Document Detail

The influence of forearm crutches on pelvic and hip kinematics in children with myelomeningocele: don't throw away the crutches.
MedLine Citation:
PMID:  9344054     Owner:  NLM     Status:  MEDLINE    
Gait analysis was performed on 16 children with high-sacral-level myelomeningocele who walked with and without crutches to evaluate the influence of crutches on their unique walking pattern. All of the patients used solid ankle-foot orthoses (AFOs). Deviations in coronal and transverse planes improved with assisted walking. The timing of stance phase pelvic depression and the magnitude of stance phase hip abduction improved with crutch walking. Pelvic rotation, which was seven times the normal range of motion during no-crutch walking, decreased to four times normal with crutches. Walking velocity was not significantly different between conditions. The results demonstrated that deviations in pelvic and hip kinematics are related to muscle weakness and improve with crutch use. Crutches enable the patient to transfer some weight bearing to their upper extremities which decreases the demand on weak lower-extremity musculature. This allows them to maintain functional ambulation with a closer to normal gait pattern.
S Vankoski; C Moore; K D Statler; J F Sarwark; L Dias
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Developmental medicine and child neurology     Volume:  39     ISSN:  0012-1622     ISO Abbreviation:  Dev Med Child Neurol     Publication Date:  1997 Sep 
Date Detail:
Created Date:  1997-11-04     Completed Date:  1997-11-04     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0006761     Medline TA:  Dev Med Child Neurol     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  614-9     Citation Subset:  IM    
Department of Orthopaedic Surgery, Children's Memorial Medical Center, Chicago, IL 60614, USA.
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MeSH Terms
Hip Joint / physiopathology*
Meningomyelocele / physiopathology*,  rehabilitation
Pelvis / physiopathology*
Range of Motion, Articular

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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