Document Detail


Gait strategy in patients with Ehlers-Danlos syndrome hypermobility type: A kinematic and kinetic evaluation using 3D gait analysis.
MedLine Citation:
PMID:  21420276     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
The aim of this study was to quantify the gait patterns of adults with joint hypermobility syndrome/Ehlers-Danlos syndrome (JHS/EDS-HT) hypermobility type, using Gait Analysis. We quantified the gait strategy in 12 JHS/EDS-HT adults individuals (age: 43.08+6.78years) compared to 20 healthy controls (age: 37.23±8.91years), in terms of kinematics and kinetics. JHS/EDS-HT individuals were characterized by a non-physiological gait pattern. In particular, spatio-temporal parameters evidenced lower anterior step length and higher stance phase duration in JHS/EDS-HT than controls. In term of kinematics, in JHS/EDS-HT patients the main gait limitations involved pelvis, distal joints and ankle joint. Conversely, hip and knee joint showed physiological values. Ankle moment and power revealed reduced peak values during terminal stance. Differences in stiffness at hip and ankle joints were found between JHS/EDS-HT and controls. JHS/EDS-HT patients showed significant decreased of Kh and Ka parameters very probably due to congenital hypotonia and ligament laxity. These findings help to elucidate the complex biomechanical changes in JHS/EDS-HT and may have a major role in the multidimensional evaluation and tailored management of these patients.
Authors:
Manuela Galli; Veronica Cimolin; Chiara Rigoldi; Marco Castori; Claudia Celletti; Giorgio Albertini; Filippo Camerota
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-3-17
Journal Detail:
Title:  Research in developmental disabilities     Volume:  -     ISSN:  1873-3379     ISO Abbreviation:  -     Publication Date:  2011 Mar 
Date Detail:
Created Date:  2011-3-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8709782     Medline TA:  Res Dev Disabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 Elsevier Ltd. All rights reserved.
Affiliation:
Bioeng. Dept. Politecnico di Milano, P.za Leonardo da Vinci 32, 20133 Milano, Italy; IRCCS "San Raffaele Pisana" - Tosinvest Sanità, Via della Pisana 235, Rome, Italy.
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