Evaluation of the walking pattern in clubfoot patients who received early intensive treatment
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Evaluation of the walking pattern in clubfoot patients who received early intensive treatment. / Alkjaer, T; Pedersen, E N; Simonsen, E B.
I: Journal of Pediatric Orthopaedics, Bind 20, Nr. 5, 2000, s. 642-7.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Evaluation of the walking pattern in clubfoot patients who received early intensive treatment
AU - Alkjaer, T
AU - Pedersen, E N
AU - Simonsen, E B
PY - 2000
Y1 - 2000
N2 - The walking pattern in a group of nine adult male subjects who had received early intensive treatment for congenital clubfoot was evaluated and compared to the walking pattern in a control group of 15 adult healthy male subjects. All subjects were filmed with a five-camera video system as they walked across two force plates. A three-dimensional inverse dynamics approach was used to calculate average joint angles, moments, power, and work. The results showed that there were no differences in the joint angles between the two groups. The overall patterns of the joint moments were very similar in the two groups. However, analysis revealed a smaller ankle joint moment and larger knee and hip joint moments in those with clubfoot. It was concluded that the larger knee and hip joint moments served as compensation for the smaller ankle moment. The reduced ankle moment and work developed about the ankle joint in the clubfeet could possibly be owing to weaker plantar flexors. In conclusion, gait analysis can be an important tool when evaluating treatment for clubfoot. However, further investigation is needed to determine whether the higher hip and knee joint moments observed in subjects with clubfoot may lead to the development of knee or hip joint pathologies.
AB - The walking pattern in a group of nine adult male subjects who had received early intensive treatment for congenital clubfoot was evaluated and compared to the walking pattern in a control group of 15 adult healthy male subjects. All subjects were filmed with a five-camera video system as they walked across two force plates. A three-dimensional inverse dynamics approach was used to calculate average joint angles, moments, power, and work. The results showed that there were no differences in the joint angles between the two groups. The overall patterns of the joint moments were very similar in the two groups. However, analysis revealed a smaller ankle joint moment and larger knee and hip joint moments in those with clubfoot. It was concluded that the larger knee and hip joint moments served as compensation for the smaller ankle moment. The reduced ankle moment and work developed about the ankle joint in the clubfeet could possibly be owing to weaker plantar flexors. In conclusion, gait analysis can be an important tool when evaluating treatment for clubfoot. However, further investigation is needed to determine whether the higher hip and knee joint moments observed in subjects with clubfoot may lead to the development of knee or hip joint pathologies.
KW - Adolescent
KW - Adult
KW - Age Factors
KW - Ankle Joint
KW - Braces
KW - Clubfoot
KW - Gait
KW - Hip Joint
KW - Humans
KW - Infant
KW - Knee Joint
KW - Male
KW - Physical Therapy Modalities
KW - Video Recording
KW - Walking
M3 - Journal article
C2 - 11008746
VL - 20
SP - 642
EP - 647
JO - Journal of Pediatric Orthopaedics
JF - Journal of Pediatric Orthopaedics
SN - 0271-6798
IS - 5
ER -
ID: 33887818