Secondary gait compensations in individuals without neuromuscular involvement following a unilateral imposed equinus constraint.

Abstract:

:Ankle equinus is the most commonly identified impairment of individuals with spastic hemiplegia (SH). However, it is not clear how equinus at the ankle may contribute to gait deviations at other joints. The purpose of this study was to determine what compensatory gait deviations may occur as a result of an imposed, unilateral equinus constraint. Gait data were collected on 12 adult subjects with and without one ankle constrained in equinus using a unique taping method. Knee extension at initial contact, knee extension in mid stance, and hip extension at terminal stance were all found to be significantly reduced on the ipsilateral side as a result of the ankle constraint. On the unconstrained or contralateral side, subjects tended to adopt a foot-flat or toe-first initial contact pattern. This study suggests that stance phase limitations in both hip and knee extension in the gait of persons with hemiplegia are not necessarily caused by limited length of the involved side hamstrings and/or hip flexors, but rather that they can occur as the result of an ankle plantarflexor contracture alone. Deviations in the contralateral foot contact pattern can also occur secondary to unilateral equinus and should not be assumed to represent bilateral involvement.

journal_name

Gait Posture

journal_title

Gait & posture

authors

Goodman MJ,Menown JL,West JM Jr,Barr KM,Vander Linden DW,McMulkin ML

doi

10.1016/j.gaitpost.2003.09.005

subject

Has Abstract

pub_date

2004-12-01 00:00:00

pages

238-44

issue

3

eissn

0966-6362

issn

1879-2219

pii

S0966636203001644

journal_volume

20

pub_type

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