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Cerebral palsy, hip

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https://www.readbyqxmd.com/read/29775910/hip-and-patellofemoral-joint-loading-during-gait-are-increased-in-children-with-idiopathic-torsional-deformities
#1
Elyse Passmore, H Kerr Graham, Marcus G Pandy, Morgan Sangeux
BACKGROUND: Torsional deformities of the femur and tibia are associated with gait impairments and joint pain. Several studies have investigated these gait deviations in children with cerebral palsy. However, relatively little is known about gait deviations in children with idiopathic torsion and debate ensues about the management of these patients. RESEARCH QUESTION: What are the effects of idiopathic increased femoral neck anteversion and external tibial torsion on lower-limb kinematics, kinetics and joint loading during gait in children and adolescents...
May 9, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29773349/robot-assisted-training-using-hybrid-assistive-limb%C3%A2-for-cerebral-palsy
#2
Mayumi Matsuda, Nobuaki Iwasaki, Yuki Mataki, Hirotaka Mutsuzaki, Kenichi Yoshikawa, Kazushi Takahashi, Keiko Enomoto, Kumiko Sano, Aoi Kubota, Tomohiro Nakayama, Junko Nakayama, Haruka Ohguro, Masafumi Mizukami, Kazuhide Tomita
PURPOSE: The Hybrid Assistive Limb® (HAL®, CYBERDYNE) is a wearable robot that provides assistance to a patient while they are walking, standing, and performing leg movements based on the wearer's intended movement. The effect of robot-assisted training using HAL® for cerebral palsy (CP) is unknown. Therefore, we assessed the effect of robot-assisted training using HAL® on patients with CP, and compared walking and gross motor abilities between pre-intervention and post-intervention...
May 14, 2018: Brain & Development
https://www.readbyqxmd.com/read/29768121/a-biomechanical-comparison-of-initial-sprint-acceleration-performance-and-technique-in-an-elite-athlete-with-cerebral-palsy-and-able-bodied-sprinters
#3
Ian N Bezodis, James Cowburn, Adam Brazil, Rhian Richardson, Cassie Wilson, Timothy A Exell, Gareth Irwin
Cerebral palsy is known to generally limit range of motion and force producing capability during movement. It also limits sprint performance, but the exact mechanisms underpinning this are not well known. One elite male T36 multiple-Paralympic sprint medallist (T36) and 16 well-trained able-bodied (AB) sprinters each performed 5-6 maximal sprints from starting blocks. Whole-body kinematics (250 Hz) in the block phase and first two steps, and synchronised external forces (1,000 Hz) in the first stance phase after block exit were combined to quantify lower limb joint kinetics...
May 16, 2018: Sports Biomechanics
https://www.readbyqxmd.com/read/29765881/determinants-of-hip-and-femoral-deformities-in-children-with-spastic-cerebral-palsy
#4
Yoona Cho, Eun Sook Park, Han Kyul Park, Jae Eun Park, Dong-Wook Rha
Objective: To find factors affecting hip and femoral deformities in children with spastic cerebral palsy (CP) by comparing various clinical findings with imaging studies including plain radiography and computed tomography (CT) imaging. Methods: Medical records of 709 children with spastic CP who underwent thorough baseline physical examination and functional assessment between 2 to 6 years old were retrospectively reviewed. Fifty-seven children (31 boys and 26 girls) who had both plain radiography of the hip and three-dimensional CT of the lower extremities at least 5 years after baseline examination were included in this study...
April 2018: Annals of Rehabilitation Medicine
https://www.readbyqxmd.com/read/29763815/gait-pathology-subtypes-are-not-associated-with-self-reported-fall-frequency-in-children-with-cerebral-palsy
#5
Elizabeth R Boyer, Aleksys Patterson
BACKGROUND: Trips and falls are common concerns reported by parents of children with cerebral palsy. Specific gait pathologies (excessive internal hip rotation, intoeing, and stiff knee gait) are anecdotally associated with higher rates of falls. RESEARCH QUESTION: Is fall frequency higher for the aforementioned gait pathologies? METHODS: Parent-reported fall frequency from 1063 children with cerebral palsy who also had a three-dimensional gait analysis was retrospectively reviewed...
