Gait analysis in low lumbar myelomeningocele patients with unilateral hip dislocation or subluxation

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dc.contributor.author Gabrieli, APT
dc.contributor.author Vankoski, S. J.
dc.contributor.author Dias, L. S.
dc.contributor.author Milani, C.
dc.contributor.author Lourenco, A.
dc.contributor.author Laredo, T.
dc.contributor.author Novak, R.
dc.date.accessioned 2016-01-24T12:33:50Z
dc.date.available 2016-01-24T12:33:50Z
dc.date.issued 2003-05-01
dc.identifier http://dx.doi.org/10.1097/00004694-200305000-00010
dc.identifier.citation Journal of Pediatric Orthopaedics. Philadelphia: Lippincott Williams & Wilkins, v. 23, n. 3, p. 330-334, 2003.
dc.identifier.issn 0271-6798
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/27247
dc.description.abstract The surgical indications for the treatment of unilateral hip dislocations or subluxations in patients with low lumbar myelomeningocele remain highly debatable. This study examines the influence of unilateral hip dislocation or subluxation on the gait of these patients using three-dimensional gait analysis. Twenty patients with a diagnosis of low lumbar myelomeningocele underwent three-dimensional gait analysis. All patients were community ambulators with solid ankle-foot orthoses and crutches who presented with unilateral hip dislocation or subluxation and no scoliosis. the patients were divided in two groups. Group 1 comprised 10 patients who demonstrated either no evidence of hip flexion or adduction contractures or symmetric hip contractures. Group 2 comprised 10 patients with unilateral hip flexion and/or adduction contractures. Pelvic and hip kinematics were assessed to determine the symmetry of motion between the involved and the noninvolved side during walking. Seven patients from group 1 walked with a symmetric gait pattern; only two patients from group 2 walked with a symmetric pattern. Gait symmetry corresponded to the absence of hip contractures or bilateral symmetrical hip contractures and had no relation to the presence of hip dislocation. the authors concluded that reduction of the hip is unnecessary. en
dc.format.extent 330-334
dc.language.iso eng
dc.publisher Lippincott Williams & Wilkins
dc.relation.ispartof Journal of Pediatric Orthopaedics
dc.rights Acesso restrito
dc.subject gait en
dc.subject hip dislocation en
dc.subject myelomeningocele en
dc.title Gait analysis in low lumbar myelomeningocele patients with unilateral hip dislocation or subluxation en
dc.type Artigo
dc.contributor.institution Northwestern Univ
dc.contributor.institution Universidade Federal de São Paulo (UNIFESP)
dc.description.affiliation Northwestern Univ, Childrens Mem Hosp, Sch Med, Chicago, IL 60614 USA
dc.description.affiliation Escola Paulista Med, Dept Paediat Orthopaed, BR-04023 São Paulo, Brazil
dc.description.affiliationUnifesp Escola Paulista Med, Dept Paediat Orthopaed, BR-04023 São Paulo, Brazil
dc.identifier.doi 10.1097/00004694-200305000-00010
dc.description.source Web of Science
dc.identifier.wos WOS:000182681600010



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