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Role of Gait Analysis in Management of Cerebral Palsy

Volume 10 | Issue 1 | January-April 2024 | Page: 34-38 | Chasanal Rathod DOI- https://doi.org/10.13107/ijpo.2024.v10i01.176 Submitted: 13/01/2024; Reviewed: 05/02/2024; Accepted: 21/03/2024; Published: 10/04/2024 Authors: Chasanal Rathod MS Ortho [1,2] [1] Department of Paediatric Orthopaedic Surgery, SRCC Children’s Hospital, Mumbai, Maharashtra, India. [2] Xavier’s Gait Lab, Mumbai, Maharashtra, India. Address of Correspondence Dr. Chasanal Rathod, […]

Lever Arm Disorders of the Feet in Cerebral Palsy

Volume 10 | Issue 1 | January-April 2024 | Page: 26-33 | Atul Bhaskar DOI- https://doi.org/10.13107/ijpo.2024.v10i01.175 Submitted: 11/02/2024; Reviewed: 26/02/2024; Accepted: 13/03/2024; Published: 10/04/2024 Authors: Atul Bhaskar MS Ortho, FRCS Ortho, MCH, DNB [1,2,3] [1] Department of Orthopaedics, Apollo Hospital, Mumbai, Maharashtra, India. [2] Department of Orthopaedics, SRCC NH Hospital, Mumbai, Maharashtra, India. [3] Department […]

Role of Gait Analysis in Management of Cerebral Palsy

Lever Arm Disorders of the Feet in Cerebral Palsy

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Role of Gait Analysis in Management of Cerebral Palsy

Volume 10 | Issue 1 | January-April 2024 | Page: 34-38 | Chasanal Rathod

DOI- https://doi.org/10.13107/ijpo.2024.v10i01.176

Submitted: 13/01/2024; Reviewed: 05/02/2024; Accepted: 21/03/2024; Published: 10/04/2024

Authors: Chasanal Rathod MS Ortho [1,2]

[1] Department of Paediatric Orthopaedic Surgery, SRCC Children’s Hospital, Mumbai, Maharashtra, India.
[2] Xavier’s Gait Lab, Mumbai, Maharashtra, India.

Address of Correspondence

Dr. Chasanal Rathod,
Paediatric Orthopaedic Surgeon, SRCC Children’s Hospital, Mumbai, Maharashtra, India. Xavier’s Gait Lab Mumbai, Maharashtra, India.
E-mail: chasanal@gmail.com

Abstract

Cerebral palsy (CP) is a complex neuromuscular disorder characterized by impaired movement and coordination, often resulting in significant gait abnormalities. The spectrum of motor function impairment varies greatly among individuals with CP, influenced by muscle control issues and specific types of cerebral palsy, including spasticity and ataxia. Gait analysis, comprising both observational and instrumented techniques, is essential for assessing gait patterns and identifying abnormalities. While observational gait analysis provides qualitative insights, instrumented gait analysis offers a detailed and objective assessment through motion capture technology, allowing for comprehensive evaluation of joint angles(Kinematics) and forces(Kinetics).
Understanding gait patterns is crucial for making informed clinical decisions regarding therapeutic interventions such as surgery and orthotic management. Literature has demonstrated that gait analysis significantly improves surgical recommendations and outcomes, highlighting the importance of incorporating detailed gait data into treatment planning. However, limitations such as variability in data accuracy, the complexity of methods, and hesitancy among some orthopaedic surgeons to adopt these techniques need to be addressed. The integration of gait analysis into clinical practice represents a paradigm shift in the management of cerebral palsy, transitioning treatment from an art to a science. It enables clinicians to tailor interventions based on individual biomechanical profiles, ultimately enhancing the functional ability and quality of life for patients. Continued research and standardized practices are essential to maximize the effectiveness of gait analysis in this population, ensuring that children withe cerebral palsy receive the most appropriate and effective care.
Keywords: Gait Analysis, Cerebral Palsy, Instrumented Gait Lab

References

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How to Cite this Article: Rathod C | Role of Gait Analysis in Management of Cerebral Palsy | International Journal of Paediatric Orthopaedics | January-April 2024; 10(1): 34-38. https://doi.org/10.13107/ijpo.2024.v10i01.176

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Lever Arm Disorders of the Feet in Cerebral Palsy

Volume 10 | Issue 1 | January-April 2024 | Page: 26-33 | Atul Bhaskar

DOI- https://doi.org/10.13107/ijpo.2024.v10i01.175

Submitted: 11/02/2024; Reviewed: 26/02/2024; Accepted: 13/03/2024; Published: 10/04/2024

Authors: Atul Bhaskar MS Ortho, FRCS Ortho, MCH, DNB [1,2,3]

[1] Department of Orthopaedics, Apollo Hospital, Mumbai, Maharashtra, India.
[2] Department of Orthopaedics, SRCC NH Hospital, Mumbai, Maharashtra, India.
[3] Department of Orthopaedics, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.

Address of Correspondence

Dr. Atul Bhaskar,
Paediatric Orthopaedic Surgeon, Department of Orthopaedics, Apollo Hospital, SRCC NH Hospital, Bombay Hospital Institute of Medical Sciences, Mumbai, Maharashtra, India.
E-mail: arb_25@yahoo.com

Abstract

The key for optimum management for progressive musculoskeletal deformities in cerebral palsy patients is understanding the causative mechanisms. The impact of muscle shortening and contracture on the long bones and joints leads to lever arm problems in the foot and ankle and the associated deformities.
Management of each deformity is considered separately although many of these can occur concurrently and the severity my vary in an individual.
Keywords: Lever, Cerebral palsy, Foot & Ankle

References

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How to Cite this Article: Bhaskar A | Lever Arm Disorders of the Feet in Cerebral Palsy | International Journal of Paediatric Orthopaedics | January-April 2024; 10(1): 26-33.
https://doi.org/10.13107/ijpo.2024.v10i01.175

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Role of Gait Analysis in Management of Cerebral Palsy

Lever Arm Disorders of the Feet in Cerebral Palsy

Role of Gait Analysis in Management of Cerebral Palsy

Lever Arm Disorders of the Feet in Cerebral Palsy

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Role of Gait Analysis in Management of Cerebral Palsy

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Lever Arm Disorders of the Feet in Cerebral Palsy

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