May 5, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29762118/pediatric-orthopaedic-consults-from-chiropractic-care
#6
Andy B Awwad, William L Hennrikus, Douglas G Armstrong
Alternative medicine in pediatrics is expanding, with chiropractic now a common choice for families seeking alternative medical care. Currently, there is sparse information in the literature exploring the role of chiropractic in orthopaedic pathology. The objective of this case series is to present pediatric patients who received treatment from chiropractors and orthopaedic physicians as well as to review the respective existing research. Data collected included chiropractic diagnosis, orthopaedic diagnosis, imaging studies, treatments, and complications...
2018: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/29733439/proximal-versus-distal-femoral-derotation-osteotomy-in-bilateral-cerebral-palsy
#7
Mirjam Niklasch, Elizabeth R Boyer, Tom Novacheck, Thomas Dreher, Michael Schwartz
AIM: Femoral derotation osteotomy (FDO) can be conducted either proximally or distally to correct internal rotation gait (IRG) and increased anteversion in children with cerebral palsy (CP). Previous studies with limited numbers of participants have presented comparable short-term static and kinematic outcomes for both techniques. The objective of this retrospective multicentre study was to verify this thesis with a larger number of patients. METHOD: In total, 119 children with CP and IRG were included after matching the groups on preoperative mean stance hip rotation: 67 intertrochanteric (proximal group) FDO (average age at surgery 9y [SD 3y]); 52 supracondylar (distal group) FDO (average age at surgery 12y [SD 3y])...
May 7, 2018: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29708908/anteverting-bernese-periacetabular-osteotomy-in-the-treatment-of-neurogenic-hip-dysplasia-in-cerebral-palsy
#8
Andrew G Georgiadis, Vivek Dutt, Walter H Truong, Susan A Novotny, Tom F Novacheck
All patients with hypertonic cerebral palsy undergoing Bernese periacetabular osteotomy (PAO) between 2005 and 2014 were reviewed. Clinical and radiographic parameters, including the cerebral palsy hip classification and anterior and posterior wall indices were collected to assess acetabular reorientation. Twenty (83%) of 24 procedures involved the correction of posterolateral acetabular insufficiency and were 'anteverting PAOs'. All 20 experienced improvements in radiographic indices. Eleven (58%) of 19 PAOs in ambulatory patients were performed in the setting of other multilevel orthopedic surgery...
April 27, 2018: Journal of Pediatric Orthopedics. Part B
https://www.readbyqxmd.com/read/29707053/reliability-and-efficiency-of-three-methods-of-calculating-migration-percentage-on-radiographs-for-hip-surveillance-in-children-with-cerebral-palsy
#9
V A Kulkarni, J R Davids, A D Boyles, N Q Cung, A Bagley
Purpose: Hip surveillance programmes for children with cerebral palsy (CP) utilize the migration percentage (MP) measurement to initiate referrals and recommend treatment. This study assesses the reliability and efficiency of three methods of MP measurement on anteroposterior (AP) pelvis radiographs. Methods: A total of 20 AP pelvis radiographs (40 hips) of children with CP were measured by three raters on two occasions using three methods: digital measurement (DM) on a Picture Archiving and Communication System monitor, computer-aided measurement (CA) using a digital templating tool and mobile device application measurement (MA) using a freely available MP measurement tool...
April 1, 2018: Journal of Children's Orthopaedics
https://www.readbyqxmd.com/read/29705454/effects-of-a-hippotherapy-intervention-on-muscle-spasticity-in-children-with-cerebral-palsy-a-randomized-controlled-trial
#10
David Lucena-Antón, Ignacio Rosety-Rodríguez, Jose A Moral-Munoz
OBJECTIVE: The aim of the present study is to evaluate the effect of a 12 weeks hippotherapy intervention protocol on hip adductors spasticity in children with spastic cerebral palsy. DESIGN: Randomized controlled trial. SETTINGS/LOCATION: The intervention was conducted in an Equestrian and Therapeutic Association. Patients were recruited from a Rehabilitation Unit of Cerebral Palsy. SUBJECTS: A total of 44 children with spastic cerebral palsy (Gross Motor Function Classification System [GMFCS] levels IV-V; 28 boys and 16 girls; aged 8 years 10 months, SD 3 months) were assigned to a treatment (n = 22; mean age 9 years 6 months, SD 3 months) or a control group (n = 22; mean age 8 years 3 months, SD 3 months)...
