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KMID : 0361620050400070949
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Journal of the Korean Orthopaedic Association
2005 Volume.40 No. 7 p.949 ~ p.957
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Gait Patterns According to the Transverse Plane Deformities in Spastic Diplegia - A Preliminary Report -
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Chung Chin-Youb
Cho Tae-Joon
Choi In-Ho
Yoo Won-Jun
Choi Sun-Jong
Park Moon-Seok
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Abstract
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Purpose: To understand the relationship between the gait patterns in transverse plane and the transverse plane deformities.
Materials and Methods: We evaluated the clinical, radiological, and three-dimensional gait analysis data of 152 spastic diplegics with transverse plane deformities. We define the transverse plane deformities as follows: 1) femoral anteversion ≥≥30°, 2) thigh foot angle ≤≤-5° or ≥≥25°, 3) severe foot deformities that could affect the foot progression angle.
Results: We classified gait patterns of spastic diplegics into 6 groups on the base of pelvic compensation and foot progression angle, and divided anatomic characteristics into symmetric and asymmetric type. Among the gait patterns, pattern I-A (in-toeing with pelvic compensation) and II-A (in-toeing without pelvic compensation) were most prevalent. Femoral antetorsion was the most frequent torsional deformities, whereas valgus of foot was second most.
Conclusion: We classified the gait patterns and analyzed the relationship between each gait pattern and types of torsional deformities.
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KEYWORD
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Cerebral palsy, Diplegia, Torsional deformity, Gait pattern
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