Foot deformities are common in children with cerebral palsy diplegia. One such deformity is midfoot break where movement occurs in the midfoot region during mid to late stance. This deformity is thought to be associated with hindfoot valgus with the abnomial movement in the midfoot contributing to the maintenance of the ground reaction force behind the knee and thus increasing crouch gait (Gage 2004). There are no reports in the literature of any studies examining the link between midfoot break and crouch in cerebral palsy. The two objectives of this study were 1) to provide a descriptor to identify midfoot break from close up sagittal video in order that the deformity could be recorded and classified and 2) to confirm whether midfoot break was associated with crouch gait. Retrospective close up sagittal and coronal video of children with cerebral palsy diplegia, who had attended for routine gait analysis, where clinical examination, kinematic and kinetic data were available, were analyzed. Ten children with moderate midfoot break were identified using the new descriptor and ten children, with no midfoot break were selected at random for comparison. None of the subjects had had any previous foot/ankle surgery. Hindfoot position was recorded using the Edinburgh Visual Gait Score stance phase hindfoot descriptor (Read et al 2003). Mann-Whitney U non-parametric tests were used to identify significant differences.
| Identifer | oai:union.ndltd.org:bl.uk/oai:ethos.bl.uk:502284 |
| Date | January 2008 |
| Creators | Jarvis, Sarah |
| Publisher | University of Strathclyde |
| Source Sets | Ethos UK |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
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