scholarly journals Gait Analysis before and after Gastrocnemius Fascia Lengthening for Spastic Equinus Foot Deformity in a 10-Year-Old Diplegic Child

2010 ◽  
Vol 2010 ◽  
pp. 1-9 ◽  
Author(s):  
Manuela Galli ◽  
Veronica Cimolin ◽  
Giorgio Cesare Santambrogio ◽  
Marcello Crivellini ◽  
Giorgio Albertini
Keyword(s):  
Decision Making ◽  
Cerebral Palsy ◽  
Gait Analysis ◽  
Lower Limb ◽  
Foot Deformity ◽  
Cerebral Palsy Child ◽  
Before And After ◽  
Kinetic Effects ◽  
Kinematics And Kinetics

Purpose. This case study quantified kinematic and kinetic effects of gastrocnemius lengthening on gait in a Cerebral Palsy child with equinus foot.Methods. A 10-year-old diplegic child with Cerebral Palsy was evaluated with Gait Analysis (GA) before and after gastrocnemius fascia lengthening, investigating the lower limb joints kinematics and kinetics.Results. Kinematics improved at the level of distal joints, which are directly associated to gastrocnemius, and also at the proximal joint (like hip); improvements were found in ankle kinetics, too.Conclusions. This case study highlighted that GA was effective not only to quantify the results of the treatment but also to help preoperative decision making in dealing with CP child.

scholarly journals Tendon release reduced joint stiffness with unaltered leg stiffness during gait in spastic diplegic cerebral palsy

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245616
Author(s):  
Chien-Chung Kuo ◽  
Hsing-Po Huang ◽  
Ting-Ming Wang ◽  
Shih-Wun Hong ◽  
Li-Wei Hung ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Lower Limb ◽  
Stance Phase ◽  
Joint Stiffness ◽  
Locomotor System ◽  
Leg Stiffness ◽  
Before And After ◽  
Stiffness Control ◽  
Clinical Gait Analysis

Biomechanical deviations at individual joints are often identified by gait analysis of patients with cerebral palsy (CP). Analysis of the control of joint and leg stiffness of the locomotor system during gait in children with spastic diplegic CP has been used to reveal their control strategy, but the differences between before and after surgery remain unknown. The current study aimed to bridge the gap by comparing the leg stiffness—both skeletal and muscular components—and associated joint stiffness during gait in 12 healthy controls and 12 children with spastic diplegic CP before and after tendon release surgery (TRS). Each subject walked at a self-selected pace on a 10-meter walkway while their kinematic and forceplate data were measured to calculate the stiffness-related variables during loading response, mid-stance, terminal stance, and pre-swing. The CP group altered the stiffness of the lower limb joints and decreased the demand on the muscular components while maintaining an unaltered leg stiffness during stance phase after the TRS. The TRS surgery improved the joint and leg stiffness control during gait, although residual deficits and associated deviations still remained. It is suggested that the stiffness-related variables be included in future clinical gait analysis for a more complete assessment of gait in children with CP.

Clinical decision making in spastic bilateral CP – Planning interventions using clinical gait analysis: A case study

2015 ◽  
Vol 42 ◽  
pp. S37
Author(s):  
M. Alvela ◽  
M. Bergmann ◽  
M.-L. Ööpik ◽  
Ü. Kruus ◽  
K. Englas ◽  
...  
Keyword(s):  
Decision Making ◽  
Gait Analysis ◽  
Clinical Decision Making ◽  
Clinical Decision ◽  
Clinical Gait Analysis

scholarly journals Impact of ankle-foot orthoses on gait 1 year after lower limb surgery in children with bilateral cerebral palsy

2018 ◽  
Vol 43 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Ingrid Skaaret ◽  
Harald Steen ◽  
Terje Terjesen ◽  
Inger Holm
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Lower Limb ◽  
Three Dimensional ◽  
Foot Orthoses ◽  
Important Improvement ◽  
Gait Dysfunction ◽  
Ankle Foot Orthoses ◽  
Profile Score ◽  
Lower Limb Surgery

