TOTBİD Dergisi

TOTBİD Dergisi

2018, Cilt 17, Sayı, 5     (Sayfalar: 453-464)

Gait disorders in cerebral palsy and selection of treatment method

Ozan Ali Erdal 1, Muharrem İnan 1

1 Ortopediatri İstanbul, Çocuk Ortopedi Akademisi, İstanbul, Türkiye

DOI: 10.14292/totbid.dergisi.2018.59
Görüntüleme: 178
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İndirme : 689

A system which sufficiently classify the entire gait disturbances observed in children with cerebral palsy has not been published yet. However, frequently encountered gait disturbances are classified under several headings to guide treatment, improve communication, and monitor treatment effectiveness. As always, basis of these classifications count on detailed patient history, physical examination, and observational analysis of gait. In addition, EMG and computerized gait analyzes play a crucial role in confirming the decision of the physician and in determining the details that escape our observations. With all these methods, gait disturbances can be classified using their gait phase, anatomical plane, EMG data and characteristic kinetic and kinematic characteristics. Although each classification effort has its own point of view, different type of gait disorders commonly shared in the literature, are similar. In the light of these information the primary, secondary and tertiary causes that disturb the walking can be determined and treatment plans can be made especially by targeting the first two. However, all classifications and nomenclatures do not adequately describe all the walking patterns that may be in the case of a cerebral palsy patient. For this reason, it should be kept in mind that there may be transitions and combinations between definitions and types.

Anahtar Kelimeler : cerebral palsy; gait; gait analysis