Can pedobarography predict the occurrence of heel rocker in children with lower limb spasticity?

Mudge, Anita; Sangeux, Morgan; Wojciechowski, Elizabeth; Louey, M.; McKay, Marnee J.; Baldwin, Jennifer; Dwan, Leanne N.; Axt, Matthias W.; Burns, Joshua

doi:10.1016/j.clinbiomech.2019.10.022

Cited by 1 publication

(1 citation statement)

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“…For in depth investigation of the link between CoP trajectories and the gait pattern, additional video or three dimensional gait analysis (3DGA) is required. This combination proved to be more accurate to identify regions of the foot [30] and to detect the absence of a heel strike [31]. Furthermore, 3DGA provides essential information on gait patterns and should ideally be performed to assess gait in patients with DS.…”

Section: Relation With Tct and Agementioning

confidence: 99%

Foot-floor contact pattern in children and adults with Dravet Syndrome

et al. 2021

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Background: Dravet Syndrome (DS) is a developmental and epileptic encephalopathy characterized by severe drug-resistant seizures and associated with cognitive and motor impairments. Walking problems are frequently observed. As the foot plays a key role during walking, compromised foot function can be a feature of deviant gait. p.2Aim: To investigate foot function in DS by characterizing foot-floor contact patterns using pedobarography.Methods: A total of 31 children and adults were included in the DS group (aged 5.2-32.8 years, 17 female, 174 steps) and 30 in the control group (aged 6.0-32.9, 16 female, 180 steps). The foot-floor contact pattern was evaluated based on progression, length and smoothness (spectral arc length) of the center of pressure (CoP). Linear mixed models were used to identify differences between non-heel strikes and heel strikes and between the DS and control group. Results: Fifteen participants with DS showed inconsistency in the type of foot-floor contact (heel strikes and non-heel strikes). Heel strikes of participants with DS had significantly reduced time of CoP under the hindfoot and increased time under the midfoot region compared to the control group. Significant time and age effects were detected. Conclusions and Implications: Deviant foot-floor contact patterns were observed in DS. Possible gait immaturity and instability as well as implications for interventions are discussed.

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Section: Relation With Tct and Agementioning

confidence: 99%