From: Gait in children with achondroplasia – a cross-sectional study on joint kinematics and kinetics
Joint kinematics (degrees) | Achondroplasia group (n = 16) | Control group (n = 19) | p-value |
---|---|---|---|
Pelvis | Mean (SD) | ||
Peak anterior pelvic tilt | 20.0 (7.1) | 11.0 (4.4) | 0.000 |
Pelvic obliquity range | 7.4 (2.1) | 8.0 (3.3) | 0.486 |
Pelvic rotation range | 19.6 (6.4) | 12.2 (4.8) | 0.000 |
Hip | |||
Peak hip flexion (+) | 33.2 (9.8) | 34.9 (5.5) | 0.508 |
Peak hip extension (−) | −9.8 (7.8) | −12.9 (7.2) | 0.230 |
Peak hip adduction (+) | −1.4 (4.9) | 3.3 (4.1) | 0.004 |
Peak hip external rotation (−) | − 25.8 (9.9) | −7.9 (7.5) | 0.000 |
Knee | |||
Knee at initial contact | 0.7 (10.7) | 7.3 (3.7) | 0.018 |
Knee at loading response (10% of gait cycle) | 11.7 (13.4) | 19.4 (4.7) | 0.025 |
Knee at terminal stance (40% of gait cycle) | 10.3 (8.0) | 4.3 (4.9) | 0.011 |
Peak knee varus in stance | 12.5 (7.1) | 4.1 (3.8) | 0.000 |
Peak knee flexion in swing | 62.4 (7.3) | 57.8 (6.0) | 0.049 |
Ankle | |||
Peak ankle dorsiflexion (+) | 18.9 (4.7) | 12.6 (6.8) | 0.004 |
Peak ankle plantarflexion (−) | −11.4 (6.9) | −15.9 (12.1) | 0.193 |
Peak external (−) foot progression | − 12.3 (9.9) | −11.5 (5.9) | 0.762 |
Kinetics expressed by internal moments (Nm/bodyweight) | Achondroplasia group (n = 12) | Control group (n = 18) | p-value |
Hip moments | |||
Peak hip extension moment | 0.44 (0.16) | 0.84 (0.26) | 0.000 |
Peak hip flexion moment | −0.87 (0.25) | −0.69 (0.20) | 0.033 |
Peak hip abduction moment | 0.46 (0.14) | 0.60 (0.15) | 0.018 |
Knee moments | |||
Peak knee flexion moment | −0.20 (0.07) | −0.36 (0.12) | 0.000 |
Peak knee extension moment | 0.44 (0.21) | 0.66 (0.25) | 0.016 |
Peak knee valgus moment | 0.45 (0.21) | 0.39 (0.10) | 0.390 |
Ankle moments | |||
Peak ankle plantarflexion moment | 0.90 (0.19) | 1.31 (0.20) | 0.000 |