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Journal of Bone and Joint Surgery - British Volume, Vol 86-B, Issue 2, 251-258.
doi: 10.1302/0301-620X.86B2.13878  
Copyright © 2004 by British Editorial Society of Bone and Joint Surgery
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Sagittal gait patterns in spastic diplegia

J. M. Rodda, BAppSC (PT), Senior Physiotherapist1; H. K. Graham, MD, FRCS Ed, FRACS, Professor and Director of Orthopaedic Surgery1; L. Carson, BSc (Physio), Research Physiotherapist1; M. P. Galea, PhD, Professor of Clinical Physiotherapy2; and R. Wolfe, PhD, Co-Director3

1 Hugh Williamson Gait Laboratory, Royal Children’s, Hospital, Flemington Road, Parkville 3052, Victoria, Australia.
2 School of Physiotherapy, University of Melbourne, Parkville 3010, Victoria, Australia.
3 Biostatistics Consulting Service, Department of Epidemiology and Preventive Medicine, Central and Eastern Clinical School, Monash University and the Alfred Hospital, Commercial Road, Prahan 3181, Victoria, Australia.

Correspondence should be sent to Professor H. K. Graham.

Classifications of gait patterns in spastic diplegia have been either qualitative, based on clinical recognition, or quantitative, based on cluster analysis of kinematic data. Qualitative classifications have been much more widely used but concerns have been raised about the validity of classifications, which are not based on quantitative data.

We have carried out a cross-sectional study of 187 children with spastic diplegia who attended our gait laboratory and devised a simple classification of sagittal gait patterns based on a combination of pattern recognition and kinematic data. We then studied the evolution of gait patterns in a longitudinal study of 34 children who were followed for more than one year and demonstrated the reliability of our classification.




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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General