Spine Biomechanics During Gait Following Lower Extremity Treatment in Different Patient Groups
Leg Length Inequality, Cerebral Palsy
About this trial
This is an interventional treatment trial for Leg Length Inequality
Eligibility Criteria
Leg length inequality patients:
Inclusion Criteria:
- Diagnosed structural leg length inequality (minimum 1% of body height)
- Several different aetiologies (except neurological)
- Able to walk a distance of minimum 50 meters without any assistive device
Exclusion Criteria:
- Leg length inequality due to neurological aetiology
- Structural deformities of the spine
- Obesity (> 95th BMI-per-age percentile)
- Injuries of the locomotor system which led to persistent deformities
Hemiplegic cerebral palsy patients:
Inclusion Criteria:
- Diagnosed hemiplegic cerebral palsy (Gross Motor Function Classification System for Cerebral Palsy (GMFCS): Levels I and II)
- Able to walk a distance of minimum 50 meters barefoot and without any assistive device
Exclusion Criteria:
- Structural deformities of the spine
- Any previous surgical and casting treatments as well as botulinumtoxin treatments within preceding 6 months.
- Obesity (> 95th BMI-per-age percentile)
- Injuries of the locomotor system which led to persistent deformities
Diplegic cerebral palsy patients:
Inclusion Criteria:
- Diagnosed diplegic cerebral palsy (Gross Motor Function Classification System for Cerebral Palsy (GMFCS): Levels I and II)
- Able to walk a distance of minimum 50 meters barefoot and without any assistive device
Exclusion Criteria:
- Structural deformities of the spine
- Any previous surgical and casting treatments as well as botulinumtoxin treatments within preceding 6 months.
- Obesity (> 95th BMI-per-age percentile)
- Injuries of the locomotor system which led to persistent deformities
Sites / Locations
- University Children's Hospital Basel
Arms of the Study
Arm 1
Arm 2
Arm 3
Arm 4
Experimental
Experimental
Experimental
No Intervention
Leg length correction
Control of foot position 1
Control of foot position 2
Control
The shorter leg in a sample of 15 patients with structural leg length inequality will be corrected by either a shoe insole or a modified shoe with sole lift.
The foot position in in a sample of 15 patients with hemiplegic cerebral palsy will be controlled by an ankle foot orthosis.
The foot position in in a sample of 15 patients with diplegic cerebral palsy will be controlled by an ankle foot orthosis.
A sample of 15 healthy controls from a simultaneously conducted study (UKBB-Spine-1315-1) will be used for comparative purposes.