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Verfasst von:Tsitlakidis, Stefanos [VerfasserIn]   i
 Campos, Sarah [VerfasserIn]   i
 Mick, Paul [VerfasserIn]   i
 Doll, Julian [VerfasserIn]   i
 Hagmann, Sébastien [VerfasserIn]   i
 Renkawitz, Tobias [VerfasserIn]   i
 Götze, Marco [VerfasserIn]   i
 Hetto, Pit [VerfasserIn]   i
Titel:Gait deviations of the uninvolved limb and their significance in unilateral cerebral palsy
Verf.angabe:Stefanos Tsitlakidis, Sarah Campos, Paul Mick, Julian Doll, Sébastien Hagmann, Tobias Renkawitz, Marco Götze and Pit Hetto
E-Jahr:2023
Jahr:16 October 2023
Umfang:17 S.
Illustrationen:Illustrationen
Fussnoten:Gesehen am 29.11.2023
Titel Quelle:Enthalten in: Symmetry
Ort Quelle:Basel : MDPI, 2009
Jahr Quelle:2023
Band/Heft Quelle:15(2023), 10, Artikel-ID 1922, Seite 1-17
ISSN Quelle:2073-8994
Abstract:Little is known about the impact of the impaired limb on the uninvolved side, which might influence the overall functional outcome in individuals with unilateral cerebral palsy (CP). The objective of this work was to perform an assessment considering the kinematics/joint moments and ground reaction forces (GRFs). Eighty-nine individuals with unilateral CP were included and classified according to their functional impairment. Level-specific differences according to the Gross Motor Function Classification System (GMFCS), including pelvic and trunk movements, were analyzed using instrumented 3D gait analysis (IGA). Anterior trunk and pelvic tilt, trunk lean/pelvic obliquity, pelvic internal rotation, hip adduction, and external hip rotation, as well as pronounced flexion (ankle dorsiflexion), at all joint levels were significant kinematic alterations. Concerning joint moments, the most remarkable alterations were hip and ankle flexion, hip abduction, knee varus/valgus, and transversal joint moments at all levels (external rotation moments in particular). The most remarkable differences between GMFCS levels were at proximal segments. The kinematics and joint moments of the sound limb in patients with unilateral CP differ significantly from those of healthy individuals—partially concomitant to those of the involved side or as motor strategies to compensate for transversal malalignment and leg-length discrepancies (LLDs). GRF showed almost identical patterns between GMFCS levels I and II, indicating an unloading of the involved limb. Compensatory motor strategies of the sound limb do not influence functional outcomes.
DOI:doi:10.3390/sym15101922
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.

kostenfrei: Volltext: https://doi.org/10.3390/sym15101922
 kostenfrei: Volltext: https://www.mdpi.com/2073-8994/15/10/1922
 DOI: https://doi.org/10.3390/sym15101922
Datenträger:Online-Ressource
Sprache:eng
Sach-SW:3D-instrumented gait analysis
 GMFCS level-specific compensation mechanisms
 sound/uninvolved limb
 unilateral cerebral palsy
K10plus-PPN:1871564840
Verknüpfungen:→ Zeitschrift

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