Gait analysis in cerebral palsy / David H. SUTHERLAND in Developmental Medicine & Child Neurology, 20-6 (December 1978)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 20-6 (December 1978) . - p.807-813 Titre : Gait analysis in cerebral palsy Type de document : Texte imprimé et/ou numérique Auteurs : David H. SUTHERLAND, Auteur Année de publication : 1978 Article en page(s) : p.807-813 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Electromyography is the most frequently used laboratory method of assessing gait of patients with cerebral palsy. This method has shown that slow stretch testing is non-specific and that electromyograms obtained during walking are of greater value in planning treatment. If surgical treatment is necessary, only those muscles with phase reversal should be considered for transfer; lengthening is appropriate for those with phase prolongation. The addition of movement measurements and force-plate recording increases the amount of information available for analysis. Distinctions can then be attempted between primary abnormalities and compensatory mechanisms, and gait patterns with common demominators can be identified. Only by precise pre- and post-operative studies can treatment for locomotor problems be reliably assessed. Progress in the treatment of patients with cerebral palsy cannot be achieved without such objective assessment. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486 [article] Gait analysis in cerebral palsy [Texte imprimé et/ou numérique] / David H. SUTHERLAND, Auteur . - 1978 . - p.807-813. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 20-6 (December 1978) . - p.807-813 Index. décimale : PER Périodiques Résumé : Electromyography is the most frequently used laboratory method of assessing gait of patients with cerebral palsy. This method has shown that slow stretch testing is non-specific and that electromyograms obtained during walking are of greater value in planning treatment. If surgical treatment is necessary, only those muscles with phase reversal should be considered for transfer; lengthening is appropriate for those with phase prolongation. The addition of movement measurements and force-plate recording increases the amount of information available for analysis. Distinctions can then be attempted between primary abnormalities and compensatory mechanisms, and gait patterns with common demominators can be identified. Only by precise pre- and post-operative studies can treatment for locomotor problems be reliably assessed. Progress in the treatment of patients with cerebral palsy cannot be achieved without such objective assessment. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486

Rectus femoris release in selected patients with cerebral palsy: a preliminary report / David H. SUTHERLAND in Developmental Medicine & Child Neurology, 17-1 (February 1975)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 17-1 (February 1975) . - p.26-34 Titre : Rectus femoris release in selected patients with cerebral palsy: a preliminary report Type de document : Texte imprimé et/ou numérique Auteurs : David H. SUTHERLAND, Auteur ; Loren J. LARSEN, Auteur ; Roger MANN, Auteur Année de publication : 1975 Article en page(s) : p.26-34 Langues : Anglais (eng) Index. décimale : PER Périodiques Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433 [article] Rectus femoris release in selected patients with cerebral palsy: a preliminary report [Texte imprimé et/ou numérique] / David H. SUTHERLAND, Auteur ; Loren J. LARSEN, Auteur ; Roger MANN, Auteur . - 1975 . - p.26-34. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 17-1 (February 1975) . - p.26-34 Index. décimale : PER Périodiques Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=433

Research Objectives / David H. SUTHERLAND in Developmental Medicine & Child Neurology, 26-5 (October 1984)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 26-5 (October 1984) . - p.567-568 Titre : Research Objectives Type de document : Texte imprimé et/ou numérique Auteurs : David H. SUTHERLAND, Auteur Année de publication : 1984 Article en page(s) : p.567-568 Langues : Anglais (eng) Index. décimale : PER Périodiques Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=581 [article] Research Objectives [Texte imprimé et/ou numérique] / David H. SUTHERLAND, Auteur . - 1984 . - p.567-568. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 26-5 (October 1984) . - p.567-568 Index. décimale : PER Périodiques Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=581

