gait analysis 21 months old

gait 21 months

Category:

People & Blogs

Tags:

• Hemiplegia

[tobythedogb]

We took this video to send for a second opinion about the best AFO for her. We have decided to go with a hinged AFO that goes just below her knee. It helps her get her heel down, while allowing her to bend her ankle while in stride. It has a 90 degree stop.

[MrKhaledfarj]

I strongly advice to check her vit d level (25 OH VIT D). I noticed that she has bow legs . vit d deficiency is very common in children. if the level is low ,this might be the answer. deficiency occur if vit d level below 75nmol/l.best wishes

[Hgreene1130]

I agree with you sir. I didn't see the hemiplegia tag.  for those that actually have biomechanical problems, I am not opposed to modern footwear technology.

[reggieboy04]

That is generally true when it comes for children with typical development, but it is not the case with a child who has hemiparesis or another neuromuscular disorder. Children with such diagnoses need more support on their feet. In such a case, a brace with a shoe over it is helpful.

By the way, I'm the parent of a child with the same diagnosis with this little girl. Once we put him in a brace to keep his foot in place, he learned to walk and then run.

[22987369]

those shoes are weighing her down like a couple of horn-bags.

[Hgreene1130]

take the darn sneakers off her. I'm not some crazy hippy when i say that humans didn't evolve to have pillows on their feet.

lower leg injuries are significantly less common in unshod populations.

So she doesn't need to go barefoot, just have her wear minimal shoes...like sandals.

message me if you think I'm crazy or have questions.

[S9KSY]

Lovely girl

Looked at the film again and I think she definitely has left peroneal muscles weakness which is leading to this gait that is a mixture of mild foot drop and in-toe-ing.

What I have also noticed is her inability to fully extend (straighten) the left knee.

Peroneal muscle supply come in a great proximity to the Knee laterally.

Is the problem with the knee? Is there a nerve damage near the knee?

I am really wondering and would be grateful if you keep us updated.

Cheers

[S9KSY]

I can see that she has mild left foot drop and weak peroneal muscles (the muscle that pulls the outside of the foot - where your little toe is - towards your left ear). There may also be some torsion of the tibia. The in-toe-ing gait may be partly because of the tibial torsion or even femoral torsion. Does she sit in the W position (bottom on ground with feet by sides). If you stop her from sitting in W position, her intoeing may improve as she grows. I agree that a full assessment is necessary

[Gmarcus8]

it looks more like there is just weakness in her hip flexers. I'm no professional...yet. but it's something to think about.

I"m guessing things have improved in 5 months.

[ignorant1111]

She is quite active , she seems to have a left sided foot drop and sluggish leg but she circumducts her right leg so fast that side of disability gets lost in movement and oversized shoes .

Still a complete orthopedic assessment carefully measuring both range of movement and angles at right knee or hip or any additional anamoly is needed . Prognosis Good .