At 10:41 28/06/00 GMT0BST, you wrote:
>Hello,
>
>I wonder if anyone could direct me to references on the Duncan Ely
>test.
>
>Do many people use it? and what do you think of it?
>Andy Kerr
>Lecturer
>Division of Physiotherapy
>University of Nottingham
>Tel:0115 962 7681
>
dear andy,
in the book "gait analysis in cerebral palsy" by j.r gage, you can read
this: "the DUNCAN-ELy test is supposed to differenciate rectus femoris from
iliopsoas contructure. this test is based on the fact that the rectus
femoris arises from the anterior pelvis and inserts into the patella,
meaning that it is a hip flexor and extensor. in this test, the patient is
placed in the prone position and the knee is rapidly flexed and its
resistance to flexion is felt. if there is a dynamic or static contracture
of rectus femoris, the hip will go into flexion and the buttocks will rise
off the table. results are graded from one to four, where one is trace
spasticity and four is exstreme spasticity".
this test is very useful in the decision making process before operations
with c.p patients. the results can explain certain walking patterns typical
for biarticular spastic muscles.
hope this helps,
netta harries
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