Spasticity and dynamic plantar pressure distribution measurements in hemiplegic spastic children. - Archive ouverte HAL
Article Dans Une Revue Annales de Réadaptation et de Médecine Physique Année : 2000

Spasticity and dynamic plantar pressure distribution measurements in hemiplegic spastic children.

Spasticité et distribution des pressions plantaires chez des enfants atteints d'hémiplégie cérébrale infantile

P Moretto
H Renaut
  • Fonction : Auteur
A Thévenon
  • Fonction : Auteur

Résumé

Spasticity and dynamic plantar pressure distribution measurements in hemiplegic spastic children. Objective: The aim of this study was to analyse the plan- tar pressure distribution in nine hemiplegic spastic children to illustrate the dynamic alteration during stance phase linked spasticity grade. Material and methods: The graduation of the lower limbs muscle tone related to the Aschworth spasticity scale enabled us to identify two groups of hemiplegics subjects. The groups Asch 1 and Asch 3 have respectively pre- sented a low and a strong spasticity. The peak pressures during consecutive gait cycles were determined under the feet of 30 healthy subjects and two cerebral palsy groups using a wearable footprint analysis system. Results: A statistical study showed a similarity between the two disabled groups. Peak pressures under the mid- foot were significantly higher compared to the control group. While the plantar pressure distribution profile was specific for each group under all other anatomical struc- tures. The significant alterations were observed under the forefoot and hallux. Discussion – conclusion: Spasticity modifies the foot contact to ground and leads to a specific plantar pressure distribution profile linked to the spasticity grade. The equinovarus with clawed toes deformity due to higher spasticity seems to be an important factor in terminal stance phase perturbations. However spastic hemiplegic subjects seem to adopt a gait pattern in agreement with stability optimization criteria.
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hal-04325473 , version 1 (08-12-2023)

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  • HAL Id : hal-04325473 , version 1

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V Femery, P Moretto, H Renaut, A Thévenon. Spasticity and dynamic plantar pressure distribution measurements in hemiplegic spastic children.. Annales de Réadaptation et de Médecine Physique, 2000, 14, pp.26-34. ⟨hal-04325473⟩
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