SAGE Journals Online
Advertisement
Sign In to gain access to subscriptions and/or personal tools.

 

Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Advertisement

Sign In to gain access to subscriptions and/or personal tools.
Neurorehabilitation and Neural Repair
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Siegel, I. M.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Siegel, I. M.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Kinematics of Gait in Duchenne Muscular Dystrophy: Implications for Orthotic Management

Irwin M. Siegel

Departments of Orthopaedics, Neurological Sciences, and Physical Medicine and Rehabilitation, Rush-Presbyterian-St. Luke's Medical Center, Chicago, Illinois

Ambulation requires modulation of the center of gravity (CG) to facilitate the con version of potential to kinetic energy necessary for locomotion. Postural adaptations serve this process. The weakness and lower extremity contractures found in Duchenne muscular dystrophy (DMD) hinder these adjustments. The cascade of postural changes necessary to keep the patient upright results in primary, secondary, and compensatory deformities. These permit dynamic postural accommodations that minimize inertial forces and position body segments to maintain upright balance.

A judicious choice of orthotic aids, such as reinforced knee sleeves for quadri ceps assist, a tone balancing supramalleolar appliance designed to stimulate dorsiflex ion while inhibiting plantar flexion at the ankle, thus delaying equinus contracture requiring surgery, light tubular ankle-foot orthosis (with or without a floor reaction feature) or knee-ankle-foot orthoses, which provide support after tendon release, per mit patients to continue to utilize natural mechanisms of postural compensation in order to remain upright and ambulatory.

Neurorehabilitation and Neural Repair, Vol. 11, No. 3, 169-173 (1997)
DOI: 10.1177/154596839701100305
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?




Advertisement