Background: Different types of ankle-foot orthoses are commonly used following lower limb surgery in children with bilateral spastic cerebral palsy. After three-dimensional gait analysis 1 year postoperatively, many children are recommended continued use of ankle-foot orthoses. Objectives: Our aims were to quantify the impact of ankle-foot orthoses on gait 1 year postoperatively and evaluate predictors for clinically important improvement. Study design: Prospective cohort study. Methods: A total of 34 ambulating children with bilateral cerebral palsy, with mean age 11 years (range 6–17), comprising 12 girls and 22 boys, were measured with three-dimensional gait analysis preoperatively (barefoot) and 1 year postoperatively (barefoot and with ankle-foot orthoses). Outcome was evaluated using gait profile score, key kinematic, kinetic and temporal–spatial variables in paired sample comparisons. Logistic regression was used to evaluate predictors for clinically important improvement with orthoses (⩾1.6° change in gait profile score). Results: Walking barefoot 1 year postoperatively, major improvements were seen in gait profile score and key variables. With ankle-foot orthoses, there were significantly improved step length and velocity, additional moderate reduction/improvement in gait profile score and knee moments and decreased stance ankle dorsiflexion compared to barefoot. Children using ground reaction ankle-foot orthoses ( n = 14) decreased stance knee flexion from 13.9° walking barefoot to 8.2° with orthoses. High gait profile score and more gait dysfunction preoperatively were significant predictors of clinically important improvement walking with orthoses. Conclusion: The results indicate improved gait function walking with ankle-foot orthoses versus barefoot 1 year after lower limb surgery. Stronger impact of ankle-foot orthoses was found in children with more pronounced gait dysfunction preoperatively. Clinical relevance The 1-year postoperative three-dimensional gait analysis is a useful method to assess treatment outcome after lower limb surgery in children with bilateral cerebral palsy and could also guide clinicians whether further treatment with ankle-foot orthoses is indicated, using clinically important differences as thresholds to evaluate their impact on gait.

Alterations in Surgical Decision Making in Patients with Cerebral Palsy Based on Three-Dimensional Gait Analysis

1997 ◽  
Vol 17 (5) ◽  
pp. 608-614 ◽  
Author(s):  
Peter A. DeLuca ◽  
Roy B. Davis ◽  
Sylvia ??unpuu ◽  
Sally Rose ◽  
Robert Sirkin
Keyword(s):  
Decision Making ◽  
Cerebral Palsy ◽  
Gait Analysis ◽  
Three Dimensional ◽  
Surgical Decision ◽  
Surgical Decision Making

Gait Analysis Alters Decision-Making in Cerebral Palsy

2003 ◽  
Vol 23 (3) ◽  
pp. 292-295 ◽  
Author(s):  
Robert E. Cook ◽  
Ingo Schneider ◽  
M. Elizabeth Hazlewood ◽  
Susan J. Hillman ◽  
James E. Robb
Keyword(s):  
Decision Making ◽  
Cerebral Palsy ◽  
Gait Analysis

scholarly journals Promoting Communication and Socialisation in Music Therapy for Children with Cerebral Palsy

2021 ◽  
Author(s):  
◽  
Hong Ching Kho
Keyword(s):  
Cerebral Palsy ◽  
Music Therapy ◽  
Case Study Research ◽  
Programming System ◽  
Staff Members ◽  
Informal Interview ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Clinical Practice Setting

<p>This research was conducted as an exploratory case study as identified by Yin (2009) using primarily qualitative data gathered from a clinical practice setting with young children. The primary aim was to find out how music therapy could promote communication and socialisation for children with cerebral palsy at an Early Intervention Conductive Education Centre. This case study research involved two indepth cases of children diagnosed with Cerebral Palsy at different levels of severity at aged four to five years old. It documents individual music therapy sessions over a three month period. Assessments of the two children’s communication and socialisation skills were made using the Assessment, Evaluation, and Programming System for Infants and Children (AEPS) to provide a comparison before and after the intervention. Staff perceptions about the nature of the children’s communication and socialisation in music therapy were sought using a short and informal interview with two staff members at the Centre. These three data sources were triangulated in the analysis and the findings are discussed individually. Each child showed diverse observable improvement in communication and socialisation based on perspectives of staff members interviewed, on clinical notes and on the AEPS evaluations. It is hoped that this mixed methods study could lead towards a more specific quantitative inquiry in the future about the effectiveness of music therapy for children with cerebral palsy.</p>

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