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Hi
I'm revising for an exam and wondered if anyone can tell me the normal ranges of hip, ankle and subtalar joint motion for a 4 year old child. I'm sure I have read it somewhere but can't find the reference now.

Many thanks

Susan

:craig:

 

That which you seek, you will not find.

I don't know of any ranges which are in any way validated. And the measurement error is so vast in adults (much less children) as to make it meaningless.

Sorry, I know you can't write than in an exam, but the truth is, we don't know.

 

Angela Evans gives reference to ROM of in the The podiatry pocket guide paediatrics book. Might help to get you through the exam.

 

Hi,
Try, B.W. Stansfield and collab. "Regression analysis of gait parameters with speed in normal children walking at self-selected speeds", Gait & Posture 23 (2006) 288–294, http://www.univie.ac.at/cga/data/stansfield.pdf
Hope it will help a little !
Good luck !

 

Susan:

I am in Rome now and away from my library. However, I remember seeing some "normal range of motion values" for many joints of the foot and lower extremity published in "The Compendium" from the California College of Podiatric Medicine, which are largely a copy of Mert Root's old lecture notes from his biomechanics courses in the late 1960's (Sgarlato TE (ed): A Compendium of Podiatric Biomechanics. California College of Podiatric Medicine, San Francisco, 1971). Maybe Jeff Root or Eric Fuller can help out here.

Hope this helps.

 

He can if he references you:D

I agree Robert, what are normal ranges of motion and what good is it to classify some mean range of motion of a joint of interest from a sample group anyway?

Dave

 

Even if the exam is history I think I found some interesting data in the CHAPTER 13 "EFFECTS OF SHOES, ROCKERS AND WEDGES ON GAIT OF HEALTHY CHILDREN: RESULTS AND DISCUSSION" from KAVI C. JAGADAMMA's thesis which can be found at: http://etheses.qmu.ac.uk/360/1/360.pdf

 

Root, Weed and Orion was our Bible on Foot function, providing a guide to ROM.

 

There is for the hip and ankle, both articles with give reference ranges and have measured in both a reliable and repeatable way:

http://bjsportmed.com/content/33/5/340.abstract

http://jcn.sagepub.com/content/early/2009/08/11/0883073809340698.short