1st Joint ESMAC-GCMAS Meeting - Análise de Marcha

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Table 1: Mean O2 rate, mean O2 cost and mean heart rate for the measurements with KTL and KLDS (**, *: significance with p
O-39 BIOMECHANICS OF GAIT IN CHARCOT-MARIE-TOOTH DISEASE Õunpuu, Sylvia, MSc, Westwell, Melany, PT, Bell, Kathy, MS, Brian Smith, MD and DeLuca, Peter, MD Connecticut Children's Medical Center, Hartford, Connecticut, USA Summary/conclusions Motion data indicate that there are distinctively different types of gait patterns in children and youth with CMT. The primary deformity seen in most cases was late peak ankle dorsiflexion in stance (ST); the secondary deformity was excessive peak ankle dorsiflexion in ST. Excessive equinus in swing or drop foot was much less common. The variation in gait patterns would suggest the need for different treatment strategies spcific to the individual and depending on gait presentation. Introduction Charcot-Marie Tooth (CMT) is characterized by distal muscle weakness and imbalance with associated gait implications which progress at varying rates. The textbook gait description includes: foot drop in swing phase, steppage (hyper-flexion of knee and hip in swing), circumduction and pelvic hiking. However, clinical observation would suggest that gait patterns in persons with CMT do not match a single set of parameters. It is possible that there are a variety of patterns of gait in CMT that could be defined more accurately with the use of computerized motion analysis. Therefore, the purpose of this study was to document objectively the characteristic gait patterns in children with CMT. Statement of clinical significance Identification of gait patterns in CMT would improve our understanding of the pathomechanics of gait in persons with CMT. This would also provide a stronger basis for determining the prognosis for future ambulatory function, treatment decisions and ultimately improve treatment outcomes. Methods Nineteen patients (9 male/10 female) with a mean age of 13±3 (range 6 to 19) years and a diagnosis of CMT where included in this study. All patients were independent ambulators with no previous lower extremity surgeries. All had ankle/foot deformity for which surgical intervention was being considered. Each patient underwent a three-dimensional motion analysis using standard techniques 1 . A comprehensive clinical examination including passive joint range of motion and muscle strength measures was also completed. All gait data were compared to normal reference data collected in the same laboratory 2 . A Students t-test was used for comparisons with normal reference data (p
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O-01 KNEE EXTENSION AT TERMINAL SWI
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O-02 THE MODIFIED TARDIEU IN STANDI
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O-03 COORDINATION BETWEEN PELVIS, T
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O-04 CAN GAIT ANALYSIS GUIDE MANAGE
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O-05 DISTAL FEMORAL EXTENTSION OSTE
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O-06 THE EFFECT OF SHOES ON GAIT IN
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O-07 CORRELATIONS BETWEEN CLINICAL
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O-08 DOUBLE CALIBRATION VS GLOBAL O
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O-09 THE SYMMETRICAL AXIS OF ROTATI
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O-10 FEASIBILITY OF A NEW -JOINT CO
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O-11 A SINGLE GAIT CYCLE AS MEASURE
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O-12 IMPROVED TRACKING OF HIP ROTAT
Page 25 and 26: O-13 PROTOCOL CHANGES CAN IMPROVE T
Page 27 and 28: O-14 ALTERNATIVE METHODS FOR MEASUR
Page 29 and 30: O-15 OVERLAY PROJECTION OF 3D GAIT
Page 31 and 32: O-16 RELATIONSHIP BETWEEN THE ANTHR
Page 33 and 34: O-17 COMPARING THE RELIABILITY OF V
Page 35 and 36: O-18 3D HIP AND PELVIC GAIT PATTERN
Page 37 and 38: O-19 RELIABILITY AND VALIDITY OF AN
Page 39 and 40: O-20 HOW ACCURATE IS THE ESTIMATION
Page 41 and 42: O-21 IMPACT OF WHEELCHAIR PROPULSIO
Page 43 and 44: O-22 TOWARDS A NEW PROTOCOL FOR MOT
Page 45 and 46: O-23 KINEMATIC ANALYSIS OF UPPER LI
Page 47 and 48: O-24 KINEMATIC UPPER LIMB ANALYSIS
Page 49 and 50: O-25 3D KINEMATICS OF UPPER EXTREMI
Page 51 and 52: O-26 CLINICALLY SIGNIFICANT SHOULDE
Page 53 and 54: O-27 OBJECTIVE IDENTIFCATION OF GAI
Page 55 and 56: - 110 - O-28 NORMALCY GAIT INDEX AN
Page 57 and 58: O-29 GILLETTE GAIT INDEX IS CONSIST
Page 59 and 60: O-30 GAITABASE: NEW APPROACH TO CLI
Page 61 and 62: O-31 A MODIFIED GAIT CLASSIFICATION
Page 63 and 64: O-32 QUANTIFICATION OF KINEMATIC ME
Page 65 and 66: O-33 EXTRINSIC AND INTRINSIC VARIAT
Page 67 and 68: O-34 PAIRED OUTCOME ASSESSMENT OF A
Page 69 and 70: O-35 ENERGY EXPENDITURE DURING OVER
Page 71 and 72: O-36 HIGH FAILURE RATES WHEN AVOIDI
Page 73 and 74: O-37 SUBJECT SPECIFIC HIP GEOMETRY
Page 75: O-38 BIOMECHANICAL AND METABOLIC PE
Page 79 and 80: O-40 SAGITTAL PLANE LOWER EXTREMITY
Page 81 and 82: O-41 AN EXPLORATION OF THE FUNCTION
Page 83 and 84: O-42 DYNAMIC SIMULATIONS OF SLOW, F
Page 85 and 86: O-43 AUTOMATIC IDENTIFICATION OF MU
Page 87 and 88: O-44 DYNAMIC MEASUREMENT OF GASTROC
Page 89 and 90: O-45 ASSESSING THE REGULATORY ACTIV
Page 91 and 92: O-46 ABNORMAL EMG-ACTIVITY IN PATHO
Page 93 and 94: O-47 AVERAGED EMG PROFILES IN RUNNI
Page 95 and 96: O-48 TRACKING DYNAMIC FOOT PRESSURE
Page 97 and 98: O-49 THE INFLUENCE OF FOOTWEAR SOLE
Page 99 and 100: O-50 GAIT ANALYSIS IN CHILDREN TREA
Page 101 and 102: O-51 A COMPARISON OF METHODS FOR US
Page 103 and 104: O-52 BIOMECHANICAL OPTIMIZATION OF
Page 105 and 106: O-53 EFFECT OF SENSORY-THRESHOLD EL
Page 107 and 108: O-54 THE IMPACT OF SINGLE EVENT MUL
Page 109 and 110: O-55 COMPREHENSIVE GAIT ANALYSIS OU
Page 111 and 112: O-56 THE EFFECT OF INCLUDING S2 ROO
Page 113 and 114: O-57 DYNAMIC FUNCTION AFTER ANTERIO
Page 115 and 116: O-58 RECOVERY OF MUSCLE STRENGTH FO
Page 117 and 118: O-59 AUDITORY-PACED WALKING FOLLOWI
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1st Joint ESMAC-GCMAS Meeting - Análise de Marcha

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