The characteristics of gait in Charcot-Marie-Tooth disease types I and II.

Détails

ID Serval
serval:BIB_A1CAD32EB63B
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
The characteristics of gait in Charcot-Marie-Tooth disease types I and II.
Périodique
Gait & Posture
Auteur(s)
Newman C.J., Walsh M., O'Sullivan R., Jenkinson A., Bennett D., Lynch B., O'Brien T.
ISSN
0966-6362
Statut éditorial
Publié
Date de publication
2007
Peer-reviewed
Oui
Volume
26
Numéro
1
Pages
120-127
Langue
anglais
Résumé
Certain typical gait characteristics such as foot-drop and foot supination are well described in Charcot-Marie-Tooth disease. These are directly related to the primary disease and due to the weakness of ankle dorsiflexors and everters characteristic of this hereditary neuropathy. We analysed 16 subjects aged 8-52 years old (11 with type I, 5 with type II Charcot-Marie-Tooth disease) using three-dimensional gait analysis and identified kinematic features previously unreported. These patients showed a combination of tight tendo achillei, foot-drop, failure of plantar flexion and increased foot supination, but also presented with excessive internal rotation of the knee and/or tibia, knee hyperextension in stance, excessive external rotation at the hips and decreased hip adduction in stance (typical of a broad based gait). These proximal features could have been an adaptation to or consequence of the disrupted ankle and foot biomechanics, however a direct relation to the neuropathy is also possible since sub-normal muscle power was observed at the proximal levels in most subjects on both manual testing and kinetic analysis. Gait analysis is a useful tool in defining the characteristic gait of patients with Charcot-Marie-Tooth disease.
Mots-clé
Adolescent, Adult, Ankle/physiopathology, Charcot-Marie-Tooth Disease/physiopathology, Child, Female, Foot/physiopathology, Gait/physiology, Hip/physiopathology, Humans, Knee/physiopathology, Male, Middle Aged, Rotation
Pubmed
Web of science
Création de la notice
18/01/2010 10:26
Dernière modification de la notice
03/03/2018 20:08
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