%0 Journal Article %1 Lin1992 %A Lin, J. P. %A Brown, J. K. %D 1992 %J Dev Med Child Neurol %K Ankle Joint; Brain Damage, Chronic; Cerebral Palsy; Child; Equinus Deformity; Female; Gait; Hemiplegia; Humans; Leg Length Inequality; Male; Motor Neurons; Muscle Contraction; Muscles; Neurologic Examination; Pyramidal Tracts; Reflex, Stretch %N 11 %P 949--965 %T Peripheral and central mechanisms of hindfoot equinus in childhood hemiplegia. %V 34 %X A detailed clinical examination of 24 hemiplegic children at a mean age of 9.9 years showed that nine had an obligate toe-strike when walking at a self-selected speed and this was maintained throughout stance. None of the 24 children had a fixed equinus. No association could be found between this pattern of gait equinus and lower-limb atrophy, reduced ankle-joint range, muscle extensibilite, power of dorsiflexors and plantarflexors or actual muscle imbalance at the ankle joint. Gait equinus was independent of reduced compliance of the calf muscles, of a clinical diagnosis of tonic spasticity, of fine-motor dexterity of the toes, and of the side of the hemiplegia. Gait equinus cannot be explained merely in terms of a central paralytic foot-drop. A developmental model of equinus is advanced.

@article{Lin1992, abstract = {A detailed clinical examination of 24 hemiplegic children at a mean age of 9.9 years showed that nine had an obligate toe-strike when walking at a self-selected speed and this was maintained throughout stance. None of the 24 children had a fixed equinus. No association could be found between this pattern of gait equinus and lower-limb atrophy, reduced ankle-joint range, muscle extensibilite, power of dorsiflexors and plantarflexors or actual muscle imbalance at the ankle joint. Gait equinus was independent of reduced compliance of the calf muscles, of a clinical diagnosis of tonic spasticity, of fine-motor dexterity of the toes, and of the side of the hemiplegia. Gait equinus cannot be explained merely in terms of a central paralytic foot-drop. A developmental model of equinus is advanced.}, added-at = {2014-07-19T20:42:33.000+0200}, author = {Lin, J. P. and Brown, J. K.}, biburl = {https://www.bibsonomy.org/bibtex/268762b7044122780dc3464e5ebd4fdb1/ar0berts}, groups = {public}, interhash = {0204cbc1db2d3eac63f0914398d22f11}, intrahash = {68762b7044122780dc3464e5ebd4fdb1}, journal = {Dev Med Child Neurol}, keywords = {Ankle Joint; Brain Damage, Chronic; Cerebral Palsy; Child; Equinus Deformity; Female; Gait; Hemiplegia; Humans; Leg Length Inequality; Male; Motor Neurons; Muscle Contraction; Muscles; Neurologic Examination; Pyramidal Tracts; Reflex, Stretch}, month = Nov, number = 11, pages = {949--965}, pmid = {1426685}, timestamp = {2014-07-19T20:42:33.000+0200}, title = {Peripheral and central mechanisms of hindfoot equinus in childhood hemiplegia.}, username = {ar0berts}, volume = 34, year = 1992 }