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Verfasst von:Tsitlakidis, Stefanos [VerfasserIn]   i
 Campos, Sarah [VerfasserIn]   i
 Beckmann, Nicholas A. [VerfasserIn]   i
 Wolf, Sebastian Immanuel [VerfasserIn]   i
 Hagmann, Sébastien [VerfasserIn]   i
 Renkawitz, Tobias [VerfasserIn]   i
 Götze, Marco [VerfasserIn]   i
Titel:Transversal malalignment and proximal involvement play a relevant role in unilateral cerebral palsy regardless the subtype
Verf.angabe:Stefanos Tsitlakidis, Sarah Campos, Nicholas A. Beckmann, Sebastian I. Wolf, Sébastien Hagmann, Tobias Renkawitz and Marco Götze
E-Jahr:2022
Jahr:17 August 2022
Umfang:12 S.
Fussnoten:Gesehen am 14.09.2022
Titel Quelle:Enthalten in: Journal of Clinical Medicine
Ort Quelle:Basel : MDPI, 2012
Jahr Quelle:2022
Band/Heft Quelle:11(2022), 16, Artikel-ID 4816, Seite 1-12
ISSN Quelle:2077-0383
Abstract:Classification of gait disorders in cerebral palsy (CP) remains challenging. The Winters, Gage, and Hicks (WGH) is a commonly used classification system for unilateral CP regarding the gait patterns (lower limb kinematics) solely in the sagittal plane. Due to the high number of unclassified patients, this classification system might fail to depict all gait disorders accurately. As the information on trunk/pelvic movements, frontal and transverse planes, and kinetics are disregarded in WGH, 3D instrumented gait analysis (IGA) for further characterization is necessary. The objective of this study was a detailed analysis of patients with unilateral CP using IGA taking all planes/degrees of freedom into account including pelvic and trunk movements. A total of 89 individuals with unilateral CP matched the inclusion criteria and were classified by WGH. Subtype-specific differences were analyzed. The most remarkable findings, in addition to the established WGH subtype-specific deviations, were pelvic obliquity and pelvic retraction in all WGH types. Furthermore, the unclassified individuals showed altered hip rotation moments and pelvic retraction almost throughout the whole gait cycle. Transversal malalignment and proximal involvement are relevant in all individuals with unilateral CP. Further studies should focus on WGH type-specific rotational malalignment assessment (static vs. dynamic, femoral vs. tibial) including therapeutic effects and potential subtype-specific compensation mechanisms and/or tertiary deviations of the sound limb.
DOI:doi:10.3390/jcm11164816
URL:Volltext: https://doi.org/10.3390/jcm11164816
 Volltext: https://www.mdpi.com/2077-0383/11/16/4816
 DOI: https://doi.org/10.3390/jcm11164816
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:3D instrumented gait analysis
 gait classification
 gait kinematics
 joint moments
 unilateral cerebral palsy
K10plus-PPN:1816603139
Verknüpfungen:→ Zeitschrift
 
 
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