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 speaker’s interests (Potential) c onflict of interest None/See below Potentially relevant company relationships in connection with None event 1  Sponsorship or research funding 2  Fee or other (financial) None payment 3  Shareholder 4  Other relationship, i.e. … 5

 Understand  Improve  Rehabilitation  Orthosis  Shoes  Technical aids  Avoid mistakes

 Understand  Improve Clinical examination  Rehabilitation  Joint range of motion  Orthosis  Muscular testing  Shoes  Gait analysis  Technical aids  Avoid mistakes

 Weakness of quadriceps  Risk of fall  Frequent  Challenging the maintain of walking capacities

 Locking the Knee

 Locking the Knee Quadriceps  Muscular strengh Gluteus Maximus Triceps

 Locking the Knee  Muscular strengh  Joint range of motion

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

 Locking the Knee  Muscular strengh  Joint range of motion  Retractions  Compensatory gait patterns

Locking the knee with the hand

Knee recurvatum

Hip external rotation and short triceps

Trunk anterior inflexion

Triceps retraction & Gluteus Maximus

Slight Triceps retraction

 Abnormal movements  Sagittal plane  Frontal plane

Hip extensors weakness And camptocormia

Ankle dorsi flexion paralysis

Clearance of the foot Gluteus medium paralysis

 Weakness of ankle muscles  Orthopaedic limitations

Drop Foot Talus

• Weakness of the gluteus medius • Weakness of the quadriceps • Weakness of ankle dorsiflexion

• Weakness of the gluteus maximus • Weakness of the quadriceps • Camptocormia

 Clinical gait analysis  Mandatory  Anatomical, physiological and biomechanical knowledge  Complementary to instrumental analysis  PRM doctors, orthopaedic surgeons and physiotherapists learnt a lot from poliomyelitis