Full body gait analysis may improve diagnostic discrimination between hereditary spastic paraplegia and spastic diplegia: a preliminary study.
作者： A. Bonnefoy-Mazure , K. Turcot , A. Kaelin , G. De Coulon , S. Armand
DOI: 10.1016/J.RIDD.2012.09.005
关键词:
摘要: Hereditary spastic paraplegia (HSP) and diplegia (SD) patients share a strong clinical resemblance. Thus, HSP are frequently misdiagnosed with mild form of SD. Clinical gait analysis (CGA) has been highlighted as possible tool to support the differential diagnosis Previous focused on lower-body but not upper-body, where numerous compensations during walking occur. The aim this study was compare full-body movements SD groups and, in particular, movement upper limbs. Ten 12 were evaluated through CGA (VICON 460 Mx3+; ViconPeak(®), Oxford, UK) between 2008 2012. kinematic parameters computed using ViconPeak(®) software (Plug-In-Gait). In addition, mean amplitude normalised (by patient's height) arm swing calculated. All asked walk at self-selected speed along 10-m walkway. for two populations analysed Mann-Whitney comparison tests, significant P-value set 0.05. results demonstrated that used more spine compensate lower limb alterations, whereas their arms compensation. had increased shoulder sagittal plane (Flexion/extension angle) frontal (elevation compared patients. These postures similar description guard position toddlers exhibit first weeks walking. To increase speed, have larger swings sagittal, transversal planes. Upper-body kinematics, specifically movements, may
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