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Abnormal Gait in Children

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1. Correlation between physical examination and three-dimensional gait analysis in the assessment of rotational abnormalities in children with cerebral palsy Full Text available with Trip Pro

Correlation between physical examination and three-dimensional gait analysis in the assessment of rotational abnormalities in children with cerebral palsy 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 (...) These findings may have clinical implications in the assessment and management of transverse plane gait deviations in children with cerebral palsy.

2018 Einstein

2. Assessment of gait disorders in children

., infection, tumours, child abuse). Appropriate evaluation requires an understanding and knowledge of normal and abnormal gait patterns, potential causes, and 'red flags'. Beresford MW, Cleary AG. Evaluation of a limping child. Curr Pediatr. 2005;15:15-22. The assessment of limp will depend on whether the presentation is acute or not. Kimura Y. Common presenting problems. In: Arthritis in children and adolescents: juvenile idiopathic arthritis. Szer I, Kimura Y, Malleson PN, et al (eds). Oxford: Oxford (...) . In the school-age child, the step length increases and step frequency slows. Adult gait and posture occur around the age of 8 years. There is a considerable variation in normal gait patterns and the ages at which the changes occur; and appear to be family-history related. Black children tend to walk sooner and Asian children later than average. Normal variations Leg alignment varies with age and is often influenced by a family history of the same pattern. Sass P, Hassan G. Lower extremity abnormalities

2018 BMJ Best Practice

3. Abnormal Gait in Children

Abnormal Gait in Children Abnormal Gait in Children Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Abnormal Gait in Children Abnormal (...) Gait in Children Aka: Abnormal Gait in Children , Nonantalgic Gait in Children , Steppage Gait , Circumduction Gait , Equinus Gait , Gait Evaluation in Children , Pediatric Gait II. Types: Antalgic Gait Stance phase on unaffected limb is shortened due to pain Refusal to bear weight (esp. with limited range of motion, systemic symptoms, fever) suggests III. Types: Non-Antalgic Gait Steppage Gait Cause: Neurologic deficit interferes with foot dorsiflexion Hip and s are flexed excessively during swing

2018 FP Notebook

4. Developmental rheumatology in children. Scenario: In-toeing gait in children

or young person with: Atypical symptoms. Worsening symptoms. Unremitting pain; night pain; thoracic pain. Non-mechanical pain. Abnormal loss or deterioration of function. Significant loss of movement. Gait disturbance. Significant lower limb asymmetry. TB, cancer, HIV/AIDS, steroid use, multiple fractures. Skin changes, for example, cafe au lait, psoriasis, bruising. Paediatric Musculoskeletal Matters ( ) is a resource for clinicians working with children and young people. It aims to facilitate early (...) back pain will be non-specific and self-limiting. Bow legs — a large number of children are born with, or develop, bow legs (genu varum). A clumsy child — describes motor coordination difficulties with both fine and gross motor skills. These children struggle to learn motor skills such as writing, dressing, and self-feeding. Curly toes — underlapping toe ('curly' toe) deformity is thought to be congenital. It is often noticed early in infancy and most commonly affects the fifth and fourth toes

2019 NICE Clinical Knowledge Summaries

5. Children with Heavy Prenatal Alcohol Exposure Exhibit Atypical Gait Characteristics Full Text available with Trip Pro

Children with Heavy Prenatal Alcohol Exposure Exhibit Atypical Gait Characteristics Impaired motor function in children with histories of prenatal exposure to alcohol has been previously reported but, to date, no studies using quantitatively based analyses have been performed to assess gait in these children.Gait of children with (n = 18) or without (n = 26) prenatal alcohol exposure was assessed using an electronically instrumented walkway. Children completed blocks of trials traversing (...) the walkway with different combinations of walking condition (increased, self-paced, and decreased cadence) and direction (forward and backward). Gait velocity, cadence, stride length, step width, foot angle, and double support time, as well as the variability of these temporal-spatial markers, were used to assess gait.Results indicated that, in comparison with typically developing children, alcohol-exposed children produced exaggerated foot angle and increased step width. Additionally, alcohol-exposed

2017 Alcoholism, clinical and experimental research

6. Interobserver reliability in the interpretation of three-dimensional gait analysis in children with gait disorders. (Abstract)