May 2018: Complementary Therapies in Clinical Practice
https://www.readbyqxmd.com/read/29705176/natural-history-of-scoliosis-in-cerebral-palsy-and-risk-factors-for-progression-of-scoliosis
#11
Kiyoshi Yoshida, Ichiro Kajiura, Tsunehiko Suzuki, Hidehiko Kawabata
BACKGROUND: Scoliosis in cerebral palsy (CP) often occurs and causes a disturbance in daily life. The purpose of this study was to investigate the natural history of scoliosis in cerebral palsy and determine risk factors for the progression of scoliosis using multivariate analyses. METHODS: We revised 113 patients with CP (47 males and 66 females) who had scoliosis with a curve of at least 10° were reviewed and retrospectively investigated these cases of scoliosis and analyzed the risk factors for the progression of this condition...
April 25, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29703255/fate-of-stable-hips-after-prophylactic-femoral-varization-osteotomy-in-patients-with-cerebral-palsy
#12
Ki Hyuk Sung, Soon-Sun Kwon, Chin Youb Chung, Kyoung Min Lee, Jaeyoung Kim, Seung Yeol Lee, Moon Seok Park
BACKGROUND: Concurrent prophylactic femoral varization osteotomy (FVO) for stable hips has been performed in patients with cerebral palsy (CP) undergoing hip reconstructive surgery for the contralateral displaced hip. However, there is currently a lack of studies investigating the outcome after the prophylactic FVO in stable hip. This study investigated the outcomes after FVO in stable hips with CP and influencing factors. In addition, this study compared the outcomes with those after hip reconstructive surgery in the contralateral displaced hip...
April 27, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29694645/effects-of-ultrasound-guided-botulinum-toxin-type-a-injections-with-a-specific-approach-in-spastic-cerebral-palsy
#13
Raikan Büyükavcı, Mehmet Akif Büyükavcı
The aim of this study was to detect effects of ultrasound-guided botulinum toxin type-A (US-guided BoNT-A) injections prepared according to lower extremity innervation zones on spasticity and motor function in 3-16 years children with diplegic and hemiplegic spastic cerebral palsy. This study included 25 patients between 3 and 16 years of age who admitted to our clinic in 2017, were being followed in our clinic with a diagnosis of cerebral palsy, had BoNT-A injections due to lower extremity spasticity. The US-guided BoNT-A injections were administered into the spastic muscles using a specific approach according to innervation zones of muscle...
April 24, 2018: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/29694621/correlation-between-physical-examination-and-three-dimensional-gait-analysis-in-the-assessment-of-rotational-abnormalities-in-children-with-cerebral-palsy
#14
Fernando Borge Teixeira, Amancio Ramalho Júnior, Mauro César de Morais Filho, Danielli Souza Speciali, Catia Miyuki Kawamura, José Augusto Fernandes Lopes, Francesco Camara Blumetti
Objective To evaluate the correlation between physical examination data concerning hip rotation and tibial torsion with transverse plane kinematics in children with cerebral palsy; and to determine which time points and events of the gait cycle present higher correlation with physical examination findings. Methods A total of 195 children with cerebral palsy seen at two gait laboratories from 2008 and 2016 were included in this study. Physical examination measurements included internal hip rotation, external hip rotation, mid-point hip rotation and the transmalleolar axis angle...
2018: Einstein
https://www.readbyqxmd.com/read/29683017/retrospective-evaluation-of-changes-in-gait-patterns-in-children-and-adolescents-with-cerebral-palsy-after-multilevel-surgery
#15
Ramona Steppacher, David North, Christoph Künzle, Harald Lengnick, Harry Klima, Annegret Mündermann, Regina Wegener
The purpose of this study was to retrospectively investigate changes in gait patterns after single-event multilevel surgery in children and adolescents with bilateral cerebral palsy. Three-dimensional instrumented pre- and postoperative gait data of 12 patients were compared to data of 12 healthy control subjects using principal component analysis to reduce the dimensionality of kinematic and kinetic gait data and detect gait differences. The differences between pre- and postoperative data and between postoperative data and data of control subjects were calculated using a linear mixed model...
