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Clinical and Gait Parameters Related to Pelvic Retraction in Patients with Spastic Hemiplegia

Pelvic retraction during walking is a common finding seen in patients with spastic hemiplegia. However, potential factors related to this condition have not been comprehensively examined in a systemic manner in previous studies. The purpose of this study was to elucidate any clinical and gait parame...

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Autores principales: Park, Kun-Bo, Park, Hoon, Park, Byoung Kyu, Abdel-Baki, Sharkawy Wagih, Kim, Hyun Woo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6571873/
https://www.ncbi.nlm.nih.gov/pubmed/31091787
http://dx.doi.org/10.3390/jcm8050679
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author Park, Kun-Bo
Park, Hoon
Park, Byoung Kyu
Abdel-Baki, Sharkawy Wagih
Kim, Hyun Woo
author_facet Park, Kun-Bo
Park, Hoon
Park, Byoung Kyu
Abdel-Baki, Sharkawy Wagih
Kim, Hyun Woo
author_sort Park, Kun-Bo
collection PubMed
description Pelvic retraction during walking is a common finding seen in patients with spastic hemiplegia. However, potential factors related to this condition have not been comprehensively examined in a systemic manner in previous studies. The purpose of this study was to elucidate any clinical and gait parameters related to pelvic retraction in patients with hemiplegic cerebral palsy. A total of 212 independent ambulatory patients were enrolled in the study. Group I consisted of 113 patients who had persistent pelvic retraction, and Group II of 99 with a normal range of pelvic rotation throughout the gait cycle as evidenced by kinematic analysis. A multivariate logistic regression analysis using a clustering technique was performed, with use of eight gait factors and five clinical factors. Decreased ankle dorsiflexion, increased hip internal rotation, increased anterior pelvic tilt, the Winters classification type II, and asymmetrical posturing of the upper extremity during gait were found to be related to pelvic retraction. This is the only study including a broader array of assessment domains of both clinical and gait parameters with a considerably large and homogenous population with hemiplegia. Further studies will be needed to see whether the rectification of those parameters may improve abnormal gait and pelvic retraction in hemiplegia.
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spelling pubmed-65718732019-06-18 Clinical and Gait Parameters Related to Pelvic Retraction in Patients with Spastic Hemiplegia Park, Kun-Bo Park, Hoon Park, Byoung Kyu Abdel-Baki, Sharkawy Wagih Kim, Hyun Woo J Clin Med Article Pelvic retraction during walking is a common finding seen in patients with spastic hemiplegia. However, potential factors related to this condition have not been comprehensively examined in a systemic manner in previous studies. The purpose of this study was to elucidate any clinical and gait parameters related to pelvic retraction in patients with hemiplegic cerebral palsy. A total of 212 independent ambulatory patients were enrolled in the study. Group I consisted of 113 patients who had persistent pelvic retraction, and Group II of 99 with a normal range of pelvic rotation throughout the gait cycle as evidenced by kinematic analysis. A multivariate logistic regression analysis using a clustering technique was performed, with use of eight gait factors and five clinical factors. Decreased ankle dorsiflexion, increased hip internal rotation, increased anterior pelvic tilt, the Winters classification type II, and asymmetrical posturing of the upper extremity during gait were found to be related to pelvic retraction. This is the only study including a broader array of assessment domains of both clinical and gait parameters with a considerably large and homogenous population with hemiplegia. Further studies will be needed to see whether the rectification of those parameters may improve abnormal gait and pelvic retraction in hemiplegia. MDPI 2019-05-14 /pmc/articles/PMC6571873/ /pubmed/31091787 http://dx.doi.org/10.3390/jcm8050679 Text en © 2019 by the authors. 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 (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Park, Kun-Bo
Park, Hoon
Park, Byoung Kyu
Abdel-Baki, Sharkawy Wagih
Kim, Hyun Woo
Clinical and Gait Parameters Related to Pelvic Retraction in Patients with Spastic Hemiplegia
title Clinical and Gait Parameters Related to Pelvic Retraction in Patients with Spastic Hemiplegia
title_full Clinical and Gait Parameters Related to Pelvic Retraction in Patients with Spastic Hemiplegia
title_fullStr Clinical and Gait Parameters Related to Pelvic Retraction in Patients with Spastic Hemiplegia
title_full_unstemmed Clinical and Gait Parameters Related to Pelvic Retraction in Patients with Spastic Hemiplegia
title_short Clinical and Gait Parameters Related to Pelvic Retraction in Patients with Spastic Hemiplegia
title_sort clinical and gait parameters related to pelvic retraction in patients with spastic hemiplegia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6571873/
https://www.ncbi.nlm.nih.gov/pubmed/31091787
http://dx.doi.org/10.3390/jcm8050679
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