title: Correlation between transverse plan kinematics and foot progression angle in children with spastic diplegia.
abstract: In diplegic patients, the orientation of foot progression depends on multiple factors. We investigated the relationship between foot progression alignment, hip and pelvic rotations during gait, femoral anteversion, and tibial torsion. Kinematic and clinical parameters were evaluated for 114 children who walked independently and had not undergone previous surgery. Causes of intoeing presented combined in 72% of cases. Internal foot progression correlated with internal hip rotation and showed an inverse correlation with tibial torsion. Our results indicate that data from clinical examination and gait analysis should be evaluated carefully before making treatment recommendations, especially in terms of the correction of torsional problems, in patients with cerebral palsy.
authors.affiliation: Department of Pediatric Orthopedics, Hopital Robert Debre, Paris, France.
authors.forename: Ana
authors.initials: A
authors.lastname: Presedo
authors.forename: Anne-Laure
authors.initials: AL
authors.lastname: Simon
authors.forename: Cindy
authors.initials: C
authors.lastname: Mallet
authors.forename: Brice
authors.initials: B
authors.lastname: Ilharreborde
authors.forename: Keyvan
authors.initials: K
authors.lastname: Mazda
authors.forename: Georges-François
authors.initials: GF
authors.lastname: Pennecot
mesh_terms: D000293:Adolescent; D001696:Biomechanical Phenomena; D002547:Cerebral Palsy / Q000150:complications / Q000473:pathology* / Q000628:therapy; D002648:Child; D002675:Child, Preschool; D004576:Electromyography; D005260:Female; D005269:Femur / Q000473:pathology; D005528:Foot / Q000473:pathology*; D005684:Gait; D020233:Gait Disorders, Neurologic / Q000628:therapy*; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D013977:Tibia / Q000473:pathology; D055815:Young Adult