Case Report

Gait Analysis before and after Gastrocnemius Fascia Lengthening for Spastic Equinus Foot Deformity in a 10-Year-Old Diplegic Child

Table 2

Summary of kinematic parameters (mean and standard deviation) for analysed patient (CP patient; right and left side) in the examined sessions and normative data (Control Group, CG).

CP patient PRECP patient POST1CP patient POST2CG
(2 months)(10 months)

rightleftrightleftrightleft
Pelvic Tilt (degrees)
Mean Tilt3.8 (0.7)3.2 (1.9)11.4 ( 0 . 3 ) 12.1 ( 0 . 7 ) 7.9 ( 0 . 1 ) + 8.4 ( 1 . 5 ) + 8.8 (4.3)
ROM4.5 (2.7)5.5 (2.4)3.3 (0.9)3.5 (1.1)3.9 (1.3)5.5 (0.8)1.6 (3.6)
Pelvic Obliquity (degrees)
ROM4.6 (1.1)5.2 (1.7)4.1 (0.1)4.8 (0.1)4.6 (1.5)5.2 (0.6)6.5 (6.9)
Pelvic Rotation (degrees)
ROM5.4 (0.2)6.0 (0.3)4.9 (0.1)5.6 (0.3)3.6 (1.4)4.9 (2.2)10.7 (5.3)
Hip Flex-Extension (degrees)
IC38.7 (3.2)25.9 (1.1)29.7 ( 0 . 1 ) 27.2 (1.7)30.6 ( 0 . 5 ) + 28.8 (2.1)29.5 (4.4)
Min in St13.5 (2.7)4.0 (0.5)9.8 (0.6)10.9 ( 0 . 5 ) 5.4 ( 1 . 0 2 ) + 8.3 ( 1 . 1 ) + 8 . 7 ( 6 . 4 )
Hip Ab-Adduction (degrees)
ROM6.1 (0.1)6.3 (2.9)3.9 (0.1)4.7 (0.5)5.8 (1.9)6.1 (0.4)10.7 (3.1)
Hip Intra-extrarotation (degrees)
Mean hip rotation7.3 (1.7)8.2 (1.6)2.6 (0.1)4.7 (1.3)5.2 (3.6)6.7 (0.5) 1 . 9 ( 3 . 9 )
Knee Flex-Extension (degrees)
IC36.8 (0.8)26.6 (1.9)10.2 ( 0 . 9 ) 8.2 ( 2 . 3 ) 18.9 ( 1 . 5 ) , + 20.4 ( 2 . 8 ) , + 6.7 (5.5)
Min in St36.2 (0.5)20.9 (0.6)8.7 ( 3 . 1 ) 7.3 ( 0 . 9 ) 18.4 ( 2 . 2 ) , + 21.5 ( 0 . 5 ) , + 4.2 (2.1)
Max in Sw42.3 (2.2)29.6 (0.8)37.1 (0.2)32.0 (1.3)48.6 ( 1 . 1 ) , + 50.1 ( 2 . 5 ) , + 60.5 (4.7)
Ankle Dorsi-Plantarflexion (degrees)
IC 4 8 . 1 ( 0 . 9 ) 5 0 . 8 ( 1 . 8 ) 3.1 ( 0 . 7 ) 7.1 ( 1 . 4 ) 1.9 ( 0 . 5 ) 4.5 ( 1 . 4 ) -0.5 (4.8)
Max in St 4 4 . 9 ( 1 . 3 ) 4 8 . 3 ( 2 . 5 ) 12.2 ( 0 . 3 ) 13.1 ( 0 . 4 ) 10.0 ( 2 . 1 ) 15.5 ( 0 . 6 ) 12.2 (5.5)
Timing of Max in St (%gc)24 (2)40 (3)40 ( 1 ) 58 ( 2 ) 30 ( 3 ) + 32 ( 2 ) , + 35 (3)
ROM in St9.4 (3.5)4.1 (3.1)7.4 (2.3)10.8 ( 1 . 9 ) 17.5 ( 3 . 1 ) , + 15.4 ( 0 . 8 ) , + 23.4 (4.8)
Max in Sw 4 7 . 6 ( 0 . 2 ) 4 7 . 1 ( 1 . 5 ) 9.1 ( 2 . 5 ) 13.3 ( 0 . 5 ) 4.7 ( 1 . 3 ) , + 8.4 ( 2 . 7 ) , + 5.8 (6.5)
Foot Progression (degrees)
Mean 1 7 . 5 ( 0 . 2 ) 2 0 . 1 ( 3 . 5 ) 1 5 . 5 ( 3 . 6 ) 1 7 . 1 ( 3 . 3 ) 1 2 . 4 ( 1 . 5 ) 1 4 . 8 ( 0 . 4 ) 1 2 . 5 ( 5 . 8 )

Abbreviations: ROM: Range Of Motion; Min: Minimum value; Max: Maximum value; IC: Initial Contact; St: Stance phase; Sw: Swing phase
Sagittal Plane: positive values: Flexion/Dorsiflexion; negative values: Extension/Plantarflexion. Frontal Plane: positive values: up/adduction; negative values: down/abduction. Transversal plane: positive values: intra-rotation; negative values: extrarotation.
𝑃 < . 0 5 , PRE versus POST1 and POST2; + 𝑃 < . 0 5 POST1 versus POST2.