scholarly journals Quantitative Effects of Repeated Muscle Vibrations on Gait Pattern in a 5-Year-Old Child with Cerebral Palsy

2011 ◽  
Vol 2011 ◽  
pp. 1-5 ◽  
Author(s):  
Filippo Camerota ◽  
Manuela Galli ◽  
Claudia Celletti ◽  
Sara Vimercati ◽  
Veronica Cimolin ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Pelvic Tilt ◽  
Step Length ◽  
Gait Pattern ◽  
Triceps Surae ◽  
Knee Joints ◽  
Global Improvement ◽  
Positive Effects ◽  
Effective Option ◽  
Spatio Temporal

Objective. To investigate quantitatively and objectively the effects of repeated muscle vibration (rMV) of triceps surae on the gait pattern in a 5-year-old patient with Cerebral Palsy with equinus foot deformity due to calf spasticity.Methods. The patient was assessed before and one month after the rMV treatment using Gait Analysis.Results. rMV had positive effects on the patient's gait pattern, as for spatio-temporal parameters (the stance duration and the step length increased their values after the treatment) and kinematics. The pelvic tilt reduced its anteversion and the hip reduced the high flexion evidenced at baseline; the knee and the ankle gained a more physiological pattern bilaterally. The Gillette Gait Index showed a significant reduction of its value bilaterally, representing a global improvement of the child's gait pattern.Conclusions. The rMV technique seems to be an effective option for the gait pattern improvement in CP, which can be used also in very young patient. Significant improvements were displayed in terms of kinematics at all lower limb joints, not only at the joint directly involved by the treatment (i.e., ankle and knee joints) but also at proximal joints (i.e., pelvis and hip joint).

scholarly journals Analysis of the spatio-temporal gait parameters of transtibial amputees

2018 ◽  
Vol 1 (2) ◽  
pp. 247-253
Author(s):  
Yuliana Ruiz-Piragauta ◽  
Brigette Paola Torres-Bello ◽  
Esperanza Camargo-Casallas
Keyword(s):  
Lower Limb ◽  
Stride Length ◽  
Inertial Sensors ◽  
Step Length ◽  
Gait Pattern ◽  
Gait Parameters ◽  
Length Step ◽  
Spatio Temporal ◽  
Antipersonnel Mines ◽  
Transtibial Amputees

In this study we analyzed the spatio-temporal parameters (step length, step time, stride length, stride time, speed and rate) of three unilateral transtibial amputees in order to find the best gait pattern and this verify the adaptation of the prosthesis, using inertial sensors of the TECHNAID ® brand in order to make the diagnosis in an objective way; the data were processed using the MARCHA ET software of the DIGITI research group of the Universidad Distrital Francisco José de Caldas. In this study, were analyzed three subjects from the Hospital Militar Central (HMC) the cause of amputation is due to trauma caused by antipersonnel mines. It was found that subjects with unilateral transtibial amputation lean on more time and carry more weight on their healthy lower limb, which leads to an increase in mechanical demand on the knee joint of the amputated leg.

Análisis Espaciotemporal y Cinemático de la Marcha en Pacientes con Parálisis Cerebral Espástica

2021 ◽  
Author(s):  
◽  
P. E. Ruiz-Padilla ◽  
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Gait Pattern ◽  
Initial Contact ◽  
Computational Tool ◽  
Medical File ◽  
Early Evaluation ◽  
General Terms ◽  
Spatio Temporal ◽  
Commercial Device

The spatio-temporal and kinematic data analysis of gait in patients with cerebral palsy is important to understand the alterations in their gait cycle allowing correct diagnoses, plan surgeries or establish effective rehabilitation therapies. However, access to the records acquired by commercial equipment is limited given the acquisition, storage and format protocols that each commercial brand establishes for its equipment. Biomark is a useful computational tool previously developed in our work team and used in this study to extract, convert, analyze and process recordings from a commercial device for gait analysis. The recordings were acquired in the Gait Analysis Laboratory of the Centro de RehabilitaciónInfantilTeletón (CRIT) de Occidente and correspond to 19 children aged 6.4 years old on average and diagnosed with Gross Motor Paraparesis II-III. The spatio-temporal parameters and kinematic descriptors were calculated using the Biomark Toolbox. The results demonstrated that Biomark is auseful auxiliary computational tool for the calculation and analysis of gait parameters. In general terms, it was observed that the gait pattern in patients with cerebral palsy is crouched, with greater hip, knee and dorsal ankle flexion at initial contact, showing a higher percentage of stance and decreased swing phase with respect to nominal values. The decreased speed, stride length and cadence are derived from muscular dystrophy. Future work suggests the implementation of an electronic medical file for the quantitative follow-up of the parameters of the patients' gait, allowing an early evaluation and adjustment of rehabilitation strategies.

