{"id":"https://openalex.org/W2413618967","doi":"https://doi.org/10.1055/s-0034-1396186","title":"Ursachen und Pr\u00e4diktoren eines Duchenne-Hinkens bei Jugendlichen und jungen Erwachsenen mit Zerebralparese","display_name":"Ursachen und Pr\u00e4diktoren eines Duchenne-Hinkens bei Jugendlichen und jungen Erwachsenen mit Zerebralparese","publication_year":2015,"publication_date":"2015-02-27","ids":{"openalex":"https://openalex.org/W2413618967","doi":"https://doi.org/10.1055/s-0034-1396186","mag":"2413618967","pmid":"https://pubmed.ncbi.nlm.nih.gov/25723586"},"language":"de","primary_location":{"id":"doi:10.1055/s-0034-1396186","doi":"https://doi.org/10.1055/s-0034-1396186","is_oa":false,"landing_page_url":"https://doi.org/10.1055/s-0034-1396186","pdf_url":null,"source":{"id":"https://openalex.org/S28452599","display_name":"Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie","issn_l":"1864-6697","issn":["1864-6697","1864-6743"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","medline","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5111679578","display_name":"Elisa Klum","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210142842","display_name":"Behandlungszentrum Aschau","ror":"https://ror.org/054ey2125","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210142842"]}],"countries":["DE"],"is_corresponding":true,"raw_author_name":"E. Klum","raw_affiliation_strings":["Ganglabor, Behandlungszentrum Aschau GmbH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ganglabor, Behandlungszentrum Aschau GmbH","institution_ids":["https://openalex.org/I4210142842"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5025757627","display_name":"Heike Streicher","orcid":"https://orcid.org/0000-0001-7304-8943","observed_orcids":["https://orcid.org/0000-0001-7304-8943"]},"institutions":[{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"H. Streicher","raw_affiliation_strings":["Sportwissenschaftliche Fakult\u00e4t, Universit\u00e4t Leipzig"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sportwissenschaftliche Fakult\u00e4t, Universit\u00e4t Leipzig","institution_ids":["https://openalex.org/I926574661"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016543652","display_name":"Harald B\u00f6hm","orcid":"https://orcid.org/0000-0003-3150-5039","observed_orcids":["https://orcid.org/0000-0003-3150-5039"]},"institutions":[{"id":"https://openalex.org/I4210142842","display_name":"Behandlungszentrum Aschau","ror":"https://ror.org/054ey2125","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210142842"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"H. B\u00f6hm","raw_affiliation_strings":["Ganglabor, Behandlungszentrum Aschau GmbH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ganglabor, Behandlungszentrum Aschau GmbH","institution_ids":["https://openalex.org/I4210142842"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5016647361","display_name":"Petra Wagner","orcid":"https://orcid.org/0000-0002-4300-7291","observed_orcids":["https://orcid.org/0000-0002-4300-7291"]},"institutions":[{"id":"https://openalex.org/I926574661","display_name":"Leipzig University","ror":"https://ror.org/03s7gtk40","country_code":"DE","type":"education","lineage":["https://openalex.org/I926574661"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"P. Wagner","raw_affiliation_strings":["Sportwissenschaftliche Fakult\u00e4t, Universit\u00e4t Leipzig"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Sportwissenschaftliche Fakult\u00e4t, Universit\u00e4t Leipzig","institution_ids":["https://openalex.org/I926574661"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5027257055","display_name":"Leonhard D\u00f6derlein","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210142842","display_name":"Behandlungszentrum