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Verfasst von:Krautwurst, Britta [VerfasserIn]   i
 Dreher, Thomas [VerfasserIn]   i
 Wolf, Sebastian Immanuel [VerfasserIn]   i
Titel:The impact of walking devices on kinematics in patients with spastic bilateral cerebral palsy
Verf.angabe:Britta K. Krautwurst, Thomas Dreher, Sebastian I. Wolf
E-Jahr:2016
Jahr:26 March 2016
Umfang:4 S.
Fussnoten:Gesehen am 25.10.2019
Titel Quelle:Enthalten in: Gait & posture
Ort Quelle:Amsterdam [u.a.] : Elsevier Science, 1993
Jahr Quelle:2016
Band/Heft Quelle:46(2016), Seite 184-187
ISSN Quelle:1879-2219
Abstract:Increased anterior pelvic and trunk tilt is a common finding in patients with bilateral cerebral palsy especially during walking with assistive devices. As previous studies demonstrate various gait alterations when using assistive devices, the assessment of surgical interventions may be biased when the patients become independent of (or dependent on) assistive devices after therapy. Furthermore, some of these patients in fact are able to walk without devices even though in daily life they prefer to use them. Consequently, for such patients the classification into GMFCS level II or III may be ambiguous. The specific aim of this study was therefore to assess the influence of the use of forearm crutches and posterior walker during walking and to set this influence in relation to outcome effects of surgical intervention studies. 26 ambulatory patients with spastic bilateral CP (GMFCS II-III) were included who underwent 3D gait analysis. All patients used forearm crutches or posterior walkers in everyday life even though they were able to walk without assistive devices for short distances. Independent of the type of assistive devices, the patients walk on average with more anterior trunk tilt and pelvic tilt (7°±6° and 3°±2°) and with a maximum ankle dorsiflexion decreased by 2° (±3°) when walking with assistive devices, enhancing the mal-positioning present without device. Oppositely, the knees on average are more extended by 6° (±4°) when using the assistive devices. These effects have to be taken into account when assessing gait patterns or when monitoring the outcome after intervention as assistive devices may partially hide or exaggerate therapeutic effects.
DOI:doi:10.1016/j.gaitpost.2016.03.014
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext ; Verlag: https://doi.org/10.1016/j.gaitpost.2016.03.014
 Volltext: http://www.sciencedirect.com/science/article/pii/S0966636216000898
 DOI: https://doi.org/10.1016/j.gaitpost.2016.03.014
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:Cerebral palsy
 Crutches
 Gait analysis
 Kinematics
 Posterior walker
K10plus-PPN:1680009613
Verknüpfungen:→ Zeitschrift

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