The pathomechanics of gait in Duchenne muscular dystrophy / David H. SUTHERLAND in Developmental Medicine & Child Neurology, 23-1 (February 1981)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 23-1 (February 1981) . - p.3-22 Titre : The pathomechanics of gait in Duchenne muscular dystrophy Type de document : Texte imprimé et/ou numérique Auteurs : David H. SUTHERLAND, Auteur ; Richard OLSHEN, Auteur ; Les COOPER, Auteur ; Marilynn WYATT, Auteur ; Judy LEACH, Auteur ; Scott MUBARAK, Auteur ; Paul SCHULTZ, Auteur Année de publication : 1981 Article en page(s) : p.3-22 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Forty-six separate gait studies were analysed for 21 ambulatory patients with Duchenne muscular dystrophy. Three groups were defined on the basis of significant gait variables: early, transitional and late. Disease progression can be predicted with 91 per cent accuracy by three gait variables: cadence, dorsiflexion in swing, and anterior pelvic tilt. The patients in the early group manifested a positive Gower's sign but gait changes were subtle, being principally slightly increased hip flexion in swing, decreased dorsiflexion in swing and reduction in cadence. The force line moved in front of the knee center early in single-limb support. In the transitional stage, anterior pelvic tilt was exaggerated, cadence was further reduced, and foot drop in swing phase was increased. Shoulder sway was noted as a compensation for gluteus medius weakness. The base of support widened. The force line remained behind the hip joint and in front of the knee joint throughout single-limb support. In the late stage, work output increased, cadence continued to drop, shoulder sway increased further, and there was a wider base of support. The force line remained very close to the center of the hip and in front of the knee at all times during single-limb support. The authors' conclusions are: (1) the earliest postural change in gait is increased lumbar lordosis secondary to gluteus maximus weakness, and at this time the quadriceps are relatively competent; (2) quadriceps insufficiency was the key factor in gait deterioration. It appeared in the transitional stage and was characterized by exaggerated anterior pelvic tilt, restricted hip extension in stance phase, equinus posturing, and maintenance of the force line in front of the knee throughout single-limb support. Long-leg bracing is indicated when these signs of quadriceps insufficiency are noted. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=515 [article] The pathomechanics of gait in Duchenne muscular dystrophy [Texte imprimé et/ou numérique] / David H. SUTHERLAND, Auteur ; Richard OLSHEN, Auteur ; Les COOPER, Auteur ; Marilynn WYATT, Auteur ; Judy LEACH, Auteur ; Scott MUBARAK, Auteur ; Paul SCHULTZ, Auteur . - 1981 . - p.3-22. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 23-1 (February 1981) . - p.3-22 Index. décimale : PER Périodiques Résumé : Forty-six separate gait studies were analysed for 21 ambulatory patients with Duchenne muscular dystrophy. Three groups were defined on the basis of significant gait variables: early, transitional and late. Disease progression can be predicted with 91 per cent accuracy by three gait variables: cadence, dorsiflexion in swing, and anterior pelvic tilt. The patients in the early group manifested a positive Gower's sign but gait changes were subtle, being principally slightly increased hip flexion in swing, decreased dorsiflexion in swing and reduction in cadence. The force line moved in front of the knee center early in single-limb support. In the transitional stage, anterior pelvic tilt was exaggerated, cadence was further reduced, and foot drop in swing phase was increased. Shoulder sway was noted as a compensation for gluteus medius weakness. The base of support widened. The force line remained behind the hip joint and in front of the knee joint throughout single-limb support. In the late stage, work output increased, cadence continued to drop, shoulder sway increased further, and there was a wider base of support. The force line remained very close to the center of the hip and in front of the knee at all times during single-limb support. The authors' conclusions are: (1) the earliest postural change in gait is increased lumbar lordosis secondary to gluteus maximus weakness, and at this time the quadriceps are relatively competent; (2) quadriceps insufficiency was the key factor in gait deterioration. It appeared in the transitional stage and was characterized by exaggerated anterior pelvic tilt, restricted hip extension in stance phase, equinus posturing, and maintenance of the force line in front of the knee throughout single-limb support. Long-leg bracing is indicated when these signs of quadriceps insufficiency are noted. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=515

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