January 1, 2018: Journal of Child Neurology
https://www.readbyqxmd.com/read/29643607/changes-in-gluteal-pressure-and-center-of-force-during-sitting-in-children-with-cerebral-palsy
#16
Do Hyun Kim, Won-Gyu Yoo, Ji-Hye Do
[Purpose] The purpose of this study was to measure gluteal pressure and center of force (COF) during sitting in children with cerebral palsy (CP). [Subjects and Methods] The participants were five children with CP and five typically developing controls. We measured peak gluteal pressure and COF using the TekScan system. During the measurements, all children sat on the therapeutic table for 1 minute without back and foot support. [Results] The peak gluteal pressure and COF in children with CP were significantly higher than values in controls...
December 2017: Journal of Physical Therapy Science
https://www.readbyqxmd.com/read/29605796/femoral-anteversion-assessment-comparison-of-physical-examination-gait-analysis-and-eos-biplanar-radiography
#17
David E Westberry, Linda I Wack, Roy B Davis, James W Hardin
BACKGROUND: Multiple measurement methods are available to assess transverse plane alignment of the lower extremity. RESEARCH QUESTION: This study was performed to determine the extent of correlation between femoral anteversion assessment using simultaneous biplanar radiographs and three-dimensional modeling (EOS imaging), clinical hip rotation by physical examination, and dynamic hip rotation assessed by gait analysis. METHODS: Seventy-seven patients with cerebral palsy (GMFCS Level I and II) and 33 neurologically typical children with torsional abnormalities completed a comprehensive gait analysis with same day biplanar anterior-posterior and lateral radiographs and three-dimensional transverse plane assessment of femoral anteversion...
March 26, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29602437/a-computer-vision-based-system-for-monitoring-vojta-therapy
#18
Muhammad Hassan Khan, Julien Helsper, Muhammad Shahid Farid, Marcin Grzegorzek
A neurological illness is t he disorder in human nervous system that can result in various diseases including the motor disabilities. Neurological disorders may affect the motor neurons, which are associated with skeletal muscles and control the body movement. Consequently, they introduce some diseases in the human e.g. cerebral palsy, spinal scoliosis, peripheral paralysis of arms/legs, hip joint dysplasia and various myopathies. Vojta therapy is considered a useful technique to treat the motor disabilities...
May 2018: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29587833/use-of-hybrid-assistive-limb-hal-%C3%A2-for-a-postoperative-patient-with-cerebral-palsy-a-case-report
#19
Yuki Mataki, Hiroshi Kamada, Hirotaka Mutsuzaki, Yukiyo Shimizu, Ryoko Takeuchi, Masafumi Mizukami, Kenichi Yoshikawa, Kazushi Takahashi, Mayumi Matsuda, Nobuaki Iwasaki, Hiroaki Kawamoto, Yasuyoshi Wadano, Yoshiyuki Sankai, Masashi Yamazaki
BACKGROUND: The Hybrid Assistive Limb (HAL® ) is an exoskeleton wearable robot suit that assists in voluntary control of knee and hip joint motion. There have been several studies on HAL intervention effects in stroke, spinal cord injury, and cerebral palsy. However, no study has investigated HAL intervention for patients with cerebral palsy after surgery. CASE PRESENTATION: We report a case of using HAL in a postoperative patient with cerebral palsy. A 15-year-old boy was diagnosed with spastic diplegia cerebral palsy Gross Motor Function Classification System level IV, with knee flection contracture, equinus foot, and paralysis of the right upper extremity with adduction contracture...
March 27, 2018: BMC Research Notes
https://www.readbyqxmd.com/read/29579008/functional-mobility-improved-after-intensive-progressive-resistance-exercise-in-an-adolescent-with-spina-bifida
#20
Carol L Baym, James B Hedgecock, Mary Jane K Rapport
PURPOSE: To describe the use and effectiveness of a novel intensive progressive resistance exercise (PRE) approach to address the functional goals of a 14-year-old adolescent with a myelomeningocele. SUMMARY OF KEY POINTS: The child had lower extremity weakness, knee and hip flexion contractures, impaired somatosensation, and cardiopulmonary deconditioning, affecting gait mechanics and functional ambulation. An 8-week intensive PRE-based intervention was designed to improve walking in the home by targeting both power-generating and stabilizing lower extremity musculature...
April 2018: Pediatric Physical Therapy
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