Transverse plane gait problems in children with cerebral palsy.

J Pediatr Orthop

Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA.

Published: June 2013

AI Article Synopsis

  • Transverse plane deviations significantly affect gait in children with cerebral palsy due to challenges in neuromuscular control, balance, strength, and coordination.
  • Common issues like intoeing or out-toeing stem from malalignment and lever arm dysfunction caused by factors such as long bone torsion, pelvic rotation, and foot alignment.
  • The use of computerized motion analysis helps in accurately identifying these gait abnormalities, which is essential for effective treatment in affected children.

Article Abstract

Transverse plane deviations are significant contributors to pathologic gait in children with cerebral palsy (CP). Due to limitations in neuromuscular control, balance, strength and coordination, transverse plane gait deviations are poorly tolerated in these children. Transverse plane malalignment results in lever arm dysfunction and can be seen with either intoeing or out-toeing. Frequent causes of transverse plane problems and lever arm dysfunction include long bone (femoral and/or tibial) torsion, pelvic rotation, and pes varus or valgus. Computerized motion analysis facilitates accurate identification of transverse plane abnormalities. This article addresses appropriate identification and treatment of transverse plane gait deviations in children with CP.

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Source
http://dx.doi.org/10.1097/BPO.0b013e3182784e16DOI Listing

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