Elsevier

Gait & Posture

Volume 4, Issue 1, January 1996, Pages 34-38
Gait & Posture

The influence of abductor weakness on gait in spina bifida

https://doi.org/10.1016/0966-6362(95)01035-1Get rights and content

Abstract

This study aimed to determine which features of the characteristic gait of children with spina bifida are most responsible for increasing energy cost of walking. We studied 27 children with spina bifida, nine of whom had L4 level lesions, nine L5 and nine S1, using gait analysis and oxygen consumption studies. We found a positive correlation between oxygen cost (ml/kg/m) of walking and level of lesion (r = 0.35, P < 0.05) range of pelvic rotation (r = 0.5, P < 0.05), pelvic obliquity (r = 0.3, P < 0.05) and hip ab/adduction (r = 0.3, P < 0.05). We found no correlation between oxygen cost and maximum hip and knee extension during stance, nor did we find that hip and knee extension during stance correlated with the neurological level. We concluded that hip and knee flexion in stance are tolerated well by children with low level spina bifida. Control of pelvic rotation and obliquity and hip ab/adduction by functioning hip abductors appear to be the most important determinants of efficient ambulation in spina bifida.

References (18)

  • IS Corry et al.

    Measurement of the energy cost of walking using oxygen uptake telemetry [abstract]

    Gait Posture

    (1993)
  • DA Winter

    An integrated EMG/biomechanical model of upper body balance

    Prog Brain Res

    (1993)
  • JC Agre et al.

    Physical activity capacity in children with myelomeningocele

    Arch Phys Med Rehabil

    (1987)
  • C Crandall et al.

    Evaluation of the Cosmed K2 portable telemetric oxygen uptake analyser

    Med Sci Sports Exercise

    (1994)
  • J Dec et al.

    The major determinants of normal and pathological gait

    J Bone Joint Surg

    (1953)
  • EP Evans et al.

    Energy expenditure of spina bifida children during walking and wheelchair ambulation

    Z Kinderching

    (1981)
  • TW Findley et al.

    Ambulation in the adolescent with spina bifida. II. Oxygen cost of mobility

    Arch Phys Med Rehabil

    (1988)
  • J Gage
  • A-T Hsu et al.

    Quadriceps force and myoelectric activity during flexed knee stance

    Clin Orthoped Rel Res

    (1993)
There are more references available in the full text version of this article.

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