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Abnormal Gait in Children

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1. 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

2. Correlation between physical examination and three-dimensional gait analysis in the assessment of rotational abnormalities in children with cerebral palsy (PubMed)

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.

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2018 Einstein

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

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

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2016 Developmental Medicine and Child Neurology

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

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

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

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

7. Neurologic Correlates of Gait Abnormalities in Cerebral Palsy: Implications for Treatment (PubMed)

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

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2017 Frontiers in human neuroscience

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

2018 Clinical Trials

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

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

10. Pathological Movements of the Pelvis and Trunk During Gait in Children With Cerebral Palsy: A Cross-Sectional Study With 3-Dimensional Kinematics and Lower Lumbar Spinal Loading. (PubMed)

and Duchenne type movements were not always distinct, and a third type of movement, a combination of the two, was the most common in this study. Clinicians should be aware that children with CP and the Duchenne type or the complex Trendelenburg-Duchenne type of gait pattern experience abnormal loading that may have significant implications for the lower spine in the long term.© 2017 American Physical Therapy Association (...) Pathological Movements of the Pelvis and Trunk During Gait in Children With Cerebral Palsy: A Cross-Sectional Study With 3-Dimensional Kinematics and Lower Lumbar Spinal Loading. Increased loading at the lumbar spine, particularly in the coronal plane, has been reported in children with cerebral palsy (CP). As pelvic and trunk movements associated with Trendelenburg and Duchenne type gait are most significant in the coronal plane, the potential exists for lower lumbar spinal loading

2017 Physical therapy

11. An Acceleration-Based Gait Assessment Method for Children with Cerebral Palsy (PubMed)

to healthy subjects, the symptoms and severity of motor dysfunction of CP children could result in abnormality of the gait acceleration modes, and the proposed assessment method was able to effectively evaluate the degree gait abnormality in CP children. (...) An Acceleration-Based Gait Assessment Method for Children with Cerebral Palsy With the aim of providing an objective tool for motion disability assessment in clinical diagnosis and rehabilitation therapy of cerebral palsy (CP) patients, an acceleration-based gait assessment method was proposed in this paper. To capture gait information, three inertial measurement units (IMUs) were placed on the lower trunk and thigh, respectively. By comparing differences in the gait acceleration modes between

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2017 Sensors (Basel, Switzerland)

12. WalkAide Efficacy on Gait and Energy Expenditure in Children with Hemiplegic Cerebral Palsy: A Randomized Controlled Trial. (PubMed)

in children with hemiplegic cerebral palsy.Complete the self-assessment activity and evaluation online at http://www.physiatry.org/JournalCME CME OBJECTIVES:: Upon completion of this article, the reader should be able to: (1) Identify gait abnormalities in children with hemiplegic CP; (2) Describe the impact of utilizing the WalkAide on energy expenditure during gait training in children with hemiplegic CP; and (3) Describe the benefits of including the WalkAide in the treatment of gait abnormalities (...) WalkAide Efficacy on Gait and Energy Expenditure in Children with Hemiplegic Cerebral Palsy: A Randomized Controlled Trial. The aim of this study was to investigate the effects of WalkAide functional electrical stimulation on gait pattern and energy expenditure in children with hemiplegic cerebral palsy.Seventeen children were assigned to the study group, whose members received functional electrical stimulation (pulse width, 300 μs; frequency, 33 Hz, 2 hours/d, 3 days/week for 3 consecutive

2016 American journal of physical medicine & rehabilitation / Association of Academic Physiatrists

13. Rotational gait patterns in children and adolescents following tension band plating of idiopathic genua valga. (PubMed)

but persistence of decreased external knee rotation demonstrated significantly greater knee moments than those without rotational abnormalities (p = 0.001). This study found that frontal knee moments during gait normalized in children with idiopathic genua valga after surgery. However, decreased external knee rotation and increased external hip rotation during gait persisted in the study cohort. Despite radiological correction, decreased external rotation during gait was associated with increases in medial (...) Rotational gait patterns in children and adolescents following tension band plating of idiopathic genua valga. Literature suggests that children and adolescents with idiopathic genua valga present with considerable gait deviations in frontal and transverse planes, including altered frontal knee moments, reduced external knee rotation, and increased external hip rotation. This study aimed to evaluate gait parameters in these patients after surgical correction using tension band plating (TBP). We

2016 Journal of Orthopaedic Research

14. Comparative gait analysis between children with autism and age-matched controls: analysis with temporal-spatial and foot pressure variables (PubMed)

