Abstract
Sequential changes in gait patterns were investigated retrospectively by analyzing
the videotape recordings of 20 children with spastic diplegia and periventricular
leukomalacia (PVL). The subjects began to walk at 1–5 years of age, and their walking
was examined to 6–16 years of age. Many of the ambulatory children with spastic diplegia
walked with flexed hips, knees and ankles. At the final walking examination, the knee
was flexed during the stance phase in both legs and in all cases. In addition, the
ankle was over-plantarflexed during the stance phase in nine cases or 14 legs, and
dorsiflexed in 15 cases or 26 legs. At the initial walking, the knee was over-extended
during the stance phase in seven cases or 12 legs, and was flexed in 15 cases or 28
legs. Also, the ankle was over-plantarflexed during the stance phase in 14 cases or
22 legs, and dorsiflexed in ten cases or 18 legs. Bilateral excessive ankle plantarflexion
or a recurvatum knee was observed in a portion of the children at the initial phase
of walking only. In the diplegic children with PVL, the gait pattern was variable.
Keywords
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Article info
Publication history
Accepted:
November 17,
2000
Received in revised form:
November 14,
2000
Received:
July 7,
2000
Identification
Copyright
© 2001 Elsevier Science B.V. Published by Elsevier Inc. All rights reserved.
