Gait strategy in patients with Ehlers-Danlos syndrome hypermobility type and Down syndrome

Chiara Rigoldi, Manuela Galli, Veronica Cimolin, Filippo Camerota, Claudia Celletti, Nunzio Tenore, Giorgio Albertini

Research output: Contribution to journalArticlepeer-review


People suffering from Ehlers-Danlos syndrome (EDS) hypermobility type present a severe ligament laxity that results in difficulties in muscle force transmission. The same condition is present in people suffering from Down syndrome (DS) even if their clumsy movements are due to cerebral and cognitive impairments. The aim of this study was to quantify the gait patterns of subjects with EDS and with DS using Gait Analysis (GA). We quantified the gait strategy in 12 EDS individuals and in 16 participants with DS. Both pathological groups were compared to 20 age-matched healthy controls in terms of kinematics and kinetics. Results showed that DS individuals are characterized by a more compromised gait pattern than EDS participants, even if both groups are characterized by joint hypermobility. All the patients showed significant decreased of ankle stiffness probably due to congenital hypotonia and ligament laxity, while different values of hip stiffness. These findings help to elucidate the complex biomechanical changes due to joint hypermobility and may have a major role in the multidimensional evaluation and tailored management of these patients.

Original languageEnglish
Pages (from-to)1437-1442
Number of pages6
JournalResearch in Developmental Disabilities
Issue number5
Publication statusPublished - Sep 2012


  • Down syndrome
  • Ehlers-Danlos syndrome
  • Gait analysis
  • Ligament laxity

ASJC Scopus subject areas

  • Clinical Psychology
  • Developmental and Educational Psychology


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