Aschau","ror":"https://ror.org/054ey2125","country_code":"DE","type":"healthcare","lineage":["https://openalex.org/I4210142842"]}],"countries":["DE"],"is_corresponding":false,"raw_author_name":"L. D\u00f6derlein","raw_affiliation_strings":["Ganglabor, Behandlungszentrum Aschau GmbH"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Ganglabor, Behandlungszentrum Aschau GmbH","institution_ids":["https://openalex.org/I4210142842"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5111679578"],"corresponding_institution_ids":["https://openalex.org/I4210142842"],"apc_list":null,"apc_paid":null,"fwci":0.4957,"has_fulltext":false,"cited_by_count":4,"citation_normalized_percentile":{"value":0.69346618,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":89,"max":94},"biblio":{"volume":"153","issue":"01","first_page":"85","last_page":"92"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11097","display_name":"Cerebral Palsy and Movement Disorders","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11097","display_name":"Cerebral Palsy and Movement Disorders","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2738","display_name":"Psychiatry and Mental health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11274","display_name":"Botulinum Toxin and Related Neurological Disorders","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2728","display_name":"Clinical Neurology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12241","display_name":"Children's Physical and Motor Development","score":0.0,"subfield":{"id":"https://openalex.org/subfields/3204","display_name":"Developmental and Educational Psychology"},"field":{"id":"https://openalex.org/fields/32","display_name":"Psychology"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/cerebral-palsy","display_name":"cerebral palsy","score":0.9909999966621399},{"id":"https://openalex.org/keywords/adolescents","display_name":"adolescents","score":0.4259999990463257},{"id":"https://openalex.org/keywords/trunk-lean","display_name":"trunk lean","score":0.7710000276565552},{"id":"https://openalex.org/keywords/hip-abductor-strength","display_name":"hip abductor strength","score":0.6119999885559082},{"id":"https://openalex.org/keywords/gait-efficiency","display_name":"gait efficiency","score":0.5839999914169312},{"id":"https://openalex.org/keywords/ankle-dorsiflexion","display_name":"ankle dorsiflexion","score":0.859000027179718},{"id":"https://openalex.org/keywords/knee-flexion","display_name":"knee flexion","score":0.878000020980835},{"id":"https://openalex.org/keywords/diplegia","display_name":"diplegia","score":0.6430000066757202},{"id":"https://openalex.org/keywords/energy-expenditure","display_name":"energy expenditure","score":0.36899998784065247},{"id":"https://openalex.org/keywords/foot-clearance","display_name":"foot clearance","score":0.5260000228881836},{"id":"https://openalex.org/keywords/contractures","display_name":"contractures","score":0.42899999022483826},{"id":"https://openalex.org/keywords/muscle-weakness","display_name":"muscle weakness","score":0.5659999847412109},{"id":"https://openalex.org/keywords/trunk-compensation","display_name":"trunk compensation","score":0.3109999895095825},{"id":"https://openalex.org/keywords/gait-analysis","display_name":"gait analysis","score":0.3089999854564667}],"concepts":[{"id":"https://openalex.org/C29456083","wikidata":"https://www.wikidata.org/wiki/Q1221899","display_name":"Gynecology","level":1,"score":0.8180490732192993},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.6340451240539551}],"mesh":[{"descriptor_ui":"D000293","descriptor_name":"Adolescent","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D002547","descriptor_name":"Cerebral Palsy","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D002547","descriptor_name":"Cerebral