Table 3. Pre-Operative Data and Predictions for a Hypothetical Subject with Crouch Gait.
First-Visit Variable | Coefficient | Subject Value |
Δ Expected Improvement |
---|---|---|---|
Strength Score [24] | 1.28 | 0.26 | 0.333 |
Ipsilateral Mean Stance Knee Flexion (°) | 0.898 | 38.0 | 34.1 |
Contralateral Mean Stance Knee Flexion (°) | −0.235 | 34.6 | −8.13 |
Gait Deviation Index [29] | −0.136 | 64.9 | −8.83 |
Mean Pelvic Tilt (°) | −0.213 | 15.7 | −3.34 |
Knee Flex Vel at Toe-Off (°/% Gait Cycle) | 2.54 | 1.05 | 2.67 |
Mean Stance Ankle Dorsiflexion (°) | 0.137 | 10.7 | 1.47 |
Prior Tendo-Achilles Lengthening (1/0) | −3.04 | YES | −3.04 |
Planned Patellar Advance/FEO (1/0)* | 9.36 | NO | 0 |
Planned FDO (1/0)* | 3.87 | YES | 3.87 |
Triplegic Subtype (1/0) | 5.36 | NO | 0 |
Quadriplegic Subtype (1/0) | 6.11 | NO | 6.11 |
Multiple Qualifying Visit Pairs (1/0) † | −5.45 | NO | 0 |
Constant | −18.7 | −18.7 | |
Expected Improvement without Hamstrings Lengthening or TDO | ~6.5° | ||
Expected Improvement with Hamstrings Lengthening and/or TDO | ~13° |
The clinical team has decided to perform a femoral derotation osteotomy for this hypothetical subject, but not a patellar advance.
This is the first time the patient has visited the gait lab exhibiting a moderate crouch gait pattern