Interobserver reliability in the interpretation of three-dimensional gait analysis in children with gait disorders. To assess interobserver reliability in the interpretation of three-dimensional gait analysis (3DGA) of children with gait disorders within a single institution.Seven experienced interpreters in our institution participated in a quality-assurance program reviewing one unique patient's 3DGA data every 3 months. Between 2014 and 2017, 15 patients' data were interpreted (14 (...) 0.69 and 0.59 respectively. Interpreter consistency was moderate or better for the most commonly performed operations at our institution (0.44-0.59). Sagittal plane abnormalities of the hip and knee had the highest consistency.When institutional differences in data collection and regional variations in management philosophies are removed, interobserver consistency in 3DGA interpretation is moderate to substantial for many commonly selected items. Identification of areas with poor consistency may

2018 Developmental Medicine and Child Neurology

7. Neurologic Correlates of Gait Abnormalities in Cerebral Palsy: Implications for Treatment Full Text available with Trip Pro

Neurologic Correlates of Gait Abnormalities in Cerebral Palsy: Implications for Treatment Cerebral palsy (CP) is the most common movement disorder in children. A diagnosis of CP is often made based on abnormal muscle tone or posture, a delay in reaching motor milestones, or the presence of gait abnormalities in young children. Neuroimaging of high-risk neonates and of children diagnosed with CP have identified patterns of neurologic injury associated with CP, however, the neural underpinnings (...) of common gait abnormalities remain largely uncharacterized. Here, we review the nature of the brain injury in CP, as well as the neuromuscular deficits and subsequent gait abnormalities common among children with CP. We first discuss brain injury in terms of mechanism, pattern, and time of injury during the prenatal, perinatal, or postnatal period in preterm and term-born children. Second, we outline neuromuscular deficits of CP with a focus on spastic CP, characterized by muscle weakness, shortened

2017 Frontiers in human neuroscience

8. The Pediatric Temporal-spatial Deviation Index: quantifying gait impairment for children with cerebral palsy. (Abstract)

in children with CP in pediatric clinics and for research. Detection of gait abnormalities in the clinic can expedite diagnosis and treatment. What this paper adds The Pediatric Temporal-spatial Deviation Index (TDI) is a single-score index of gait deviation, based on nine parameters. The Pediatric TDI was more revealing than single temporal-spatial gait parameters. The Pediatric TDI is quick and simple to administer in the clinic.© 2019 Mac Keith Press. (...) The Pediatric Temporal-spatial Deviation Index: quantifying gait impairment for children with cerebral palsy. To develop an easily-administered metric to quantify gait impairment in children and to assess its use in children with cerebral palsy (CP).The Pediatric Temporal-spatial Deviation Index (TDI) was developed from gait data collected from 75 typically developing children (37 males, 38 females; mean age 9y 4mo; interquartile range [IQR] 8-10y) and 17 children diagnosed with spastic CP

2019 Developmental Medicine and Child Neurology

9. Prevalence of specific gait abnormalities in children with cerebral palsy revisited: influence of age, prior surgery, and Gross Motor Function Classification System level. (Abstract)

Prevalence of specific gait abnormalities in children with cerebral palsy revisited: influence of age, prior surgery, and Gross Motor Function Classification System level. To examine the impact of age, surgery, and Gross Motor Function Classification System (GMFCS) level on the prevalence of gait problems in children with cerebral palsy (CP).Gait analysis records were retrospectively reviewed for ambulatory patients with CP. Gait abnormalities were identified using physical exam and kinematic (...) and out-toeing increased (OR 1.07-1.32), and those associated with equinus and in-toeing decreased (OR 0.80-0.94) significantly with increasing age for patients in GMFCS levels I to III. The same trends were seen with prior surgery (OR for crouch and out-toeing: 1.86-7.14; OR for equinus and in-toeing: 0.16-0.59).The prevalence of gait abnormalities varies by GMFCS level, but similarities exist among levels. The study results suggest that in younger children, particularly those in GMFCS levels III

2016 Developmental Medicine and Child Neurology

10. Gait phenotypes in paediatric hereditary spastic paraplegia revealed by dynamic time warping analysis and random forests. Full Text available with Trip Pro

Gait phenotypes in paediatric hereditary spastic paraplegia revealed by dynamic time warping analysis and random forests. The Hereditary Spastic Paraplegias (HSP) are a group of heterogeneous disorders with a wide spectrum of underlying neural pathology, and hence HSP patients express a variety of gait abnormalities. Classification of these phenotypes may help in monitoring disease progression and personalizing therapies. This is currently managed by measuring values of some kinematic (...) warping (DTW). Random forests can estimate which are the most important isolated parameters to predict the classification revealed by DTW, since clinicians need to refer to them in their daily practice. We acquired time series of pelvic, hip, knee, ankle and forefoot sagittal angular positions from 26 HSP and 33 healthy children with an optokinetic IGA system. DTW revealed six gait patterns with different degrees of impairment of walking speed, cadence and gait cycle distribution and related