Palsy","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005858","descriptor_name":"Germany","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015897","descriptor_name":"Comorbidity","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015984","descriptor_name":"Causality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015995","descriptor_name":"Prevalence","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017677","descriptor_name":"Age Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D017678","descriptor_name":"Sex Distribution","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D020233","descriptor_name":"Gait Disorders, Neurologic","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D020233","descriptor_name":"Gait Disorders, Neurologic","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D020388","descriptor_name":"Muscular Dystrophy, Duchenne","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D020388","descriptor_name":"Muscular Dystrophy, Duchenne","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true}],"locations_count":2,"locations":[{"id":"doi:10.1055/s-0034-1396186","doi":"https://doi.org/10.1055/s-0034-1396186","is_oa":false,"landing_page_url":"https://doi.org/10.1055/s-0034-1396186","pdf_url":null,"source":{"id":"https://openalex.org/S28452599","display_name":"Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie","issn_l":"1864-6697","issn":["1864-6697","1864-6743"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","jufo-1","medline","poland-40","russia-white-list-3","vabb-shw"],"host_organization":"https://openalex.org/P4310320000","host_organization_name":"Thieme Medical Publishers (Germany)","host_organization_lineage":["https://openalex.org/P4310320000"],"host_organization_lineage_names":["Thieme Medical Publishers (Germany)"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift f\u00fcr Orthop\u00e4die und Unfallchirurgie","raw_type":"journal-article"},{"id":"pmid:25723586","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/25723586","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Zeitschrift fur Orthopadie und Unfallchirurgie","raw_type":"English Abstract"}],"best_oa_location":null,"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2753416525","https://openalex.org/W4404918166","https://openalex.org/W2115610179","https://openalex.org/W4409647911","https://openalex.org/W2079653963","https://openalex.org/W2990306649","https://openalex.org/W7213602418","https://openalex.org/W4402192124","https://openalex.org/W1972422898","https://openalex.org/W2329639999"],"abstract_inverted_index":{"BACKGROUND:":[0],"Adolescents":[1],"with":[2,36,112,131,492],"cerebral":[3],"palsy":[4],"often":[5],"complain":[6],"about":[7],"a":[8,31,106,203,349,359,394,495],"Duchenne":[9,32,107,198,213,356,379,440],"gait,":[10],"which":[11,458],"increases":[12,476],"the":[13,16,18,27,64,87,90,98,195,312,343,366,434,439,443,450,465,471,479,488,503,507,515],"load":[14],"on":[15,109],"spine,":[17],"energy":[19],"consumption":[20],"and":[21,102,113,128,133,223,230,234,251,300,334,428,447,455,511],"therefore":[22,448],"decreases":[23,449],"gait":[24,33,108,182,287,319,357,361,380,441,518],"efficiency.":[25],"However":[26],"underlying":[28,100],"causes":[29,101],"of":[30,63,86,92,167,197,205,209,260,311,342,351,452,464,506,514],"in":[34,77,143,239,269,284,289,314,345,363,384,397,401],"patients":[35,81,111,125,147,154,291,491,502],"CP":[37,110,124,493,501],"are":[38],"not":[39,248],"clearly":[40],"researched":[41],"yet.":[42],"Nevertheless":[43],"there":[44],"is":[45,358,485],"an":[46,180],"assumption":[47],"that":[48,368,374,436,490],"excessive":[49],"trunk":[50],"lean":[51],"might":[52,79],"assist":[53],"foot":[54],"clearance":[55],"to":[56,70,82,96,267,433,460,487],"compensate":[57],"for":[58,105,212,227,467],"muscle":[59,74,116,161,275,370,390,498],"weakness":[60],"or":[61,354],"contractures":[62,377],"legs.":[65],"In":[66,316,469],"particular":[67],"weakness,":[68],"secondary":[69],"surgical":[71],"soft":[72],"tissue":[73],"tendon":[