COMPARISON OF SPATIO-TEMPORAL GAIT VARIABLES IN PATIENTS WITH PARKINSON’S DISEASE AND SWEDD

2018 ◽  
Vol 18 (08) ◽  
pp. 1840023 ◽  
Author(s):  
DO-YOUNG KWON ◽  
YOON-HYEOK CHOI ◽  
YU-RI KWON ◽  
GWANG-MOON EOM ◽  
JUNGHYUK KO ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Dopamine Transporter ◽  
Stance Phase ◽  
Outcome Measure ◽  
Step Length ◽  
Gait Pattern ◽  
Time Difference ◽  
Spatio Temporal

Scans without evidence of dopaminergic deficit (SWEDD) refers to patients with a normal dopamine transporter scan among patients clinically diagnosed with Parkinson’s disease (PD). It is essential to differentiate SWEDD from PD in order to avoid costly and inappropriate treatments. We investigated differences of gait pattern in PD patients and SWEDD patients. Twelve patients with SWEDD and 8 patients with PD participated in the gait test. All participants were instructed to walk along the GaitRite linear walkway at comfortable velocity. As outcome measure, various spatio-temporal gait variables were derived from commercial GaitRite software. Independent sample [Formula: see text]-tests were evaluated to investigate statistical differences between SWEDD patients and PD patients. SWEDD patients walked more quickly with longer step length compared to PD patients ([Formula: see text]). PD patients exhibited a longer stance phase with increased double-limb support period than SWEDD patients ([Formula: see text]). Step time difference of SWEDD patients was smaller than that of PD patients ([Formula: see text]). These findings suggest quantitative gait variables could be helpful for the identification of potential SWEDD patients. Also, understanding of gait strategies of SWEDD patients might be contributed to their effective medications and treatments.

scholarly journals Effects of Juvenile Idiopathic Arthritis on Kinematics and Kinetics of the Lower Extremities Call for Consequences in Physical Activities Recommendations

2010 ◽  
Vol 2010 ◽  
pp. 1-10 ◽  
Author(s):  
M. Hartmann ◽  
F. Kreuzpointner ◽  
R. Haefner ◽  
H. Michels ◽  
A. Schwirtz ◽  
...  
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Plantar Flexion ◽  
Lower Extremities ◽  
Step Length ◽  
Knee Extension ◽  
Knee Joints ◽  
Joint Involvement ◽  
Healthy Controls ◽  
Sport Activities ◽  
Spatio Temporal

Juvenile idiopathic arthritis (JIA) patients (n=36) with symmetrical polyarticular joint involvement of the lower extremities and healthy controls (n=20) were compared concerning differences in kinematic, kinetic, and spatio-temporal parameters with 3D gait analysis. The aims of this study were to quantify the differences in gait between JIA patients and healthy controls and to provide data for more detailed sport activities recommendations. JIA-patients showed reduced walking speed and step length, strongly anterior tilted pelvis, reduced maximum hip extension, reduced knee extension during single support phase and reduced plantar flexion in push off. Additionally the roll-off procedure of the foot was slightly decelerated. The reduced push off motion in the ankle was confirmed by lower peaks in ankle moment and power. The gait of JIA-patients can be explained as a crouch-like gait with hyperflexion in hip and knee joints and less plantar flexion in the ankle. A preventive mobility workout would be recommendable to reduce these restrictions in the future. Advisable are sports with emphasis on extension in hip, knee, and ankle plantar flexion.

scholarly journals Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review

Children ◽  
2021 ◽  
Vol 8 (11) ◽  
pp. 1016
Author(s):  
Natalia Belizón-Bravo ◽  
Rita Pilar Romero-Galisteo ◽  
Fatima Cano-Bravo ◽  
Gloria Gonzalez-Medina ◽  
Elena Pinero-Pinto ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Methodological Quality ◽  
Functional Improvement ◽  
Cochrane Library ◽  
Study Quality ◽  
Post Intervention ◽  
Positive Effects ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Spatio Temporal

