Cerebral Palsy Clinical Trial
Official title:
The Measurement of Spine Dynamics During Gait for the Quantification of Intervention Outcomes in Patients With Different Pathologies
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
1. the enhanced trunk marker set is a reliable method for the measurement of spine dynamics
during gait in patients with deviations occurring secondary to leg length inequality.
2. the enhanced trunk marker set is a reliable method for the measurement of spine dynamics
during gait in patients that present both primary and secondary deviations such as seen
in hemiplegic and diplegic cerebral palsy.
3. treatment by means of either a shoe insole or a modified shoe with sole lift on the
shorter side has an effect on spine dynamics during gait in patients with leg length
inequality.
4. treatment by means of an ankle foot orthosis to control the foot position has an effect
on spine dynamics during gait in patients with hemiplegic and diplegic cerebral palsy.
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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