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| Name | Class |
|---|---|
| Swiss Federal Institute of Technology | OTHER |
| Bern University of Applied Sciences | OTHER |
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Measuring spine dynamics is a necessity in order to better understand gait deviations throughout the whole body and to evaluate treatment effects on spinal movement during gait. However, the full body marker sets that are typically used in opto-electronic 3D gait analyses either disregard the spine entirely or regard it as a rigid structure. Therefore, the purpose of this study is to use an enhanced trunk marker set in order to evaluate the biomechanical effects of lower extremity treatments on spine dynamics in patients with different pathologies.
It has been hypothesized that
To verify the hypotheses, instrumented gait analyses with a standard full body marker set and the enhanced trunk marker set will be carried out before and immediately after an orthotic lower extremity treatment in the respective patient group.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Leg length correction | Experimental | The shorter leg in a sample of 15 patients with structural leg length inequality will be corrected by either a shoe insole or a modified shoe with sole lift. |
|
| Control of foot position 1 | Experimental | The foot position in in a sample of 15 patients with hemiplegic cerebral palsy will be controlled by an ankle foot orthosis. |
|
| Control of foot position 2 | Experimental | The foot position in in a sample of 15 patients with diplegic cerebral palsy will be controlled by an ankle foot orthosis. |
|
| Control | No Intervention | A sample of 15 healthy controls from a simultaneously conducted study (UKBB-Spine-1315-1) will be used for comparative purposes. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Ankle foot orthosis | Other | Ankle foot orthoses are a common treatment method to control the foot position during walking and to prevent ankle plantar flexion contractures in cerebral palsy patients. |
| Measure | Description | Time Frame |
|---|---|---|
| Reliability of the enhanced trunk marker set for the measurement of spinal kinematics in patients with leg length inequality and cerebral palsy during gait. | Parameters include lumbar, thoracic and cervical spine curvature angles in the sagittal and frontal planes and segmental rotation angles in the transverse plane. | Data will be collected between April 2013 and June 2015. Each patient will be measured before and immediately after an orthotic treatment (both measurements within 1 hour). |
| Immediate changes in spinal kinematics in patients with leg length inequality and cerebral palsy during gait following an orthotic lower extremity treatment. | Parameters include lumbar, thoracic and cervical spine curvature angles in the sagittal and frontal planes and segmental rotation angles in the transverse plane. | Data will be collected between April 2013 and June 2015. Each patient will be measured before and immediately after the orthotic treatment (both measurements within 1 hour). |
| Measure | Description | Time Frame |
|---|---|---|
| Immediate changes in spatio-temporal gait parameters and kinematics and kinetics of peripheral joints in patients with leg length inequality and cerebral palsy during gait following an orthotic lower extremity treatment. | Parameters include gait speed, cadence and single and double limb support as well as angles, torques and powers of peripheral joints in all three planes. | Data will be collected between April 2013 and June 2015. Each patient will be measured before and immediately after the orthotic treatment (both measurements within 1 hour). |
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Leg length inequality patients:
Inclusion Criteria:
Exclusion Criteria:
Hemiplegic cerebral palsy patients:
Inclusion Criteria:
Exclusion Criteria:
Diplegic cerebral palsy patients:
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Reinald Brunner, MD | University Children's Hospital Basel | Principal Investigator |
| Stefan Schmid, PT, PhD | Swiss Federal Institute of Technology / Bern University of Applied Sciences | Study Chair |
| Silvio Lorenzetti, PhD, DSc | Swiss Federal Institute of Technology | Study Director |
| Jacqueline Romkes, PhD | University Children's Hospital Basel | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Children's Hospital Basel | Basel | 4056 | Switzerland |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27543740 | Result | Schmid S, Romkes J, Taylor WR, Lorenzetti S, Brunner R. Orthotic correction of lower limb function during gait does not immediately influence spinal kinematics in spastic hemiplegic cerebral palsy. Gait Posture. 2016 Sep;49:457-462. doi: 10.1016/j.gaitpost.2016.08.013. Epub 2016 Aug 12. |
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| ID | Term |
|---|---|
| D007870 | Leg Length Inequality |
| D002547 | Cerebral Palsy |
| ID | Term |
|---|---|
| D001848 | Bone Diseases, Developmental |
| D001847 | Bone Diseases |
| D009140 | Musculoskeletal Diseases |
| D020763 | Pathological Conditions, Anatomical |
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| Shoe insole | Other | The heel of the shorter leg of the patient is lifted by a shoe insole. This procedure is commonly applied with leg length differences of up to 20mm. |
|
| Modified shoe with sole lift | Other | The heel of the shorter leg of the patient is lifted by building up the sole of the shoe (shoe sole lift). This procedure is commonly applied with leg length differences of 20mm and more. |
|
| D013568 | Pathological Conditions, Signs and Symptoms |
| D001925 | Brain Damage, Chronic |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
| D009422 | Nervous System Diseases |