{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T07:44:21Z","timestamp":1792136661806,"version":"4.4.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We investigated how foot pressure pattern and foot progression relate to power generation from the ankle joint in children with spastic hemiplegic cerebral palsy (CP).\\r\\nMethods: The study included 35 children (13 girls, 22 boys; mean age of 8.8 years; range 4 to 19.8) with CP, all having independent ambulation. The children underwent three-dimensional gait analysis and a set of pedobarographic data were obtained. The pedobarographs were analyzed by dividing the foot into five segments.\\r\\nResults: The mean power generation from the ankle was 7.6 watts\/kg on the hemiplegic side, and 15.9 watts\/kg on the uninvolved side (p=0.000). Based on the pedobarographic data, hemiplegic feet exhibited significantly less heel pressure\/impulse (8.0 vs. 24.7; p=0.000), time to heel rise (32.1% of stance phase vs. 61.9%; p=0.000), and decreased pressure of the medial forefoot segment (40.8 vs. 52.2; p=0.009). The children were divided into two groups depending on the ankle power generated on the hemiplegic side (&lt;8.0 watts\/kg and ?8.0 watts\/kg). Those with an ankle power generation of ?8.0 watts\/kg had significantly longer step length (49 cm vs. 41 cm; p=0.001) and increased velocity (109 cm\/sec vs. 89 cm\/sec; p=0.000) in gait analysis, and in pedobarographic measurements, increased heel impulse (11.6 vs. 4.4; p=0.047), time to heel rise (46.6% vs. 17.1%; p=0.000), and less varus\/valgus positioning (11.1\u00b0 vs. -34.6\u00b0; p=0.013). In bivariate correlation analysis, ankle power generation on the hemiplegic side demonstrated a significant association with time to heel rise (r=0.574; p=0.000) and varus\/valgus positioning (r=0.420; p=0.017), and almost a significant association with heel pressure (r=0.342; p=0.052).\\r\\nConclusion: Deviations in the pedobarographic data are reflected in the power generation of the ankle joint and can be of help in decision making of treatment in spastic hemiplegic CP. We speculate that efforts to normalize the heel segment pattern may result in decreased power generation differences.\n\n\n\u00d6zet\n\nAma\u00e7: Bu \u00e7al\u0131\u015fmada, spastik hemiplejik beyin fel\u00e7li (BF) \u00e7ocuklarda ayak bas\u0131n\u00e7 paterninin ve aya\u011f\u0131 ilerletme a\u00e7\u0131s\u0131n\u0131n ayak bile\u011fi eklemi kaynakl\u0131 g\u00fc\u00e7 \u00fcretimiyle ili\u015fkisi ara\u015ft\u0131r\u0131ld\u0131. \\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmaya ba\u011f\u0131ms\u0131z y\u00fcr\u00fcyebilen BF\u2019li 35 \u00e7ocuk (13 k\u0131z, 22 erkek; ort. ya\u015f 8.8; da\u011f\u0131l\u0131m 4.0-19.8) al\u0131nd\u0131. T\u00fcm hastalarda \u00fc\u00e7boyutlu y\u00fcr\u00fcme analizi ve pedobarografik \u00f6l\u00e7\u00fcmler yap\u0131ld\u0131. Pedobarografi verileri aya\u011f\u0131 be\u015f segmente b\u00f6lerek de\u011ferlendirildi.\\r\\nSonu\u00e7lar: Ayak bile\u011fi kaynakl\u0131 ortalama g\u00fc\u00e7 \u00fcretimi hemiplejik tarafta 7.6 watt\/kg, tutulu olmayan tarafta 15.9 watt\/kg bulundu (p=0.000). Pedobarografide hemiplejik tarafta anlaml\u0131 derecede daha d\u00fc\u015f\u00fck topuk bas\u0131nc\u0131\/itme g\u00fcc\u00fc (8.0 ve 24.7; p=0.000), topuk kald\u0131rma zaman\u0131 (basma faz\u0131n\u0131n %32.1\u2019i ve %61.9\u2019u; p=0.000) ve medial \u00f6nayak segmenti bas\u0131nc\u0131 (40.8 ve 52.2; p=0.009) elde edildi. Hastalar hemiplejik taraftaki ayak bile\u011finden \u00fcretilen g\u00fcce g\u00f6re iki gruba ayr\u0131ld\u0131 (&lt;8.0 watt\/kg ve ?8.0 watt\/kg). G\u00fc\u00e7 \u00fcretiminin daha fazla oldu\u011fu grupta, y\u00fcr\u00fcme analizinde ad\u0131m uzunlu\u011fu (49 cm ve 41 cm; p=0.001) ve h\u0131z\u0131 (109 cm\/sn ve 89 cm\/s; p=0.000) anlaml\u0131 derecede fazla idi. Ayn\u0131 grupta pedobarografik verilerden topuk bas\u0131nc\u0131 (11.6 ve 4.4; p=0.047) ve topuk kald\u0131rma zaman\u0131 (%46.6 ve %17.1; p=0.000) daha fazla, varus\/valgus pozisyonu (11.1 ve -34.6; p=.013) daha az bulundu. \u0130kili korelasyon analizinde, hemiplejik tarafta ayak bile\u011fi ekleminden \u00fcretilen g\u00fcc\u00fcn topuk kald\u0131rma zaman\u0131 (r=0.574; p=0.000) ve varus\/valgus pozisyonu (r=0.420; p=0.017) ile anlaml\u0131 ili\u015fki g\u00f6sterdi\u011fi, topuk bas\u0131nc\u0131 ile ise anlaml\u0131 d\u00fczeye \u00e7ok yak\u0131n ili\u015fkide oldu\u011fu g\u00f6r\u00fcld\u00fc (r=0.342; p=0.052).\\r\\n\u00c7\u0131kar\u0131mlar: Pedobarografik verilerdeki farkl\u0131l\u0131klar ayak bile\u011fi ekleminin g\u00fc\u00e7 \u00fcretiminden kaynaklanmaktad\u0131r ve spastik hemiplejik BF\u2019de tedaviye karar vermeye yard\u0131mc\u0131 olabilir. Topuk segment paternini normalle\u015ftirme giri\u015fimlerinin iki taraftaki g\u00fc\u00e7 \u00fcretimi aras\u0131ndaki farkl\u0131l\u0131klar\u0131 azaltaca\u011f\u0131n\u0131 d\u00fc\u015f\u00fcn\u00fcyoruz.<\/jats:p>","DOI":"10.3944\/aott.2009.128","type":"journal-article","created":{"date-parts":[[2009,5,14]],"date-time":"2009-05-14T04:27:59Z","timestamp":1242275279000},"page":"128-134","source":"Crossref","is-referenced-by-count":10,"title":["Does footprint and foot progression matter for ankle power generation in spastic hemiplegic cerebral palsy"],"prefix":"10.5152","volume":"43","author":[{"given":"Jacques","family":"Riad","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Henley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Freeman","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2254\/2211","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:00:28Z","timestamp":1763463628000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2254"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2009,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.128","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}