Concordancia entre el análisis computarizado de la marcha y el examen físico en pacientes con anteversión femoral aumentada sin alteraciones neurológicas

Abstract

IntroductionHuman gait is the highest point in a person's functional independence; therefore, its importance as a movement pattern has led to the development of measuring tools. ObjectiveTo assess the concordance between 2 measuring tools: computerised gait analysis (CGA) and physical examination (PE) in patients with increased femoral anteversion without neurological alterations. MethodsWe conducted an observational analytic study of concordance. Data were obtained retrospectively from 2010 to 2014 in the gait analysis laboratory of the Roosevelt Children's Orthopaedics Institute through a single application of CGA and PE. ResultsThere were evident alterations in the PE because, at the hip, the internal-external rotation range decreases in the stance and swing phases. In the knee, there was a decrease in the flexion-extension range during the swing phase and in the ankle there was also a decrease in the dorsiflexion-plantarflexion range in the stance and swing phases. ConclusionThis study found that there was no concordance between PE and CGA. Therefore, these tests are complementary and provide information for a differential approach in clinical decision-making.