뇌성마비아의 보행패턴 분석

Title
뇌성마비아의 보행패턴 분석
Authors
한기훈
Keywords
뇌성마비, 보행패턴
Issue Date
1999
Publisher
인하대학교 교육연구소
Series/Report no.
인하교육연구제5권317-340 pp.
Abstract
The purpose of this study was to collect basic data on the gait pattern of the spastic diplegia children for rehabilitation program, and to examine the differences in the gait pattern against normal children group. Three -dimentional motion analysis technique was employed to compare the gait pattern of five children with diplegic cerebral palsy against a group of 10 normal children of the same age.
The following consulsions were drawn from the results;
Spastic diplegia revealed asymmetrical gait pattern in which the step length of the stride which was a result of the effort to minimize the loading on the leg by shortening the swing phase of the leg. C.P spastic diplegia scored lower phase ratios, lsesser cadence and walking velocity with lower gait stability and function. More anterior tilting of the pelvis was observed throughout the gait cycle. C.P children showed more hip and knee flexion during the stance phase.
The main problem in C.P children originated from the insufficient dorsiflexion of the foot during the swing phase. Therefore, C.P children showed difficulty with foot clearance in the swing phase. Usually, this compensated for by using excessive hip adduction and external rotation in conjunction with trunk elevation flexion and as well as increased vertical displacement of the center of mass C.P spastic diplegia revealed foot flat and forefoot initial contack pattern.
The findings were as follows:
1. The walking velocity and stride length decreased in the spastic diplegia group.
2. The proportion ratios of the stance phase tended to increase with spastic diplegia.
3. The range of the hip joint motion with C.P increased while knee flexion angle during the swing phase increased.
4. The plantar flexion angle of the ankle also increased throught the gait cycle.
5. Hip adduction and external rotation with C.P increased through the gait cycle.
Key word : cerebral palsy, spastic diplegia, gait analysis.
URI
http://dspace.inha.ac.kr/handle/10505/1042
Appears in Collections:
연구기관 > 교육연구소 > 인하교육연구(교육문화연구)
Files in This Item:
교육_5_317-340.pdfDownload

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