Gait Analysis of Cerebral Palsy Children before and after Rhizotomy

1988 ◽  
Vol 14 (6) ◽  
pp. 297-300 ◽  
Author(s):  
Christopher L. Vaughan ◽  
Barbara Berman ◽  
Loretta A. Staudt ◽  
Warwick J. Peacock
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Before And After

scholarly journals Usefulness of Magnetoinertial Wearable Devices in Neurorehabilitation of Children with Cerebral Palsy

2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Marco Iosa ◽  
Manuela de Sanctis ◽  
Aurora Summa ◽  
Elena Bergamini ◽  
Daniela Morelli ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Ad Hoc ◽  
Proof Of Concept ◽  
Attenuation Coefficients ◽  
Gait Stability ◽  
Rehabilitation Programs ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Measurement Units

Background. Despite the increasing use of wearable magnetoinertial measurement units (MIMUs) for gait analysis, the efficacy of MIMU-based assessment for planning rehabilitation has not been adequately documented yet. Methods. The usefulness of a MIMU-based assessment was evaluated comparing the data acquired by three MIMUs located at the pelvis, sternum, and head levels in 12 children with cerebral palsy (CP, age: 2–9 years) and 12 age-matched children with typical development (TD). Gait stability was quantified in terms of acceleration attenuation coefficients from pelvis to head, pelvis to sternum, and sternum to head. Children with CP were randomly divided in two groups: in the first group (CPI), MIMU-based parameters were used by therapists for planning patient-tailored rehabilitation programs, whereas in the second group (CPB), therapists were blind to the MIMU-based assessment results. Both CPI and CPB were tested before and after the relevant neurorehabilitation program. Ad hoc questionnaires were also administered to therapists of the CPI group to assess the degree of usefulness perceived about the information provided by the MIMU-based assessment. Results. Significant differences were found between children with CP and those with TD for the acceleration attenuation coefficient from pelvis to head (p=0.048) and from pelvis to sternum (p=0.021). After neurorehabilitation, this last parameter increased more in CPI (35%) than in CPB (6%, p=0.017 for the interaction group per time). The results of the questionnaires showed that therapists agreed with the usability (100% judged it as “easy to use”) and usefulness of the MIMU-based assessment in defining patient-oriented interventions (87%). Conclusions. There is a large debate in literature about the efficacy of classical gait analysis that should be enlarged to new technological approaches, such as that based on MIMUs. This study is a first proof of concept about the efficacy of this approach for neurorehabilitation of children with CP.

Gait analysis before and after botulinum toxin a therapy on gastrocnemius in cerebral palsy

1997 ◽  
Vol 5 (2) ◽  
pp. 138-139
Author(s):  
Chang Il Park ◽  
Ji Cheol Shin ◽  
You Chul Kim ◽  
Seong Woo Kim ◽  
Deog Young Kim
Keyword(s):  
Cerebral Palsy ◽  
Botulinum Toxin ◽  
Gait Analysis ◽  
Botulinum Toxin A ◽  
Toxin A ◽  
Before And After

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.

12 KINEMATIC GAIT ANALYSIS OF A CHILD WITH CEREBRAL PALSY, BEFORE AND AFTER HIPPOTHERAPY

1999 ◽  
Vol 11 (4) ◽  
pp. 218
Author(s):  
S Kulkarni-Lambore ◽  
M L Udovich ◽  
T Murphy ◽  
A. Seltzer
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Before And After ◽  
Kinematic Gait Analysis

scholarly journals Gait Analysis Before and After Orthopaedic Selective Spasticity-Control Surgery for the Hip: A Report of Two Cerebral Palsy Patients

2005 ◽  
Vol 54 (2) ◽  
pp. 301-308
Author(s):  
Yasuo Sonoda ◽  
Shinji Fukuoka ◽  
Mayuki Taketa ◽  
Takashi Matsuo ◽  
Yukihide Iwamoto
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Before And After

Gait analysis of an adolescent with Cerebral Palsy before and after selective posterior rhizotomy

1993 ◽  
Vol 26 (3) ◽  
pp. 326
Author(s):  
D.J. Simpson ◽  
J.R. Engsberg ◽  
M. McNeil ◽  
A. Chiu ◽  
G.N. Kiefer
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Before And After ◽  
Selective Posterior Rhizotomy

scholarly journals Effect of the Hybrid Assistive Limb on the Gait Pattern for Cerebral Palsy

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 673
Author(s):  
Yuki Mataki ◽  
Hirotaka Mutsuzaki ◽  
Hiroshi Kamada ◽  
Ryoko Takeuchi ◽  
Shogo Nakagawa ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Sagittal Plane ◽  
Gait Training ◽  
Gait Pattern ◽  
Walking Ability ◽  
Gait Symmetry ◽  
Motor Disability ◽  
Before And After ◽  
Hybrid Assistive Limb

Background and objectives: Cerebral palsy (CP) is the most frequent childhood motor disability. Achieving ambulation or standing in children with CP has been a major goal of physical therapy. Recently, robot-assisted gait training using the Hybrid Assistive Limb® (HAL) has been effective in improving walking ability in patients with CP. However, previous studies have not examined in detail the changes in gait pattern after HAL training for patients with spastic CP, including gait symmetry. This study aimed to evaluate the immediate effect of HAL training on the walking ability and the changes in gait pattern and gait symmetry in patients with spastic CP. Materials and Methods: We recruited 19 patients with spastic CP (13 male and six female; mean age, 15.7 years). Functional ambulation was assessed using the 10-Meter Walk Test and gait analysis in the sagittal plane before and after a single 20-min HAL intervention session. Results: The walking speed and stride length significantly increased after HAL intervention compared to the pre-intervention values. Two-dimensional gait analysis showed improvement in equinus gait, increase in the flexion angle of the swing phase in the knee and hip joints, and improvement in gait symmetry. Immediate improvements in the walking ability and gait pattern were noted after HAL training in patients with spastic CP. Conclusions: The symmetry of the joint angle of the lower limb, including the trunk, accounts for the improvement in walking ability after HAL therapy.

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.

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