Dynamic suit orthoses (DSO) are currently used as a complementary treatment method in children with Cerebral Palsy (cwCP). The aim of this review was to assess the effects of interventions with DSO on the altered spatio-temporal gait parameters (STGPs) in cwCP. An electronic search was conducted in the Web of Science, Scopus, PEDro, Cochrane Library, MEDLINE/PubMed, and CINAHL databases up to July 2021. We included a total of 12 studies, which showed great heterogeneity in terms of design type, sample size, and intervention performed (two employed a Therasuit, three employed the Adeli suit, three employed Theratogs, one employed elastomeric tissue dynamic orthosis, one employed a full-body suit, one employed external belt orthosis, and one employed dynamic orthosis composed of trousers and T-shirt). The Cochrane collaboration’s tool and the Checklist for Measuring Study Quality were used to assess the risk of bias and the methodological quality of the studies. It was variable according to the Checklist for Measuring Study Quality, and it oscillated between eight and 23. The studies of higher methodological quality showed significant post-intervention changes in walking speed (which is the most widely evaluated parameter), cadence, stride length, and step length symmetry. Although the evidence is limited, the intervention with DSO combined with a programme of training/physical therapy seems to have positive effects on the STGPs in cwCP, with the functional improvements that it entails. Despite the immediate effect after one session, a number of sessions between 18 and 60 is recommended to obtain optimum results. Future studies should measure all STGPs, and not only the main ones, such as gait speed, in order to draw more accurate conclusions on the functional improvement of gait after the use of this type of intervention.

Effects of backward gait training on balance, gross motor function, and gait in children with cerebral palsy: a systematic review

2018 ◽  
Vol 33 (1) ◽  
pp. 3-12 ◽  
Author(s):  
Ahmed M Elnahhas ◽  
Shorouk Elshennawy ◽  
Maya G Aly
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Step Length ◽  
Gait Training ◽  
Cochrane Library ◽  
Level Of Evidence ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Positive Effects ◽  
Children With Cerebral Palsy

Objective: To investigate the effects of backward gait training on balance, gross motor function, and gait parameters in children with cerebral palsy. Data sources: PubMed, Cochrane Library, Web of Science, Science Direct, Physiotherapy Evidence Database (PEDro), and Google Scholar were searched up to May 2018. Review methods: Randomized controlled trials were included if they involved any form of backward gait training for children with cerebral palsy. Two authors independently screened articles, extracted data and assessed the methodological quality using PEDro scale, with any confliction resolved by the third author. Modified Sackett Scale was used to determine the level of evidence for each outcome. Results: Out of 1492 papers screened, 7 studies with 172 participants met the inclusion criteria. The duration of treatment ranged from 15 to 25 minutes, three times a week and for 6–12 weeks. The quality of studies ranged from good (two studies) to fair (four studies) and poor (one study), with a mean PEDro score of 4.7 out of 10. All included studies showed positive effects in the measured outcomes. The results showed level 1b evidence for balance when compared to no intervention, and for gross motor function, step length and walking speed when compared to same dose of forward gait training. The clinical heterogeneity of studies makes meta-analysis inappropriate. Conclusion: In children with cerebral palsy, there is moderate evidence that backward gait training improves balance, gross motor function, step length and walking velocity. More high-quality studies are needed.

Influence of gait pattern on the body's centre of mass displacement in children with cerebral palsy

2004 ◽  
Vol 46 (10) ◽  
Author(s):  
Firas Massaad ◽  
Frédéric Dierick ◽  
Adélaïde van den Hecke ◽  
Christine Detrembleur
Keyword(s):  
Cerebral Palsy ◽  
Gait Pattern ◽  
Centre Of Mass ◽  
Children With Cerebral Palsy ◽  
Mass Displacement

scholarly journals Acute Effects on Impact Accelerations Running with Objects in the Hand

Life ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 550
Author(s):  
Roberto Sanchis-Sanchis ◽  
Alberto Encarnación-Martínez ◽  
Jose I. Priego-Quesada ◽  
Inmaculada Aparicio ◽  
Irene Jimenez-Perez ◽  
...  
Keyword(s):  
Mobile Phone ◽  
Step Length ◽  
Stride Frequency ◽  
Acute Effects ◽  
Shock Attenuation ◽  
Acceleration Rate ◽  
Recreational Runners ◽  
Impact Acceleration ◽  
Spatio Temporal ◽  
Extra Weight

