Tag: Krzysztof Graff

Use of quantitative, objective gait analysis for assessment of selection quality of afos in CP children (gait analysis in afos selection in CP)

Małgorzata Syczewska, Anna Święcicka, Małgorzata Kalinowska, Krzysztof Graff

Małgorzata Syczewska, Anna Święcicka, Małgorzata Kalinowska, Krzysztof Graff – Use of quantitative, objective gait analysis for assessment of selection quality of afos in CP children (gait analysis in afos selection in CP). Fizjoterapia Polska 2006; 6(4); 298-303

Abstract
Background. The main aims of clinical gait analysis are to measure and to assess the parameters which characterize the patient’s locomotion in order to identify the primary pathologies and compensatory mechanisms. The aim of this paper is to present 6 patients with CP, in whose case the gait analysis was used to assess the influence of the AFOs on the gait. Material and methods. Six children with cerebral palsy, aged 6 to 14 years old, were recruited into the study. They all were treated in the Dept. Paediatric Rehabilitation CMHI. They underwent the objective gait analysis (using movement analysis system VICON 460) two times: barefoot, and in shoes with AFOs. Results. In four cases AFOs considerably improved the gait pattern, in two patients caused the gait deterioration. Conclusions. The aim of the AFOs is to improve gait (through improved ankle joint stability, and assistance to the weak calf muscles) and to correct pathological deviations, such as knee hyperextension. The improper choice of the AFO type, or bad fitting could result in no improvement, but in more severe cases even in gait deterioration. The results of this paper indicate that the quantitative gait analysis proved to be the efficient tool in assessing the selection quality of AFOs.

Key words:
gait analysis, AFO, CP

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Pelvic orientation in scoliotic and healthy girls

Krzysztof Graff, Aleksander Bronowski, Marta Napiórkowska, Lech Okurowski, Janusz Domaniecki

Krzysztof Graff, Aleksander Bronowski, Marta Napiórkowska, Lech Okurowski, Janusz Domaniecki – Pelvic orientation in scoliotic and healthy girls. Fizjoterapia Polska 2008; 8(4); 371-377

Abstract
Background. The pelvis is one of the main elements of the postural complex and is regarded as the most important one by many authors. The aim was to identify pelvis orientation types in healthy and scoliotic girls.Material and methods. 200 patients aged 9 to 16 years with clinically confirmed scoliosis participated in the study. All patients were treated conservatively at the Department of Pediatric Rehabilitation, CMHI. The control group comprised 192 healthy girls of similar age. All measurements were non-invasive, based on palpation analysis of selected pelvic bony structures. Results. The most frequent types of pelvis orientation in healthy girls were: symmetrical and asymmetrical orientation, followed by pelvic torsion, oblique orientation and mixed orientation. In scoliotic girls the following types were the most frequent: pelvic torsion, oblique pelvis, and mixed orientation. Asymmetrical and symmetrical types were the least frequent. The differences between the groups were statistically significant. Conclusions. Asymmetric pelvis orientation is rather common among girls aged 9 to 16 years. Compensatory mechanisms appearing in healthy girls may prevent the development of postural defects in the presence of pelvic asymmetry.
Key words:
pelvic orientation, girls, scoliotic
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