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

dc.contributor.authorGabrieli, APT
dc.contributor.authorVankoski, S. J.
dc.contributor.authorDias, L. S.
dc.contributor.authorMilani, C.
dc.contributor.authorLourenco, A.
dc.contributor.authorLaredo, T.
dc.contributor.authorNovak, R.
dc.contributor.institutionNorthwestern Univ
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.description.abstractThe 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.description.affiliationNorthwestern Univ, Childrens Mem Hosp, Sch Med, Chicago, IL 60614 USA
dc.description.affiliationEscola Paulista Med, Dept Paediat Orthopaed, BR-04023 São Paulo, Brazil
dc.description.affiliationUnifespEscola Paulista Med, Dept Paediat Orthopaed, BR-04023 São Paulo, Brazil
dc.description.provenanceMade available in DSpace on 2016-01-24T12:33:50Z (GMT). No. of bitstreams: 0 Previous issue date: 2003-05-01en
dc.description.sourceWeb of Science
dc.identifier.citationJournal of Pediatric Orthopaedics. Philadelphia: Lippincott Williams & Wilkins, v. 23, n. 3, p. 330-334, 2003.
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofJournal of Pediatric Orthopaedics
dc.rightsAcesso restrito
dc.subjecthip dislocationen
dc.titleGait analysis in low lumbar myelomeningocele patients with unilateral hip dislocation or subluxationen