Amateur runners usually run carrying implements in their hands (keys, a mobile phone, or a bottle of water). However, there is a lack of literature about the effects of different handloads on impact accelerations. Thus, this study aimed to analyse the effects of carrying different objects in the hand on impact accelerations during running. Nineteen male recreational runners (age 24.3 ± 6.8 years, training volume of 25 ± 7.38 km/week) performed twenty minutes of running on a treadmill at 2.78 m/s with four different conditions: no extra weight, with keys, with a mobile phone, and with a bottle of water. Impact acceleration and spatio-temporal parameters were analysed through a wireless triaxial accelerometry system composed of three accelerometers: two placed in each tibia and one placed on the forehead. A higher tibia acceleration rate in the dominant leg was observed when participants ran holding both a mobile phone (p = 0.027; ES = 0.359) and a bottle of water (p = 0.027; ES = 0.359), compared to no extra weight. No changes were observed in peak acceleration, acceleration magnitude, and shock attenuation in any other conditions. Likewise, neither stride frequency nor step length was modified. Our results suggest that recreational runners should not worry about carrying objects in their hands, like a mobile phone or a bottle of water, in short races because their effect seems minimal.

scholarly journals Biomechanics of Trail Running Performance: Quantification of Spatio-Temporal Parameters by Using Low Cost Sensors in Ecological Conditions

2021 ◽  
Vol 11 (5) ◽  
pp. 2093
Author(s):  
Noé Perrotin ◽  
Nicolas Gardan ◽  
Arnaud Lesprillier ◽  
Clément Le Goff ◽  
Jean-Marc Seigneur ◽  
...  
Keyword(s):  
Heart Rate ◽  
Low Cost ◽  
Step Length ◽  
Measurement Unit ◽  
Ecological Conditions ◽  
Sports Science ◽  
Ground Contact Time ◽  
Spatio Temporal ◽  
Performance Results ◽  
Trail Running

The recent popularity of trail running and the use of portable sensors capable of measuring many performance results have led to the growth of new fields in sports science experimentation. Trail running is a challenging sport; it usually involves running uphill, which is physically demanding and therefore requires adaptation to the running style. The main objectives of this study were initially to use three “low-cost” sensors. These low-cost sensors can be acquired by most sports practitioners or trainers. In the second step, measurements were taken in ecological conditions orderly to expose the runners to a real trail course. Furthermore, to combine the collected data to analyze the most efficient running techniques according to the typology of the terrain were taken, as well on the whole trail circuit of less than 10km. The three sensors used were (i) a Stryd sensor (Stryd Inc. Boulder CO, USA) based on an inertial measurement unit (IMU), 6 axes (3-axis gyroscope, 3-axis accelerometer) fixed on the top of the runner’s shoe, (ii) a Global Positioning System (GPS) watch and (iii) a heart belt. Twenty-eight trail runners (25 men, 3 women: average age 36 ± 8 years; height: 175.4 ± 7.2 cm; weight: 68.7 ± 8.7 kg) of different levels completed in a single race over a 8.5 km course with 490 m of positive elevation gain. This was performed with different types of terrain uphill (UH), downhill (DH), and road sections (R) at their competitive race pace. On these sections of the course, cadence (SF), step length (SL), ground contact time (GCT), flight time (FT), vertical oscillation (VO), leg stiffness (Kleg), and power (P) were measured with the Stryd. Heart rate, speed, ascent, and descent speed were measured by the heart rate belt and the GPS watch. This study showed that on a ≤10 km trail course the criteria for obtaining a better time on the loop, determined in the test, was consistency in the effort. In a high percentage of climbs (>30%), two running techniques stand out: (i) maintaining a high SF and a short SL and (ii) decreasing the SF but increasing the SL. In addition, it has been shown that in steep (>28%) and technical descents, the average SF of the runners was higher. This happened when their SL was shorter in lower steep and technically challenging descents.

scholarly journals Efficacy of axial TheraTogs on gait pattern in children with dyskinetic cerebral palsy: a randomized controlled trial

2021 ◽  
Vol 26 (1) ◽  
Author(s):  
Shamekh Mohamed El-Shamy ◽  
Ehab Mohamed Abd El Kafy
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Muscle Tone ◽  
Controlled Trial ◽  
Gait Pattern ◽  
Controlled Study ◽  
Control Group ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Experimental Group

Abstract Background TheraTogs promotes proprioceptive sense of a child with cerebral palsy and improves abnormal muscle tone, posture alignment, balance, and gait. Therefore, the aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on gait pattern in children with dyskinetic cerebral palsy. Thirty children with dyskinetic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Gait parameters were measured at baseline and after 3 months of intervention using Pro-Reflex motion analysis. Results Children in both groups showed significant improvements in the gait parameters (P < 0.05), with significantly greater improvements in the experimental group than in the control group. Conclusions The use of TheraTogs may have a positive effect to improve gait pattern in children with dyskinetic cerebral palsy. Trial registration This trial was registered in the ClinicalTrial.gov PRS (NCT03037697).

Sign in / Sign up

Export Citation Format

Share Document