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Three-dimensional evaluation of skeletal deformities of the pelvis and lower limbs in ambulant children with cerebral palsy

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  • معلومة اضافية
    • Contributors:
      Laboratoire de biomécanique (LBM); Université Paris 13 (UP13)-Université Sorbonne Paris Cité (USPC)-Centre National de la Recherche Scientifique (CNRS); Institut de Biomecanique Humaine Georges Charpak; Université Paris 13 (UP13)-Arts et Métiers ParisTech; Institut de Mécanique et d'Ingénierie (I2M); Université de Bordeaux (UB)-Institut Polytechnique de Bordeaux-Centre National de la Recherche Scientifique (CNRS)-Institut National de Recherche pour l’Agriculture, l’Alimentation et l’Environnement (INRAE)-Arts et Métiers Sciences et Technologies; HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM)-HESAM Université - Communauté d'universités et d'établissements Hautes écoles Sorbonne Arts et métiers université (HESAM); Université Saint-Joseph de Beyrouth (USJ)
    • بيانات النشر:
      HAL CCSD
      Elsevier
    • الموضوع:
      2016
    • Collection:
      Institut National de la Recherche Agronomique: ProdINRA
    • نبذة مختصرة :
      International audience ; Skeletal abnormalities, affecting posture and walking pattern, increase with motor impairment in children with cerebral palsy (CP). However, it is not known whether these skeletal malalignments occur in children with slight motor impairment. Our aim was to evaluate skeletal malalignment at the level of the pelvis and lower limbs in ambulant children with CP, with slight motor impairment, using a low dose biplanar X-ray technique.Twenty-seven children with spastic CP (mean age: 10.9 ± 4 years, 7 Hemiplegia, 20 Diplegia, GMFCS levels I:17, II:10), with no previous treatments at the hips and knees, underwent EOS® biplanar X-rays. A control group consisting of 22 typically developing children was also included. Three-dimensional reconstructions of the pelvis and lower limbs were performed in order to calculate 11 radiological parameters related to the pelvis, acetabulum and lower limbs.Pelvic incidence and sacral slope were significantly increased in children with CP compared to TD children (48° ± 7° vs. 43° ± 8°, 42° ± 7° vs. 38° ± 5°, respectively, p = 0.003). Acetabular parameters did not significantly differ between the two groups. Femoral anteversion and neck shaft angle were significantly increased in children with CP (25° ± 12° vs. 14° ± 7°, p < 0.001; 134° ± 5° vs. 131° ± 5°, p = 0.005 respectively). No difference was found for tibial torsion.This study showed that even slightly impaired children with CP have an anteverted and abducted femur and present positional and morphological changes of the pelvis in the sagittal plane. The orientation of the acetabulum in 3D seems to not be affected when children with CP present slight motor impairment.
    • Relation:
      hal-02189584; https://hal.science/hal-02189584; https://hal.science/hal-02189584/document; https://hal.science/hal-02189584/file/IBHGC-GaitPosture-2016-Massaad.pdf
    • الدخول الالكتروني :
      https://hal.science/hal-02189584
      https://hal.science/hal-02189584/document
      https://hal.science/hal-02189584/file/IBHGC-GaitPosture-2016-Massaad.pdf
    • Rights:
      info:eu-repo/semantics/OpenAccess
    • الرقم المعرف:
      edsbas.F7ED5F53