75,117,162,371],"lengthening":[76,163,372],"childhood,":[78],"predispose":[80],"greater":[83],"compensatory":[84],"movements":[85],"trunk.":[88],"Therefore":[89],"aim":[91],"this":[93,144,385,484],"study":[94],"was":[95,177,216,404],"estimate":[97],"prevalence,":[99],"calculated":[103],"predictors":[104,288,320],"without":[114],"previous":[115,150,156,369],"lengthening.":[118],"PATIENTS,":[119],"MATERIALS":[120],"AND":[121],"METHODS:":[122],"50":[123],"between":[126,241,249],"12":[127],"22":[129],"years":[130],"diplegia":[132],"GMFCS":[134],"II":[135],"(GMFCS:":[136],"Gross":[137],"Motor":[138],"Function":[139],"Classification":[140],"System)":[141],"participated":[142],"study.":[145,386],"25":[146,153],"had":[148,155],"no":[149,264],"surgeries":[151,164],"(CP-0).":[152],"calf,":[157],"hamstrings":[158],"and/or":[159],"adductor":[160,376],"(CP-1).":[165],"Data":[166],"20":[168],"typically":[169],"developed":[170],"adolescents":[171],"served":[172],"as":[173,327,329,425],"controls":[174],"(TD).":[175],"Gait":[176],"analysed":[178],"using":[179],"instrumented":[181],"analysis":[183],"system":[184],"(Vicon,":[185],"Oxford,":[186],"UK)":[187],"The":[188],"parameter":[189],"\"thorax":[190],"obliquity":[191],"range\"":[192],"(TOR)":[193],"investigated":[194],"dimension":[196],"gait.":[199,214],"RESULTS:":[200],"CP-0":[201,229,233,250,290],"showed":[202,236,263,393],"prevalence":[204,350],"72":[206],"%,":[207],"CP-1":[208,235,252,317],"66":[210,352],"%":[211,310,341,353],"TOR":[215,240,268],"5":[217],"\u00b1":[218,221,225],"2\u00b0,":[219],"16":[220,224],"8\u00b0":[222],"8\u00b0,":[226],"TD,":[228],"CP-1,":[231],"respectively.":[232],"significant":[237,265,278],"differences":[238],"TD":[242],"(both":[243],"p":[244],"<":[245],"0.001),":[246],"but":[247],"(p":[253],"=":[254,281,298,305],"1.0).":[255],"Passive":[256],"hip":[257,273,294,323,375,388,405,410,426,444,456,466,473,480,516],"abduction":[258,274],"range":[259],"motion":[261],"(ROM)":[262],"correlation":[266,279,396],"both":[270,402],"groups,":[271],"whereas":[272],"strength":[276,391],"revealed":[277],"(rs":[280],"-":[282],"0.37)":[283],"CP-0.":[285,398],"Best":[286,399],"were":[292,321],"increased":[293,322],"generation":[295,324,336,406],"work":[296,325,337,407],"(stance":[297],"st)":[299],"ankle":[301,335],"dorsi":[302],"flexion":[303,332,457,481],"(swing":[304],"sw),":[306],"together":[307],"explaining":[308,339],"47":[309],"variance":[313,344],"TOR.":[315,346],"best":[318],"(st)":[326],"well":[328],"reduced":[330,496],"knee":[331],"(sw)":[333],"(st),":[338],"31":[340],"CONCLUSION:":[347],"With":[348],"higher":[355],"serious":[360],"pathology":[362],"CP.":[364],"Neither":[365],"hypothesis":[367,435],"nor":[373],"increase":[378],"could":[381],"be":[382],"confirmed":[383],"Weak":[387],"abductor":[389,445],"only":[392],"small":[395],"predictor":[400],"groups":[403],"(st).":[408],"Certain":[409],"abductors":[411],"(M.":[412],"gluteus":[413,417],"medius":[414],"ventral;":[415],"M.":[416,419],"minimus;":[418],"tensor":[420],"fasciae":[421],"latae)":[422],"function":[423],"also":[424],"flexors":[427],"internal":[429,453,512],"rotators.":[430],"This":[431],"leads":[432,459],"during":[437,517],"stance":[438],"unloads":[442],"muscles":[446],"effect":[451],"rotation":[454,513],"improved":[461],"dynamic":[462],"power":[463],"propulsion.":[468],"consequence":[470],"resultant":[472],"extension":[474],"moment":[475],"by":[477],"reducing":[478],"moment.":[482],"Presumably":[483],"due":[486],"fact":[489],"show":[494],"selective":[497],"control.":[499],"For":[500],"negative":[504],"effects":[505],"common":[508],"pelvis":[509],"drop":[510],"decrease.":[519]},"counts_by_year":[{"year":2025,"cited_by_count":1},{"year":2019,"cited_by_count":1},{"year":2018,"cited_by_count":1},{"year":2017,"cited_by_count":1}],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2016-06-24T00:00:00"}
