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

1
Division of Pediatric Orthopaedic Surgery, Severance Children’s Hospital, Yonsei University College of Medicine, 50-1 Yonsei-ro, Seodaemun-gu, Seoul 03722, Korea
2
Department of Orthopaedic Surgery, Gangnam Severance Hospital, Seoul 06273, Korea
3
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; https://doi.org/10.3390/jcm8050679
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)
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PDF [1983 KB, uploaded 14 May 2019]
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Abstract

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
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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.

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