Gait Analysis and Dynamic Foot Pressure in the Assessment of Treated Clubfoot

Widhe, Torulf; Berggren, Lotta

doi:10.1177/107110079401500406

Cited by 49 publications

(35 citation statements)

References 9 publications

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“…Angular parameters were also different in CF children with less plantar exion range of motion for unilateral CF group, on both sides, compared with control group. ese ndings are similar W and B 6 and H et al 7 . ese imbalances are related to constrains in m. triceps surae associated with surgical procedures and residual deformities after treatment.…”

supporting

confidence: 70%

“…e weakness of muscle stabilizers or decreased amplitude in ankle angle (normally found in CF children) could contribute to these angular alterations and could justify the decrease in vertical GRF in midstance phase found in the unilateral CF group. e nal gait stance phase, propulsion de ciencies found in CF groups are similar to W and B 6 , T et al 3 and F et al…”

supporting

confidence: 52%

“…This study has identified that unilateral CF presents more imbalances in gait biomechanical parameters compared with bilateral CF 6 . ese larger imbalances between a ected and una ected sides in this population explain larger compensations between sides.…”

Section: Introductionmentioning

confidence: 97%

“…In addition, periodic checkups are needed because recurrences and residual deformities may require new treatment [2][3] . CF diagnosis includes radiological analysis, physical examination, questionnaires based on functional activities and pain level [3][4] , and biomechanical gait analysis [5][6][7][8] . Information about kinematics, kinetics and electromyography of CF gait are controversies 2,[4][5][9][10] , because children with CF have di erent movement patterns.…”

Section: Introductionmentioning

confidence: 99%

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Parâmetros biomecânicos da marcha em crianças com pé torto congênito unilateral e bilateral

José

Cerqueira

Mochizuki

et al. 2016

Rev. bras. educ. fís. esporte

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Resumo Uma variedade de disfunções congênitas pediátricas demonstra que deformidades do pé interferem na capacidade de locomoção. No entanto, há em muitas vezes incertezas sobre os seus reais efeitos mecânicos. O pé torto congênito é um exemplo de uma disfunção pouco conhecida no que diz respeito as suas influências na locomoção de crianças. Desta forma, uma melhor compreensão da marcha destas crianças pode auxiliar no melhor no direcionamento de futuras ações na tentativa de minimizar ou corrigir tais possíveis desequilíbrios. O objetivo da pesquisa foi analisar parâmetros cinéticos e cinemáticos da marcha de crianças com pé torto congênito unilateral e bilateral submetidas a tratamento cirúrgico. Artigo Científico Original Observacional. O protocolo consistiu da investigação da marcha em velocidade auto-selecionada, com identificação de parâmetros em forças de reação do solo vertical e antero-posterior, além de parâmetros angulares do tornozelo e do joelho. Testes estatísticos não-paramétricos foram utilizados na análise dos resultados. As crianças com pé torto mostraram maiores desequilíbrios nos parâmetros investigados, com ênfase para as diferenças entre o grupo de pé torto unilateral e controle. Nesta comparação, no início da fase de apoio, foram encontradas maior primeiro pico da força vertical e alterações angulares do joelho e tornozelo; no médio apoio, foram observados aumento da flexão do joelho e dorsiflexão do tornozelo, além de menor magnitude da força vertical; na fase de propulsão foram encontrados menores valores na força antero-posterior e no segundo pico da força vertical, além de menor flexão plantar. Crianças com pé torto unilateral apresentam maiores desequilíbrios em parâmetros biomecânicos da marcha em comparação com crianças acometidas bilateralmente. As alterações encontradas nos parâmetros da marcha no presente estudo podem contribuir nas compreensões dos desequilíbrios e fornecer informações para entender os movimentos dos membros inferiores durante a marcha em crianças pé torto.

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supporting

confidence: 70%

supporting

confidence: 52%

Section: Introductionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Parâmetros biomecânicos da marcha em crianças com pé torto congênito unilateral e bilateral

José

Cerqueira

Mochizuki

et al. 2016

Rev. bras. educ. fís. esporte

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“…This study demonstrated that both treatments resulted in residual varus as well, with the operative group having a significantly greater varus. Similarly, Widhe and Berggren [24] reported a significant shift in the pressure from the center to the lateral side of the foot in children with clubfoot who had been treated conservatively. Furthermore, in a 2009 study, Sinclair et al [47] reported that, compared to an unaffected foot, a surgically treated clubfoot had a reduced peak pressure over the medial hindfoot and forefoot.…”

Section: Coronal Planementioning

confidence: 99%

A comprehensive outcome comparison of surgical and Ponseti clubfoot treatments with reference to pediatric norms

Church

Coplan

Poljak

et al. 2012

Journal of Children's Orthopaedics

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Purpose Isolated congenital clubfoot can be treated either operatively (posteromedial release) or conservatively (Ponseti method). This study retrospectively compared mid-term outcomes after surgical and Ponseti treatments to a normal sample and used multiple evaluation techniques, such as detailed gait analysis and foot kinematics. Methods Twenty-six children with clubfoot treated surgically and 22 children with clubfoot treated with the Ponseti technique were evaluated retrospectively and compared to 34 children with normal feet. Comprehensive evaluation included a full gait analysis with multi-segment and single-segment foot kinematics, pedobarograph, physical examination, validated outcome questionnaires, and radiographic measurements. Results The Ponseti group had significantly better plantarflexion and dorsiflexion range of motion during gait and had greater push-off power. Residual varus was present in both treatment groups, but more so in the operative group. Gait analysis also showed that the operative group had residual in-toeing, which appeared well corrected in the Ponseti group. Pedobarograph results showed that the operative group had significantly increased varus and significantly decreased medial foot pressure. The physical examination demonstrated significantly greater stiffness in the operative group in dorsiflexion, plantarflexion, ankle inversion, and midfoot abduction and adduction. Surveys showed that the Ponseti group had significantly more normal pediatric outcome data collection instrument results, disease-specific indices, and Dimeglio scores. The radiographic results suggested greater equinus and cavus and increased foot internal rotation profile in the operative group compared with the Ponseti group.

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Comparison of kinematics and pedobarography findings between the unaffected foot of patients with unilateral clubfoot and controls

Jiratummarat,

Osateerakun,

Tooptakong

et al. 2024

International Orthopaedics (SICOT)

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Gait Analysis and Dynamic Foot Pressure in the Assessment of Treated Clubfoot

Cited by 49 publications

References 9 publications

Parâmetros biomecânicos da marcha em crianças com pé torto congênito unilateral e bilateral

Parâmetros biomecânicos da marcha em crianças com pé torto congênito unilateral e bilateral

A comprehensive outcome comparison of surgical and Ponseti clubfoot treatments with reference to pediatric norms

Comparison of kinematics and pedobarography findings between the unaffected foot of patients with unilateral clubfoot and controls

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