Transverse plane rotation of the foot and transverse hip and pelvic kinematics in diplegic cerebral palsy
Abstract External rotation of the foot associated with mid-foot break is a commonly observed gait abnormality in diplegic CP patients. Previous studies have shown a correlation between equinus and internal hip rotation in hemiplegic patients. This study aimed to determine if there was a correlation...
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| Veröffentlicht in: | Gait & posture 2011-06, Vol.34 (2), p.218-221 |
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| creator | Gaston, M.S Rutz, E Dreher, T Brunner, R |
| description | Abstract External rotation of the foot associated with mid-foot break is a commonly observed gait abnormality in diplegic CP patients. Previous studies have shown a correlation between equinus and internal hip rotation in hemiplegic patients. This study aimed to determine if there was a correlation between the amount of transverse plane rotation in diplegic CP patients using kinematic data from standardised gait analysis. Lower limb data of 134 ambulant children with diplegic CP was analysed retrospectively determining the maximum change in foot, hip and pelvis rotation during loading response. Highly significant negative correlations ( P = |
| doi_str_mv | 10.1016/j.gaitpost.2011.05.001 |
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Previous studies have shown a correlation between equinus and internal hip rotation in hemiplegic patients. This study aimed to determine if there was a correlation between the amount of transverse plane rotation in diplegic CP patients using kinematic data from standardised gait analysis. Lower limb data of 134 ambulant children with diplegic CP was analysed retrospectively determining the maximum change in foot, hip and pelvis rotation during loading response. Highly significant negative correlations ( P = <0.001) were found between foot and hip movements and foot and pelvic movements. Equinus at initial contact diminished the foot:hip correlation while it enhanced the foot:pelvic correlation. There was less external rotation of the foot in equinus patients ( P = 0.012) and more external rotation of the pelvis in the equinus group ( P = <0.001). This data reveal a correlation between transverse plane rotation at foot level to that at the hip and pelvis. The likely biomechanical explanation is relatively excessive transverse external rotation of the foot due to abnormalities such as mid-foot break. When under load, where the foot is fixed to the floor, internal rotation of the entire leg occurs. This is due to lever arm disease as a result of the relatively shortened foot and inefficiency of the plantar-flexion knee-extension couple. Equinus modulates the effect. When treating such patients, lever arm deformities at all levels must be considered to result in the best outcome and prevent recurrences.</description><identifier>ISSN: 0966-6362</identifier><identifier>EISSN: 1879-2219</identifier><identifier>DOI: 10.1016/j.gaitpost.2011.05.001</identifier><identifier>PMID: 21616668</identifier><language>eng</language><publisher>England: Elsevier B.V</publisher><subject>Biomechanical Phenomena ; Cerebral Palsy - physiopathology ; Child ; Diplegic cerebral palsy ; Equinus Deformity - physiopathology ; Foot - physiology ; Foot deformity ; Gait ; Gait Disorders, Neurologic - physiopathology ; Hip - physiology ; Hip deformity ; Humans ; Orthopedics ; Pelvis - physiology ; Rotation</subject><ispartof>Gait & posture, 2011-06, Vol.34 (2), p.218-221</ispartof><rights>Elsevier B.V.</rights><rights>2011 Elsevier B.V.</rights><rights>Copyright © 2011 Elsevier B.V. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c520t-8f9cce86e4876cf19ee3514c48e03ca3560f7e03d5561b1db01cea2c6d11802e3</citedby><cites>FETCH-LOGICAL-c520t-8f9cce86e4876cf19ee3514c48e03ca3560f7e03d5561b1db01cea2c6d11802e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.gaitpost.2011.05.001$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21616668$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gaston, M.S</creatorcontrib><creatorcontrib>Rutz, E</creatorcontrib><creatorcontrib>Dreher, T</creatorcontrib><creatorcontrib>Brunner, R</creatorcontrib><title>Transverse plane rotation of the foot and transverse hip and pelvic kinematics in diplegic cerebral palsy</title><title>Gait & posture</title><addtitle>Gait Posture</addtitle><description>Abstract External rotation of the foot associated with mid-foot break is a commonly observed gait abnormality in diplegic CP patients. Previous studies have shown a correlation between equinus and internal hip rotation in hemiplegic patients. This study aimed to determine if there was a correlation between the amount of transverse plane rotation in diplegic CP patients using kinematic data from standardised gait analysis. Lower limb data of 134 ambulant children with diplegic CP was analysed retrospectively determining the maximum change in foot, hip and pelvis rotation during loading response. Highly significant negative correlations ( P = <0.001) were found between foot and hip movements and foot and pelvic movements. Equinus at initial contact diminished the foot:hip correlation while it enhanced the foot:pelvic correlation. There was less external rotation of the foot in equinus patients ( P = 0.012) and more external rotation of the pelvis in the equinus group ( P = <0.001). This data reveal a correlation between transverse plane rotation at foot level to that at the hip and pelvis. The likely biomechanical explanation is relatively excessive transverse external rotation of the foot due to abnormalities such as mid-foot break. When under load, where the foot is fixed to the floor, internal rotation of the entire leg occurs. This is due to lever arm disease as a result of the relatively shortened foot and inefficiency of the plantar-flexion knee-extension couple. Equinus modulates the effect. When treating such patients, lever arm deformities at all levels must be considered to result in the best outcome and prevent recurrences.