Open AccessMultilevel orthopedic surgery for crouch gait in cerebral palsy: An evaluation using functional mobility and energy cost
Author(s) -
Dhiren Ganjwala
Publication year - 2011
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.82334
Subject(s) - medicine , gait , cerebral palsy , orthopedic surgery , spastic diplegia , diplegia , gait analysis , gross motor function classification system , physical therapy , physical medicine and rehabilitation , ankle , preferred walking speed , surgery
The evidence for the effectiveness of orthopaedic surgery to correct crouch gait in cerebral diplegic is insufficient. The crouch gait is defined as walking with knee flexion and ankle dorsiflexion through out the stance phase. Severe crouch gait in patients with spastic diplegia causes excessive loading of the patellofemoral joint and may result in anterior knee pain, gait deterioration, and progressive loss of function. We retrospectively evaluated the effect of surgery on the mobility and energy consumption at one year or more with the help of validated scales and scores.