2018 PLoS ONE

11. Evaluation of Long-Term Gait Development in Infants With Neonatal Encephalopathy Using Infant Treadmill

Recruitment Status : Not yet recruiting First Posted : May 23, 2018 Last Update Posted : January 29, 2019 See Sponsor: Children's Hospital of Fudan University Collaborator: Shanghai 6F+ High-risk Infants Early Intervention Center Information provided by (Responsible Party): Children's Hospital of Fudan University Study Details Study Description Go to Brief Summary: There have been many studies on the use of running training in older children to improve gait development in children with cerebral palsy (...) Evaluation of Long-Term Gait Development in Infants With Neonatal Encephalopathy Using Infant Treadmill Evaluation of Long-Term Gait Development in Infants With Neonatal Encephalopathy Using Infant Treadmill - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100

2018 Clinical Trials

12. Influence of Sagittal Imbalance of the Spine on Gait Pattern in Adult Spinal Deformity

Information provided by (Responsible Party): Dr. Kenny Kwan, The University of Hong Kong Study Details Study Description Go to Brief Summary: This study intends to investigate the changes in gait pattern in adult spinal deformity (ASD) patients with sagittal imbalance. It will investigate the gait kinematics in patients who have a mismatch of their spinopelvic parameters, and a positive sagittal balance. The investigators hypothesise that patients with abnormal spinopelvic parameters may demonstrate (...) Influence of Sagittal Imbalance of the Spine on Gait Pattern in Adult Spinal Deformity Influence of Sagittal Imbalance of the Spine on Gait Pattern in Adult Spinal Deformity - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies

2017 Clinical Trials

13. Abnormal Gait and Balance Causes in the Elderly

Abnormal Gait and Balance Causes in the Elderly Abnormal Gait and Balance Causes in the Elderly Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Abnormal Gait and Balance Causes in the Elderly Abnormal Gait and Balance Causes in the Elderly Aka: Abnormal Gait and Balance Causes in the Elderly II. Causes: Psychiatric Disorders Disorders III. Causes: Cardiovascular Disorders Arrhythmia IV. Causes: Infectious Disorders Induced (HIV-related ) V. Causes: Metabolic Disorders and VI. Causes: Musculoskeletal Disorders VII. Causes: Neurologic Disorders Cerebellar Degeneration Myelopathy Normal-pressure Vestibular disorders VIII. Causes

2018 FP Notebook

14. Correction of Fixed Knee Flexion Deformity in Children Using Eight-plate Hemiepiphysiodesis

: Interventional (Clinical Trial) Estimated Enrollment : 13 participants Intervention Model: Single Group Assignment Masking: None (Open Label) Primary Purpose: Treatment Official Title: Correction of Fixed Knee Flexion Deformity in Children Using Eight-plate Hemiepiphysiodesis Actual Study Start Date : November 1, 2018 Estimated Primary Completion Date : January 2020 Estimated Study Completion Date : June 2020 Arms and Interventions Go to Arm Intervention/treatment Experimental: Patients 13 child with fixed (...) : knee flexion deformity hemiepiphysiodesis eight plate children Additional relevant MeSH terms: Layout table for MeSH terms Congenital Abnormalities

2018 Clinical Trials

15. Foot and ankle deformities in children with Down syndrome Full Text available with Trip Pro

Foot and ankle deformities in children with Down syndrome Foot and ankle deformities are common orthopaedic disorders in children with Down syndrome. However, radiographic measurements of the foot and ankle have not been previously reported. The aim of this study is to describe the foot and ankle deformity in children with Down syndrome.Children who had foot and ankle radiographs in the standing weight-bearing position were selected. Three groups of patients were identified. The relationship (...) of radiographic measurements with age, body mass index and pain is discussed. In all, 41 children (79 feet) had foot radiographs and 60 children (117 ankles) had ankle radiographs, with 15 children overlapping between Groups I and II.In Group I, hallux valgus deformity was seen before ten years of age and hallux valgus angle increased afterwards. Metatarsus adductus angle showed a significant increase (p = 0.006) with obesity and was higher in patients who had foot pain (p = 0.05). In Group II, none

2018 Journal of children's orthopaedics

16. Serial Casting of the Ankle and Knee in a Child With Vascular Anomaly of the Calf Musculature: A Case Report. (Abstract)

