NDLI: A Descriptive Study of Lower Limb Torsional Kinematic Profiles in Children With Spastic Diplegia.

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A Descriptive Study of Lower Limb Torsional Kinematic Profiles in Children With Spastic Diplegia.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Simon, Anne-Laure Ilharreborde, Brice Megrot, Fabrice Mallet, Cindy Azarpira, Reza Mazda, Keyvan Presedo, Ana Penneçot, Georges F.
Description	Country affiliation: Iran Author Affiliation: Simon AL ( *Pediatric Orthopedics Department, Robert Debré Hospital, Paris Bois-Larris Motion Analysis Laboratory, Centre of Functional Reeducation and Rehabilitation, Lamorlaye, France Pediatric Orthopedics Department, Namazi Hospital, Shiraz, Iran.)
Abstract	BACKGROUND: Lower limb rotational anomalies in spastic diplegic children with cerebral palsy (CP) are common and difficult to identify through physical examination alone. The identification and treatment of the overall rotational disorders must be considered to restore physiological lever-arms lengths and lever-arms orientation.The aims of the study were to assess the prevalence of lower limb rotational malalignment and to describe the distribution of the different kinematic torsional profiles in children with spastic diplegia. METHODS: Instrumented gait analysis data from 188 children with spastic diplegia were retrospectively reviewed. None of the patients had undergone surgery previously or received botulinum toxin treatment within 6 months before the review. Kinematic data, collected at the midstance phase, included: pelvic, hip, and ankle rotation and foot progression angle. RESULTS: The prevalence of kinematic rotational deviations was 98.4%. Sixty-one percent of the children walked with an internal foot progression angle and 21% exhibited external alignment. The pelvis was internally rotated in 41% of the cases and externally in another 27%. Hip rotation was internal in 29% and external in 27% of the cases. Ankle rotation was internal in 55% and external in 16% of the cases. Lower limb rotational anomalies involved more than one level in 77% of the limbs. A kinematic compensatory deviation was identified in at least one level in 48% of the limbs. CONCLUSIONS: Kinematic rotational anomalies were identified in nearly all the 188 children in the study. The multilevel involvement of lower limb malalignment was not systematically associated with compensatory mechanisms between the levels. Ankle rotational anomalies were the most frequent cause of lower limb torsional deviations followed by pelvic malalignment. LEVEL OF EVIDENCE: Level IV.
File Format	HTM / HTML
ISSN	02716798
Issue Number	6
Volume Number	35
e-ISSN	15392570
Journal	Journal of Pediatric Orthopaedics
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2015-09-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Cerebral Palsy Physiopathology Gait Physiology Lower Extremity Adolescent Adult Ankle Joint Biomechanical Phenomena Complications Child Child, Preschool Female Foot Hip Joint Humans Male Pelvis Retrospective Studies Rotation Torsion Abnormality Young Adult Journal Article
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Pediatrics, Perinatology and Child Health

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1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
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4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
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