Abstract：
:Hip flexion contractures are a common complication in disabled patients. However, no previous study has examined reduced hip motion during gait. This retrospective analysis evaluates the relationship between the degree of hip flexion contracture found on static testing and the degree found during gait and also assesses the strength of the association between hip flexion contractures and compensatory mechanisms such as anterior pelvic tilting, increased knee flexion, and decreased contralateral step length. Clinical and quantitative gait laboratory data were obtained from 41 consecutive patients with mostly neurologically based impairments who presented with bilateral hip flexion contractures on Thomas testing (82 limbs). Correlation studies demonstrated a relatively weak association between the degree of peak hip extension during gait and hip flexion contracture by Thomas testing (r = 0.41, P < 0.0001). Limited hip extension was most closely associated with anterior pelvic tilting (r = 0.60, P < 0.0001), whereas Thomas test measurements yielded a correlation with anterior pelvic tilt of only r = 0.36 (P < 0.001) and were insignificant predictor variables of anterior pelvic tilting in regression analysis. Thus, peak hip extension and anterior pelvic tilting assessed during gait were poorly associated with the static Thomas test measurements, and anterior pelvic tilt was most strongly correlated with reduced hip extension during gait compared with the other compensatory mechanisms.
journal_name
Am J Phys Med Rehabiljournal_title
American journal of physical medicine & rehabilitationauthors
Lee LW,Kerrigan DC,Della Croce Udoi
10.1097/00002060-199711000-00013subject
Has Abstractpub_date
1997-11-01 00:00:00pages
502-8issue
6eissn
0894-9115issn
1537-7385journal_volume
76pub_type
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199206000-00006
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journal_title：American journal of physical medicine & rehabilitation
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doi：10.1097/00002060-199304000-00007
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journal_title：American journal of physical medicine & rehabilitation
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199204000-00006
更新日期：1992-04-01 00:00:00
abstract：OBJECTIVES:This article presents analytic results from a prospective study of 313 stroke rehabilitation patients, looking at the relative contributions of different stroke impairments toward prediction of discharge function, rehabilitation length of stay, and discharge destination after inpatient rehabilitation. The re...
journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/01.phm.0000171005.08744.ab
更新日期：2005-08-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0000000000001304
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-198902000-00002
更新日期：1989-02-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
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doi：10.1097/01.phm.0000176573.64931.94
更新日期：2005-10-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
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doi：10.1097/PHM.0000000000001614
更新日期：2020-10-12 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
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doi：10.1097/PHM.0b013e318151fa70
更新日期：2007-10-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/00002060-199407000-00009
更新日期：1994-07-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
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更新日期：2018-12-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
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doi：10.1097/PHM.0b013e3181c1ec38
更新日期：2009-12-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e318164a9e2
更新日期：2008-05-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
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更新日期：2019-04-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
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更新日期：2016-11-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e3182555de3
更新日期：2012-07-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
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更新日期：2019-05-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
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journal_title：American journal of physical medicine & rehabilitation
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doi：
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journal_title：American journal of physical medicine & rehabilitation
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doi：
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journal_title：American journal of physical medicine & rehabilitation
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更新日期：2017-04-01 00:00:00
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更新日期：2008-04-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
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更新日期：2012-11-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,评审
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更新日期：2020-01-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
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更新日期：2014-01-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 临床试验,杂志文章
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更新日期：2006-07-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章
doi：10.1097/PHM.0b013e318214ed0d
更新日期：2011-09-01 00:00:00
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journal_title：American journal of physical medicine & rehabilitation
pub_type： 杂志文章,随机对照试验
doi：10.1097/PHM.0b013e31826458c6
更新日期：2012-11-01 00:00:00