Serial Casting of the Ankle and Knee in a Child With Vascular Anomaly of the Calf Musculature: A Case Report. Contracture and toe-walking in children due to vascular anomaly of the calf musculature is rarely described and there is limited evidence regarding treatment. The purpose of this case is to describe the novel use of serial casting, combining the knee and ankle, to reduce contracture in a child with hemangioma of the calf.An 11-year-old girl received 12 casts of the ankle and knee (...) , followed by custom orthotics, to address chronic contracture and gait impairments caused by a vascular anomaly in the posterior compartment of the lower extremity.After casting, the patient had fully restored knee range of motion and improved ankle range of motion by 45 degrees. She received custom orthotics and maintained her range of motion four months after casting.Serial casting of the knee and ankle may be a useful alternative to surgical lengthenings in patients with chronic contractures caused

2019 Physical therapy

17. Correction of Toe-Walking Gait in Children with Spastic Cerebral Palsy by using Electrical Stimulation Therapy. (Abstract)

Correction of Toe-Walking Gait in Children with Spastic Cerebral Palsy by using Electrical Stimulation Therapy. Toe-walking is a very common gait abnormality seen in children with Cerebral Palsy (CP). The present study aims to improvise the toe-walking gait by applying Electrical Stimulation (ES) therapy of the Tricep Surae (TS) muscles. The study was carried out on sixteen children with spastic CP with unilateral toe-walking gait problem, divided into the intervention group that received both (...) ES therapy along with conventional physiotherapy treatment and the control group that received only conventional physiotherapy treatment. Both groups were treated for 60 (30 + 30) minutes per day, for 5 days a week, up to 12 weeks. The gait data were analyzed for spatiotemporal and parameters influencing the walking capacity. The results showed that those children who received the intervention had a significant increase in gait speed by 17.67 % (p = 0.019) and decrease in stride length by 10.25

2018 Conference proceedings : ... Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE Engineering in Medicine and Biology Society. Annual Conference Controlled trial quality: uncertain

18. Is EMG-based Serious Games Effective in Improving Gait in Children With Cerebral Palsy ? Interest of Electromyography Feedback (EMG)

to performance in daily functions. CP children are typically unable to voluntarily activate individual muscles, hindering motor coordination and therefore the ability to produce movements as smooth as those seen in control cohorts. Muscles spanning distal joints are more likely affected by CP, resulting in abnormal gait patterns. While commercially available and customised games have been considered for CP rehabilitation in the last decade, they are mainly based on the analysis of movement kinematics (...) Eligible for Study: All Accepts Healthy Volunteers: No Criteria Inclusion Criteria: Children aged 2 to 10 years, Hemiparetic child (left or right) by cerebral palsy, (scoring Level 1 or 2 on the Gross Motor Function Classification System), Initial contact during gait (just before the stance phase) with Equinovarus or Equinovalgus , Child with cognitive functions compatible with the instructions of serious games, Children with parents (or legal guardians) authorizing participation in the study

2018 Clinical Trials

19. Lokomat (Hocoma AG) Driven Gait Orthosis (DGO) for use in children with cerebral palsy

, functional impairment, and atrophy. If left untreated, spasticity can lead to muscle fibrosis, contractures, and musculoskeletal deformities. CP is the most common childhood motor disability and is estimated to affect 1 in every 303 children in the United States. First-line treatment options include nonsurgical therapies such as physical therapy, occupational therapy, hippotherapy, orthotics/casting and postural management, and medications. Orthopedic and neurosurgical procedures may also be considered (...) Lokomat (Hocoma AG) Driven Gait Orthosis (DGO) for use in children with cerebral palsy Lokomat (Hocoma AG) Driven Gait Orthosis (DGO) for use in children with cerebral palsy Lokomat (Hocoma AG) Driven Gait Orthosis (DGO) for use in children with cerebral palsy Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Lokomat (Hocoma AG) Driven Gait Orthosis (DGO) for use

2013 Health Technology Assessment (HTA) Database.

20. Abnormal Gait and Balance Causes in the Elderly

Abnormal Gait and Balance Causes in the Elderly Abnormal Gait and Balance Causes in the Elderly Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer (...) Administration 4 Abnormal Gait and Balance Causes in the Elderly Abnormal Gait and Balance Causes in the Elderly Aka: Abnormal Gait and Balance Causes in the Elderly II. Causes: Psychiatric Disorders Disorders III. Causes: Cardiovascular Disorders Arrhythmia IV. Causes: Infectious Disorders Induced (HIV-related ) V. Causes: Metabolic Disorders and VI. Causes: Musculoskeletal Disorders VII. Causes: Neurologic Disorders Cerebellar Degeneration Myelopathy Normal-pressure Vestibular disorders VIII. Causes

2017 FP Notebook

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