</description><subject>Biomechanical Phenomena</subject><subject>Cerebral Palsy - physiopathology</subject><subject>Child</subject><subject>Diplegic cerebral palsy</subject><subject>Equinus Deformity - physiopathology</subject><subject>Foot - physiology</subject><subject>Foot deformity</subject><subject>Gait</subject><subject>Gait Disorders, Neurologic - physiopathology</subject><subject>Hip - physiology</subject><subject>Hip deformity</subject><subject>Humans</subject><subject>Orthopedics</subject><subject>Pelvis - physiology</subject><subject>Rotation</subject><issn>0966-6362</issn><issn>1879-2219</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkk1vFDEMhiMEotvCX6hy47SDnZlkMhcEqvioVIkD5RxlM54229nJkGRX2n9Phm1B4tKTLet5bdmvGbtEqBBQvd9Wd9bnOaRcCUCsQFYA-IKtULfdWgjsXrIVdEqtVa3EGTtPaQsATa3Fa3YmUKFSSq-Yv412SgeKifg82ol4DNlmHyYeBp7viQ8hZG6nnud_5L2f_5RmGg_e8Qc_0a6IXOJ-4r2fR7orZUeRNtGOfLZjOr5hr4YS6e1jvGA_v3y-vfq2vvn-9frq083aSQF5rYfOOdKKGt0qN2BHVEtsXKMJamdrqWBoS9pLqXCD_QbQkRVO9YgaBNUX7N2p7xzDrz2lbHY-ORqX5cI-Ga1raFqp6-fJVoISWMtCqhPpYkgp0mDm6Hc2Hg2CWfwwW_Pkh1n8MCBN8aMILx9H7Dc76v_KngwowMcTQOUkB0_RJOdpctT7SC6bPvjnZ3z4r4Ub_eSdHR_oSGkb9nEqBzdokjBgfixfsTwFYlE3Zb_fhri1qw</recordid><startdate>20110601</startdate><enddate>20110601</enddate><creator>Gaston, M.S</creator><creator>Rutz, E</creator><creator>Dreher, T</creator><creator>Brunner, R</creator><general>Elsevier B.V</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>7TS</scope></search><sort><creationdate>20110601</creationdate><title>Transverse plane rotation of the foot and transverse hip and pelvic kinematics in diplegic cerebral palsy</title><author>Gaston, M.S ; Rutz, E ; Dreher, T ; Brunner, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c520t-8f9cce86e4876cf19ee3514c48e03ca3560f7e03d5561b1db01cea2c6d11802e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Biomechanical Phenomena</topic><topic>Cerebral Palsy - physiopathology</topic><topic>Child</topic><topic>Diplegic cerebral palsy</topic><topic>Equinus Deformity - physiopathology</topic><topic>Foot - physiology</topic><topic>Foot deformity</topic><topic>Gait</topic><topic>Gait Disorders, Neurologic - physiopathology</topic><topic>Hip - physiology</topic><topic>Hip deformity</topic><topic>Humans</topic><topic>Orthopedics</topic><topic>Pelvis - physiology</topic><topic>Rotation</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gaston, M.S</creatorcontrib><creatorcontrib>Rutz, E</creatorcontrib><creatorcontrib>Dreher, T</creatorcontrib><creatorcontrib>Brunner, R</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>Physical Education Index</collection><jtitle>Gait & posture</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gaston, M.S</au><au>Rutz, E</au><au>Dreher, T</au><au>Brunner, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Transverse plane rotation of the foot and transverse hip and pelvic kinematics in diplegic cerebral palsy</atitle><jtitle>Gait & posture</jtitle><addtitle>Gait Posture</addtitle><date>2011-06-01</date><risdate>2011</risdate><volume>34</volume><issue>2</issue><spage>218</spage><epage>221</epage><pages>218-221</pages><issn>0966-6362</issn><eissn>1879-2219</eissn><abstract>Abstract External rotation of the foot associated with mid-foot break is a commonly observed gait abnormality in diplegic CP patients. Previous studies have shown a correlation between equinus and internal hip rotation in hemiplegic patients. This study aimed to determine if there was a correlation between the amount of transverse plane rotation in diplegic CP patients using kinematic data from standardised gait analysis. Lower limb data of 134 ambulant children with diplegic CP was analysed retrospectively determining the maximum change in foot, hip and pelvis rotation during loading response. Highly significant negative correlations ( P = <0.001) were found between foot and hip movements and foot and pelvic movements. Equinus at initial contact diminished the foot:hip correlation while it enhanced the foot:pelvic correlation. There was less external rotation of the foot in equinus patients ( P = 0.012) and more external rotation of the pelvis in the equinus group ( P = <0.001). This data reveal a correlation between transverse plane rotation at foot level to that at the hip and pelvis. The likely biomechanical explanation is relatively excessive transverse external rotation of the foot due to abnormalities such as mid-foot break. When under load, where the foot is fixed to the floor, internal rotation of the entire leg occurs. This is due to lever arm disease as a result of the relatively shortened foot and inefficiency of the plantar-flexion knee-extension couple. Equinus modulates the effect. When treating such patients, lever arm deformities at all levels must be considered to result in the best outcome and prevent recurrences.</abstract><cop>England</cop><pub>Elsevier B.V</pub><pmid>21616668</pmid><doi>10.1016/j.gaitpost.2011.05.001</doi><tpages>4</tpages></addata></record> |
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| source | MEDLINE; Elsevier ScienceDirect Journals Complete |
| subjects | Biomechanical Phenomena Cerebral Palsy - physiopathology Child Diplegic cerebral palsy Equinus Deformity - physiopathology Foot - physiology Foot deformity Gait Gait Disorders, Neurologic - physiopathology Hip - physiology Hip deformity Humans Orthopedics Pelvis - physiology Rotation |
| title | Transverse plane rotation of the foot and transverse hip and pelvic kinematics in diplegic cerebral palsy |
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