Cargando…

The Use of Visual Analysis for Gait and Foot Posture in Children with Developmental Dysplasia of the Hip

Background: Developmental dysplasia of the hip (DDH) is recognized as a leading cause of significant long-term complications, including inaccurate gait patterns, persistent pain, and early regressive joint disorder, and it can influence families functionally, socially, and psychologically. Methods:...

Descripción completa

Detalles Bibliográficos
Autores principales: Vasilcova, Veronika, AlHarthi, Moqfa, Jawadi, Ayman H., Zvonař, Martin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10000763/
https://www.ncbi.nlm.nih.gov/pubmed/36900117
http://dx.doi.org/10.3390/diagnostics13050973
_version_ 1784903960509808640
author Vasilcova, Veronika
AlHarthi, Moqfa
Jawadi, Ayman H.
Zvonař, Martin
author_facet Vasilcova, Veronika
AlHarthi, Moqfa
Jawadi, Ayman H.
Zvonař, Martin
author_sort Vasilcova, Veronika
collection PubMed
description Background: Developmental dysplasia of the hip (DDH) is recognized as a leading cause of significant long-term complications, including inaccurate gait patterns, persistent pain, and early regressive joint disorder, and it can influence families functionally, socially, and psychologically. Methods: This study aimed to determine foot posture and gait analysis across patients with developmental hip dysplasia. We retrospectively reviewed participants referred to the pediatric rehabilitation department of KASCH from the orthopedic clinic between 2016 and 2022 (patients born 2016–2022) with DDH for conservative brace treatment. Results: The foot postural index for the right foot showed a mean of 5.89 (n = 203, SD 4.15) and the left food showed a mean of 5.94 (n = 203, SD 4.19). The gait analysis mean was 6.44 (n = 406, SD 3.84). The right lower limb mean was 6.41 (n = 203, SD 3.78), and the left lower limb mean was 6.47 (n = 203, SD 3.91). The correlation for general gait analysis was r = 0.93, presenting the very high impact of DDH on gait. Significant correlation results were found between the right (r = 0.97) and left (r = 0.25) lower limbs. Variation between the right and left lower limb p-values was 0.88 (p < 0.05). DDH affects the left lower limb more than the right during gait. Conclusion: We conclude that there is a higher risk of developing foot pronation on the left side, which is altered by DDH. Gait analysis has shown that DDH affects the right lower limb more than the left. The results of the gait analysis showed gait deviation in the sagittal mid- and late stance phases.
format Online
Article
Text
id pubmed-10000763
institution National Center for Biotechnology Information
language English
publishDate 2023
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-100007632023-03-11 The Use of Visual Analysis for Gait and Foot Posture in Children with Developmental Dysplasia of the Hip Vasilcova, Veronika AlHarthi, Moqfa Jawadi, Ayman H. Zvonař, Martin Diagnostics (Basel) Article Background: Developmental dysplasia of the hip (DDH) is recognized as a leading cause of significant long-term complications, including inaccurate gait patterns, persistent pain, and early regressive joint disorder, and it can influence families functionally, socially, and psychologically. Methods: This study aimed to determine foot posture and gait analysis across patients with developmental hip dysplasia. We retrospectively reviewed participants referred to the pediatric rehabilitation department of KASCH from the orthopedic clinic between 2016 and 2022 (patients born 2016–2022) with DDH for conservative brace treatment. Results: The foot postural index for the right foot showed a mean of 5.89 (n = 203, SD 4.15) and the left food showed a mean of 5.94 (n = 203, SD 4.19). The gait analysis mean was 6.44 (n = 406, SD 3.84). The right lower limb mean was 6.41 (n = 203, SD 3.78), and the left lower limb mean was 6.47 (n = 203, SD 3.91). The correlation for general gait analysis was r = 0.93, presenting the very high impact of DDH on gait. Significant correlation results were found between the right (r = 0.97) and left (r = 0.25) lower limbs. Variation between the right and left lower limb p-values was 0.88 (p < 0.05). DDH affects the left lower limb more than the right during gait. Conclusion: We conclude that there is a higher risk of developing foot pronation on the left side, which is altered by DDH. Gait analysis has shown that DDH affects the right lower limb more than the left. The results of the gait analysis showed gait deviation in the sagittal mid- and late stance phases. MDPI 2023-03-03 /pmc/articles/PMC10000763/ /pubmed/36900117 http://dx.doi.org/10.3390/diagnostics13050973 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Vasilcova, Veronika
AlHarthi, Moqfa
Jawadi, Ayman H.
Zvonař, Martin
The Use of Visual Analysis for Gait and Foot Posture in Children with Developmental Dysplasia of the Hip
title The Use of Visual Analysis for Gait and Foot Posture in Children with Developmental Dysplasia of the Hip
title_full The Use of Visual Analysis for Gait and Foot Posture in Children with Developmental Dysplasia of the Hip
title_fullStr The Use of Visual Analysis for Gait and Foot Posture in Children with Developmental Dysplasia of the Hip
title_full_unstemmed The Use of Visual Analysis for Gait and Foot Posture in Children with Developmental Dysplasia of the Hip
title_short The Use of Visual Analysis for Gait and Foot Posture in Children with Developmental Dysplasia of the Hip
title_sort use of visual analysis for gait and foot posture in children with developmental dysplasia of the hip
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10000763/
https://www.ncbi.nlm.nih.gov/pubmed/36900117
http://dx.doi.org/10.3390/diagnostics13050973
work_keys_str_mv AT vasilcovaveronika theuseofvisualanalysisforgaitandfootpostureinchildrenwithdevelopmentaldysplasiaofthehip
AT alharthimoqfa theuseofvisualanalysisforgaitandfootpostureinchildrenwithdevelopmentaldysplasiaofthehip
AT jawadiaymanh theuseofvisualanalysisforgaitandfootpostureinchildrenwithdevelopmentaldysplasiaofthehip
AT zvonarmartin theuseofvisualanalysisforgaitandfootpostureinchildrenwithdevelopmentaldysplasiaofthehip
AT vasilcovaveronika useofvisualanalysisforgaitandfootpostureinchildrenwithdevelopmentaldysplasiaofthehip
AT alharthimoqfa useofvisualanalysisforgaitandfootpostureinchildrenwithdevelopmentaldysplasiaofthehip
AT jawadiaymanh useofvisualanalysisforgaitandfootpostureinchildrenwithdevelopmentaldysplasiaofthehip
AT zvonarmartin useofvisualanalysisforgaitandfootpostureinchildrenwithdevelopmentaldysplasiaofthehip