Disclosure of speakers interests (Potential) c onflict of interest - - PowerPoint PPT Presentation

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Disclosure of speakers interests (Potential) c onflict of interest - - PowerPoint PPT Presentation

Isabelle Laffont, MD, PhD, Montpellier, France Alain Yelnik, MD, PhD, Paris, France Olivier Dizien, MD, PhD, Garches, France Disclosure of speakers interests (Potential) c onflict of interest None/See below Potentially relevant company


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Isabelle Laffont, MD, PhD, Montpellier, France Alain Yelnik, MD, PhD, Paris, France Olivier Dizien, MD, PhD, Garches, France

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Disclosure of speaker’s interests

(Potential) c

  • nflict of interest

None/See below Potentially relevant company relationships in connection with event 1 None

Sponsorship or research funding2

Fee or other (financial) payment3

Shareholder4

Other relationship, i.e. …5 None

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 Understand  Improve

  • Rehabilitation
  • Orthosis
  • Shoes
  • Technical aids

 Avoid mistakes

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 Understand  Improve

  • Rehabilitation
  • Orthosis
  • Shoes
  • Technical aids

 Avoid mistakes

Clinical examination

 Joint range of motion  Muscular testing  Gait analysis

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 Weakness of

quadriceps

 Risk of fall

 Frequent  Challenging the

maintain of walking capacities

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 Locking the Knee

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 Locking the Knee

  • Muscular strengh

Quadriceps Gluteus Maximus Triceps

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 Locking the Knee

  • Muscular strengh
  • Joint range of motion
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SLIDE 9
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 Locking the Knee

  • Muscular strengh
  • Joint range of motion
  • Retractions
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 Locking the Knee

  • Muscular strengh
  • Joint range of motion
  • Retractions
  • Compensatory gait

patterns

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Locking the knee with the hand

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Knee recurvatum

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Hip external rotation and short triceps

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Trunk anterior inflexion

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Triceps retraction & Gluteus Maximus

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Slight Triceps retraction

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 Abnormal movements

  • Sagittal plane
  • Frontal plane
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Hip extensors weakness And camptocormia

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Ankle dorsi flexion paralysis

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Clearance of the foot Gluteus medium paralysis

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 Weakness of ankle muscles  Orthopaedic limitations

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Drop Foot Talus

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  • Weakness of the gluteus medius
  • Weakness of the quadriceps
  • Weakness of ankle dorsiflexion
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SLIDE 27
  • Weakness of the gluteus maximus
  • Weakness of the quadriceps
  • Camptocormia
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 Clinical gait analysis

  • Mandatory
  • Anatomical, physiological and biomechanical

knowledge

  • Complementary to instrumental analysis

 PRM doctors, orthopaedic surgeons and

physiotherapists learnt a lot from poliomyelitis