseases cause a progressive and proximal to distal muscular weakness resulting in the loss of ambulation. The DMD cases had comparable muscle weakness with the SMA II cases on manual muscle testing and patients were assessed using kinematics, kinetics, electromyography and video analysis. SMA II and DMD patients employed different gait strategies for forward movement. SMA II patients used pelvic rotation initiated by the upper body to propel the leg forward and produce the necessary step-length whereas the DMD patients tended to use hip flexion and plantar flexion. 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These diseases cause a progressive and proximal to distal muscular weakness resulting in the loss of ambulation. The DMD cases had comparable muscle weakness with the SMA II cases on manual muscle testing and patients were assessed using kinematics, kinetics, electromyography and video analysis. SMA II and DMD patients employed different gait strategies for forward movement. SMA II patients used pelvic rotation initiated by the upper body to propel the leg forward and produce the necessary step-length whereas the DMD patients tended to use hip flexion and plantar flexion. Management of SMA II patients would include preservation of hip abductor and flexor strength to maintain mobility.</description><subject>Biomechanical Phenomena</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Duchenne muscular dystrophy</subject><subject>Electromyography</subject><subject>Female</subject><subject>Gait analysis</subject><subject>Gait Disorders, Neurologic - physiopathology</subject><subject>Humans</subject><subject>Life Sciences</subject><subject>Male</subject><subject>Muscle Weakness - physiopathology</subject><subject>Muscular Atrophy, Spinal - physiopathology</subject><subject>Muscular Dystrophy, Duchenne - physiopathology</subject><subject>Spinal muscular atrophy</subject><issn>0966-6362</issn><issn>1879-2219</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0V2L1DAUBuAgiju7-heWXCmCHfPVk_TOYXXdgQFvFLwLaZo6GdqmJu3C_HtTOrp3Sg4EwnNyQl6EbinZUkLhw2n70_hpDGnaMkLEdikCz9CGKlkVjNHqOdqQCqAADuwKXad0IhlyxV6iK1oqBZTBBv3YYRv60USfwoBDi5drsR9wGv1gOtzPyc6didhMMYzH83s8nUeH93tshgZ_mu3RDYN7Ys05rfAVetGaLrnXl_0Gfb___O3uoTh8_bK_2x0KKzibihJkK3nZCFKDYlXrmAApRVkK1UDbcqIUN0rULeesZrUgQBWwStSmbVQNgt-gd-u9R9PpMfrexLMOxuuH3UEvZ4Tnpah8pNm-Xe0Yw6_ZpUn3PlnXdWZwYU5aSiozJjLLN_-UIBXjkrIMYYU2hpSia_--gRK9JKVP-k9SeklKL0UgN95eJsx175qntks0GXxcgcu_9-hd1Ml6N1jX-OjspJvg_zfjN-V0plw</recordid><startdate>20050601</startdate><enddate>20050601</enddate><creator>Armand, Stéphane</creator><creator>Mercier, Moı̈se</creator><creator>Watelain, Eric</creator><creator>Patte, Karine</creator><creator>Pelissier, Jacques</creator><creator>Rivier, François</creator><general>Elsevier B.V</general><general>Elsevier</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>1XC</scope><orcidid>https://orcid.org/0000-0002-3896-8792</orcidid><orcidid>https://orcid.org/0000-0001-6837-623X</orcidid></search><sort><creationdate>20050601</creationdate><title>A comparison of gait in spinal muscular atrophy, type II and Duchenne muscular dystrophy</title><author>Armand, Stéphane ; Mercier, Moı̈se ; Watelain, Eric ; Patte, Karine ; Pelissier, Jacques ; Rivier, François</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c432t-567f735d40b6829fe2467745548d6ff30883a84bf332b2b406186294bafd8b643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Biomechanical Phenomena</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Duchenne muscular dystrophy</topic><topic>Electromyography</topic><topic>Female</topic><topic>Gait analysis</topic><topic>Gait Disorders, Neurologic - physiopathology</topic><topic>Humans</topic><topic>Life Sciences</topic><topic>Male</topic><topic>Muscle Weakness - physiopathology</topic><topic>Muscular Atrophy, Spinal - physiopathology</topic><topic>Muscular Dystrophy, Duchenne - physiopathology</topic><topic>Spinal muscular atrophy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Armand, Stéphane</creatorcontrib><creatorcontrib>Mercier, Moı̈se</creatorcontrib><creatorcontrib>Watelain, Eric</creatorcontrib><creatorcontrib>Patte, Karine</creatorcontrib><creatorcontrib>Pelissier, Jacques</creatorcontrib><creatorcontrib>Rivier, François</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>Gait & posture</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Armand, Stéphane</au><au>Mercier, Moı̈se</au><au>Watelain, Eric</au><au>Patte, Karine</au><au>Pelissier, Jacques</au><au>Rivier, François</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A comparison of gait in spinal muscular atrophy, type II and Duchenne muscular dystrophy</atitle><jtitle>Gait & posture</jtitle><addtitle>Gait Posture</addtitle><date>2005-06-01</date><risdate>2005</risdate><volume>21</volume><issue>4</issue><spage>369</spage><epage>378</epage><pages>369-378</pages><issn>0966-6362</issn><eissn>1879-2219</eissn><abstract>This study investigated and compared the gait of two patients with spinal muscular atrophy, type II (SMA II) and two patients with Duchenne muscular dystrophy (DMD). 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| ispartof | Gait & posture, 2005-06, Vol.21 (4), p.369-378 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Biomechanical Phenomena Child Child, Preschool Duchenne muscular dystrophy Electromyography Female Gait analysis Gait Disorders, Neurologic - physiopathology Humans Life Sciences Male Muscle Weakness - physiopathology Muscular Atrophy, Spinal - physiopathology Muscular Dystrophy, Duchenne - physiopathology Spinal muscular atrophy |
| title | A comparison of gait in spinal muscular atrophy, type II and Duchenne muscular dystrophy |
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