Résumé :
|
DMD patients walk with a non-physiological pattern showing a initially weakness of antigravitary muscles, followed by loss of walking capability. Initially, DMD patients do not show clinical signs of pathological pattern, that become manifest with the grown and the progression of illness. Aim of our study was to analyze the pathological pattern in early stage of DMD patients by Gait Analysis, a technique which analyses the human walking, allowing the comparison of kinematics and kinetics data in the same and among different patients. We have performed Gait Analysis in 10 DMD patients (aged from 5 to 7 years) and in 10 healthy matched control age group. All patients have been evaluated according to the following items: range of motion analysis, Gowers test, capability of run for 10 meters, walking on tip-toe and heel, and functional HAMA test. All patients were not taking any drug. All patients were able to perform all the items requested, but by Gait Analysis we showed that in the DMD group early pathological signs were present. In all patients, pelvis showed the most important modification in term of improvement of movements on the coronal and transversal plane, probably due to a compensation of gluteus weakness. In 4 patients our data showed an increase of drop-foot. Hip and knee did not show any significant alteration in early stage. Our study indicates that Gait Analysis is a useful tool in detecting early modification of the walking pattern of DMD patients, and may help us to choose further clinical and rehabilitation programs.
|