Next Article in Journal
Caffeine Modulates Cadmium-Induced Oxidative Stress, Neuroinflammation, and Cognitive Impairments by Regulating Nrf-2/HO-1 In Vivo and In Vitro
Previous Article in Journal
Does Prophylactic Administration of Edoxaban Increase D-Dimer Levels after Total Hip Arthroplasty?
Article Menu

Export Article

Open AccessArticle

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

Division of Pediatric Orthopaedic Surgery, Severance Children’s Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
Department of Orthopaedic Surgery, Gangnam Severance Hospital, Seoul 06273, Korea
Department of Orthopaedic Surgery, Inje University Haeundae Paik Hospital, Busan 48108, Korea
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(5), 679;
Received: 1 April 2019 / Revised: 1 May 2019 / Accepted: 13 May 2019 / Published: 14 May 2019
(This article belongs to the Section Epidemiology & Public Health)
PDF [1983 KB, uploaded 14 May 2019]


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. View Full-Text
Keywords: pelvic retraction; hemiplegia; cerebral palsy pelvic retraction; hemiplegia; cerebral palsy

Figure 1

This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).

Share & Cite This Article

MDPI and ACS Style

Park, K.-B.; Park, H.; Park, B.K.; Abdel-Baki, S.W.; Kim, H.W. Clinical and Gait Parameters Related to Pelvic Retraction in Patients with Spastic Hemiplegia. J. Clin. Med. 2019, 8, 679.

Show more citation formats Show less citations formats

Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Related Articles

Article Metrics

Article Access Statistics



[Return to top]
J. Clin. Med. EISSN 2077-0383 Published by MDPI AG, Basel, Switzerland RSS E-Mail Table of Contents Alert
Back to Top