Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm

  title={Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm},
  author={Jill Rodda and H Kerr Graham},
  journal={European Journal of Neurology},
  • J. Rodda, H. Graham
  • Published 1 November 2001
  • Medicine, Psychology
  • European Journal of Neurology
Classifications of gait and postural patterns in spastic hemiplegia and spastic diplegiía are presented, based on the work of previous authors. The classifications are used as a biomechanical basis, linking spasticity, musculoskeletal pathology in the lower limbs, and the appropriate intervention strategies. The choice of target muscles for spasticity management, the muscle contractures requiring lengthening and the choice of orthotics are then linked to the underlying gait pattern. 
Principle of Orthosis Correction in Gait Problem
  • T. Tamin
  • Medicine, Engineering
    Proceedings of the 11th National Congress and the 18th Annual Scientific Meeting of Indonesian Physical Medicine and Rehabilitation Association
  • 2019
Gait abnormality can be caused by musculoskeletal and neuromuscular problems and can occur among every population from pediatric, adult and geriatric cases.
ii) The management of spastic diplegia
Instrumented gait analysis is a prerequisite of surgery and all deformities should be addressed simultaneously and surgery should only be considered once the child's function has plateaued, usually between the age of seven and ten.
Multilevel orthopaedic surgery in group IV spastic hemiplegia.
It was found that internal rotation of the hip and pelvic retraction were consistent abnormalities of gait in group-IV hemiplegia, and a programme of multilevel surgery resulted in predictable improvement in gait and posture, including pelvic Retraction.
Gait patterns in hemiplegic children with cerebral palsy: The uninvolved side
The aim of this study was to assess the kinematics of the normal, also called sound, lower limb and compare them with the kinesiology of the involved limb in order to find characteristic kinematic patterns in the uninvolved side of these children.
Correction of severe crouch gait in patients with spastic diplegia with use of multilevel orthopaedic surgery.
Multilevel orthopaedic surgery for older children and adolescents with severe crouch gait is effective for relieving stress on the knee extensor mechanism, reducing knee pain, and improving function and independence.
Gait Patterns in Hemiplegic Patients with Equinus Foot Deformity
Clustering of gait patterns in chronic hemiplegic patients with equinus deformity of the foot is helpful for a better understanding of dysfunction during gait and delivering more targeted treatment.
Use of botulinum toxin in the treatment of ankle plantar flexor spasticity in children with cerebral palsy
The effectiveness of botulinum in reducing spasticity, increasing the range of motion, and improving the gait pattern is confirmed in children with spastic cerebral palsy.
Orthoses in Conservative Management of Cerebral Palsy and Rehabilitation
Orthotics are external devices that applied to increase function, prevent contracture and deformity, maintain the limbs in a functional position, stabilize the segments of the body, support the weak muscle and its functions, increase motor control, reduce spasticity, protect the limbs, and body segments in the postoperative condition.
[Knee-bending and -stretching-spastic in infant cerebral palsy. Surgery aimed at functional improvement and its results].
Functional evaluation criteria complemented by instrumented gait analysis must be used to define the results more quickly and to uncover postoperative problems.


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Four homogeneous patterns of gait were defined in forty-six patients who had spastic hemiplegia secondary to cerebral palsy or other neurological disorders by analyzing kinematic data in the sagittal
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    The New England journal of medicine
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Cerebral palsy in premature children is manifested as spastic diplegia in about 70 percent of the cases, and this disorder of movement and posture is particularly important because it afflicts the majority of patients with cerebral palsy.
Gait assessment of fixed ankle-foot orthoses in children with spastic diplegia.
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For equinus deformity in spastic hemiplegia, correction by the White slide technique has been studied in a group of 35 patients followed up for 14 to 20 years and is free from significant complications with an acceptable rate of recurrent deformity.
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The HAFO was themost effective in controlling knee hyperextension in stance, while PLS was the most effective in promoting knee extension in children with >10 degree knee flexion in stance.
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