This case is to be presented for discussion at the European Society for Movement Analysis in Children Annual Meeting in Belfast, 24th-26th September 1998.
Discussion is welcomed before the event. Address any comments to CGA ([n/a]).
Case supplied by:
Het Roessingh, Research & Development, Enschede, The Netherlands.
Case J.S. is a 22 year old male, with asymmetrical spastic diplegia. He is an independent ambulator walking with a crouch gait, and complains of increasing amount of effort in walking.
In the past he has been treated with a tendo-Achilles lengthening on both sides (1977) and a phenol injection of the obturator nerve on both sides (1993).
Medication: Liorisal (5mg) with little to no effect.
Clinical examination shows deformities in almost every tested joint. Tone and reflexes are very high. Duncan Ely, confusion test and ankle clonus are positive on both sides. Generally he has good strength, but standing balance is poor.
Results of clinical
The test reveals high RQ values. Steady state was not reached during the test.
This indicates continuous anaerobic energy production during walking.
Movies(PC users get the QuickTime plug-ins here - right mouse-click "Save Link as..." - Windows 95/NT and 3.1)
The movies will open in new browser windows so you can view them simultaneously
|left and front side||right and back view|
3D Kinematics right and left
... points for discussion:
Case supplied by Richard
Baker and Het Roessingh, Research &
Development, Enschede, The Netherlands.
Case prepared by Mag. Andreas Kranzl
Email your comments to [n/a]
Maintained by DDr.
Chris Kirtley, Andreas
Last modified on Wednesday, 17-Sep. 1998.
Back to Clinical Gait Analysis home page
Back to the Case list