Cga ifa 2015 12 the role of cga in sdr
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Cga ifa 2015 12 the role of cga in sdr
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Cga ifa 2015 12 the role of cga in sdr
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- 14. Pelvic Tilt 50 -10 Ant Post deg Hip Flexion/Extension 80 Flex deg Pelvic Obliquity 25 -25 Up Down deg Hip Ab/Adduction 20 Add deg Pelvic Rotation 40 -40 Int Ext deg Hip Rotation 60 Int deg
- 15. Pelvic Tilt 50 -10 Ant Post deg Hip Flexion/Extension 80 -20 Flex Ext deg Knee Flexion/Extension 90 -10 Flex Ext deg Ankle Dorsi/Plantar 30 -90 Dors Plan deg Hip Flex/Ext Moment 2.0 -3.0 Flex Ext Nm/kg Knee Flex/Ext Moment 1.0 -1.0 Flex Ext Nm/kg Ankle Dors/Plan Moment 3.0 -1.0 Dors Plan Nm/kg Hip Pow er 3.0 -2.0 Gen Abs W/kg Knee Pow er 3.0 -3.0 Gen Abs W/kg Ankle Pow er 3.0 -2.0 Gen Abs W/kg
- 16. -20 Knee Flexion/Extension 90 -10 Flex Ext deg Ankle Dorsi/Plantar 30 -90 Dors Plan deg -3.0 Knee Flex/Ext Mom 1.0 -1.0 Flex Ext Nm/kg Ankle Dors/Plan Mo 3.0 -1.0 Dors Plan Nm/kg
- 17. Pelvic Tilt 50 -10 Ant Post deg Hip Flexion/Extension 80 -20 Flex Ext deg Knee Flexion/Extension 90 -10 Flex Ext deg Ankle Dorsi/Plantar 30 -90 Dors Plan deg Hip Flex/Ext Moment 2.0 -3.0 Flex Ext Nm/kg Knee Flex/Ext Moment 1.0 -1.0 Flex Ext Nm/kg Ankle Dors/Plan Moment 3.0 -1.0 Dors Plan Nm/kg Hip Pow er 3.0 -2.0 Gen Abs W/kg Knee Pow er 3.0 -3.0 Gen Abs W/kg Ankle Pow er 3.0 -2.0 Gen Abs W/kg -20 Knee Flexion/Extension 90 -10 Flex Ext deg Ankle Dorsi/Plantar 30 -90 Dors Plan deg -3.0 Knee Flex/Ext Moment 1.0 -1.0 Flex Ext Nm/kg Ankle Dors/Plan Moment 3.0 -1.0 Dors Plan Nm/kg -2.0 Knee Pow er 3.0 -3.0 Gen Abs W/kg Ankle Pow er 3.0 -2.0 Gen Abs W/kg
- 20. (circles). Jon R. Davids et al. J Bone Joint Surg Am 2003;85:2224-2234
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Editor's Notes
- L1-S2
- Muscle strength Scoliosis Sensation Unmask dystonia
- CMAS Compliance, typical of normal gait
- Effects of spasticity on step length and cadence
- Dystonic picture
- For outcomes exaggerated Excessive plantar flexion at foot contact, reduced ankle dorsiflexion Increased knee flexion at IC and reduced knee flexion mid swing Restriction knee flexion
- Dynamic electromyography of the muscles about the knee over three gait cycles shows inappropriate activity of the rectus femoris in the midswing phase (circles).
- Lots of papers show increase in passive ROM. Hip extension, abduction, knee extension popliteal angle
- Remember that many of these patients detiorate with no TX
- CV coefficient of variation
- Ratio between the first and second peak . Lower suggests improvement
- Cahan thought 3 different patterns possible. Spasticity and good selective control (do best), spasticity and poor selective control, worst no control. Many papers talk about improved phasic activity, particularly decreased stance phase activity. One study found that independent ambulaors more likely to become phasic than dependent, who may have increased activity (weakness)
- Earlier paper 2003 only just reached significance
- Measure of overall gait abnormality 16 kinematic and temporal measures. May be more reliable than constituent measures