; height, 1.51 ± 0.011 m). [Methods] All participants walked three times on the GAITRite(®) system while their plantar pressure was being recorded. [Results] The results showed a reduction in cadence, gait velocity, and step length, and an increase in step width in children with autism. Plantar pressure variables highlight the differences between the active pressure areas, especially in the hindfoot of children with autism. [Conclusion] The results suggest that children with autism have an abnormal (...) Comparative gait analysis between children with autism and age-matched controls: analysis with temporal-spatial and foot pressure variables [Purpose] The purpose of this study was to investigate the gait pattern of children with autism by using a gait analysis system. [Subjects] Thirty children were selected for this study: 15 with autism (age, 11.2 ± 2.8 years; weight, 48.1 ± 14.1 kg; height, 1.51 ± 0.11 m) and 15 healthy age-matched controls (age, 11.0 ± 2.9 years; weight, 43.6 ± 10 kg

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2016 Journal of physical therapy science

15. A Pilot Study of the Effect of Botulinum Toxin Type a (Dysport®, Abobotulinum Toxin A) Injection on Changes in Musculotendinous Length and Dynamics of Hamstring Muscles During Gait in Children With Spastic Cerebral Palsy Walking With Excessive Knee Flexi

and dose regimen for each muscle would follow the recommendation of international consensus. A. Semitendinosus 5 to 7.5 units/kg of body weight B. Semimembranosus 5 to 7.5 units/kg of body weight C. Gastrocnemius 10 units/kg of body weight D. Maximal total dose per patient : unilateral injection 500 units, bilateral injection 1,000 units E. The dosage of two hamstring muscles will depend on the severity of spasticity and gait abnormalities of children with CP Studies : 3D motion analysis, GMFM (gross (...) and dose regimen for each muscle would follow the recommendation of international consensus. A. Semitendinosus 5 to 7.5 units/kg of body weight B. Semimembranosus 5 to 7.5 units/kg of body weight C. Gastrocnemius 10 units/kg of body weight D. Maximal total dose per patient : unilateral injection 500 units, bilateral injection 1,000 units E. The dosage of two hamstring muscles will depend on the severity of spasticity and gait abnormalities of children with CP Outcome Measures Go to Primary Outcome

2016 Clinical Trials

16. Gait Disturbance as the Presenting Symptom in Young Children With Anti-NMDA Receptor Encephalitis. (PubMed)

hospitalization. When seen in the setting of other neurologic abnormalities, gait disturbance should raise the concern for anti-NMDAR encephalitis in young children. The differential diagnosis for gait disturbance in toddlers and key features suggestive of anti-NMDAR encephalitis are reviewed. Copyright © 2016 by the American Academy of Pediatrics. (...) Gait Disturbance as the Presenting Symptom in Young Children With Anti-NMDA Receptor Encephalitis. This case series demonstrates a novel clinical phenotype of gait disturbance as an initial symptom in children <3 years old with anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis. Anti-NMDAR encephalitis is one of the most common causes of encephalitis in children, more common than any of the viral encephalitides and the second most common autoimmune cause after acute disseminated

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2016 Pediatrics

17. Gait in children and adolescents with Charcot-Marie-Tooth disease: a systematic review. (PubMed)

from 1 to 81, included mixed CMT sub-types and had a participant mean age of 13 years. Assessments included a variety of methods to examine only barefoot gait. Heterogeneity of gait patterns was noted. Children and adolescents with CMT walked slower, most likely due to shorter stride length. Common kinematic and kinetic abnormalities included significant foot drop during swing, reduced calf muscle power, and proximal compensatory mechanisms in the lower limb. Little data were found to inform (...) Gait in children and adolescents with Charcot-Marie-Tooth disease: a systematic review. Symptoms of Charcot-Marie-Tooth (CMT) disease typically arise in childhood or adolescence with gait difficulty most common. A systematic review was conducted to synthesise, review, and characterise gait in paediatric CMT. Health-related electronic databases were reviewed with search terms related to CMT and gait. Of 454 articles, 10 articles describing seven studies met eligibility criteria; samples ranged

2016 Journal of the peripheral nervous system : JPNS

18. Benign acute childhood myositis--a rare cause of abnormal gait. (PubMed)

Benign acute childhood myositis--a rare cause of abnormal gait. Benign acute childhood myositis is a rare postviral myositis seen in school-aged children after a common upper respiratory infection (URI), most commonly caused by influenza [J Microbiol Immunol Infect 2004;37:95-98]. Predominantly seen in boys, this condition causes bilateral calf tenderness and pain with ambulation, often presenting as a refusal to bear weight. To avoid activation within the gastroc-soleus complex, the child (...) was noted to have an elevated creatinine kinase with no evidence of renal insufficiency. He had no progression or complications, and his symptoms resolved spontaneously with minimal supportive treatment. Benign acute childhood myositis should be considered within the broad differential that surrounds a limping child or one who refuses to bear weight. Having insight into the condition with its characteristic gait abnormalities and associated URI history can often prevent extensive workups and be treated

2014 American Journal of Emergency Medicine

19. 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

2015 FP Notebook

20. 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

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