en
Book chapter
English

Contracture and Gait Deviations

Published inHandbook of Human Motion, Editors Müller B., Wolf S.I., p. 1-21
PublisherSpringer
Publication date2019
Abstract

Soft-tissue contracture is usually defined as a permanent shortening of the musculotendinous complex limiting the mobility of a joint. Contracture is mainly due to the consequences of joint immobilization and is one of the main causes of gait disorders. Different approaches have been used to evaluate the influence of contractures on gait, such as observational, experimental, simulation, and animal studies. The main effects of contracture can be summarized muscle by muscle: soleus contracture causes an ankle plantarflexion; gastrocnemius contracture causes a knee flexion and an ankle plantarflexion; hamstring contracture causes a knee flexion and an increased posterior pelvic tilt; psoas contracture causes a hip flexion and a specific knee flexion pattern. Identifying and understanding specific gait patterns associated with contractures support clinical gait analysis and therefore the management of patients with gait deviations. However, contractures are rarely isolated and are often combined with other clinical impairments, such as spasticity and weakness, making their interpretation complex. New approaches, such as advanced neuromusculoskeletal simulations and machine learning, are needed to improve knowledge on the relationships between impairments (including contractures) and gait deviations

Keywords
  • Gait deviations
  • Contracture
  • Kinematics
  • Soft-tissue contracture
  • Joint contracture
  • Range-of-motion limitation
  • Passive extensibility
  • Clinical impairments
  • Clinical gait analysis
  • Instrumented gait analysis
Funding
  • Swiss National Science Foundation - 146801
Citation (ISO format)
ARMAND, Stéphane, ATTIAS, Michael. Contracture and Gait Deviations. In: Handbook of Human Motion. [s.l.] : Springer, 2019. p. 1–21. doi: 10.1007/978-3-319-30808-1_200-1
Main files (1)
Book chapter (Published version)
accessLevelRestricted
Identifiers
ISBN978-3-319-30808-1
1061views
0downloads

Technical informations

Creation10/15/2018 6:51:00 AM
First validation10/15/2018 6:51:00 AM
Update time03/15/2023 6:14:34 PM
Status update03/15/2023 6:14:34 PM
Last indexation05/05/2024 3:31:52 PM
All rights reserved by Archive ouverte UNIGE and the University of GenevaunigeBlack