Effects of repetitive intensive arm swing indirect gait training on vasti and hamstring muscle activity and gait performance in children with cerebral palsy

2020 ◽  
Vol 27 (1) ◽  
pp. 1-13 ◽  
Author(s):  
Yon Ju Sim ◽  
Dong Ryul Lee ◽  
Chung Hwi Yi ◽  
Heon Seock Cynn
Keyword(s):  
Cerebral Palsy ◽  
Muscle Activity ◽  
Gait Training ◽  
Lower Limbs ◽  
Clinical Test ◽  
Arm Swing ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Training Programmes

Background/aims Both upper and lower limbs interact through neural coupling. Such interconnection leads to rhythmic interlimb coordination, which affects the central pattern generator for the lower limbs. The aim of this study was to investigate the effects of repetitive intensive arm swing indirect gait training on muscle activity and gait parameters in children with cerebral palsy. Methods A total of 9 children with cerebral palsy were recruited for 20 sessions of repetitive intensive arm swing indirect gait training. They were tested before and after completion of this training using surface electromyography, spatiotemporal gait parameters assessments and clinical tests. A paired t-test was used to investigate differences in participants' vasti and hamstring activity, spatiotemporal gait parameters, and clinical test results before and after the training. Results Participants' vasti muscle activity increased significantly after the repetitive intensive arm swing indirect gait training, but there was no significant change in their hamstring muscles. However, spatiotemporal gait parameters and clinical motor function improved significantly. Conclusions Repetitive intensive arm swing indirect gait training may be suitable as an effective exercise in gait training programmes for children with cerebral palsy.

scholarly journals Influence of body weight unloading and support surface during walking of children with cerebral palsy

2014 ◽  
Vol 27 (4) ◽  
pp. 591-599
Author(s):  
Melissa Leandro Celestino ◽  
Gabriela Lopes Gama ◽  
Gabryella Santos Cordeiro Longuinho ◽  
Meico Fugita ◽  
Ana Maria Forti Barela
Keyword(s):  
Body Weight ◽  
Cerebral Palsy ◽  
Motor Impairment ◽  
Ground Level ◽  
Gait Training ◽  
Lower Limbs ◽  
Support Surface ◽  
Experimental Conditions ◽  
Dynamic Surface ◽  
Children With Cerebral Palsy

Introduction Partial body weight support (BWS) systems have been employed for gait training of children with cerebral palsy (CP). Therefore, it would be important to analyze if the type of walking surface and the amount of body weight unloading over lower limbs change the way these children walk. Objectives Investigate the influence of walking surface and amount of body weight unloading on the spatial temporal characteristics during walking of children with CP. Materials and methods Seven children with spastic CP between four and eight years old and GMFCS (Gross Motor Function Classification System) between I and IV, were videotaped walking with 0%, 15% and 30% of BWS on both dynamic (treadmill) and static (ground level) surfaces. Walking spatial temporal variables were calculated. Results Children walked with similar velocity in all experimental conditions. While stance duration decreased as the percentage of BWS increased, no differences were found for stance and swing periods and cadence. Children walked with longer steps and strides and with faster strides on static surface compared to dynamic surface. Conclusion Children with CP presenting different levels of motor impairment presented some alterations in the spatial temporal walking parameters as they walked with body unloading. However, such alterations might be due mainly to the type of walking surface than the percentage of body weight unloading on lower limbs.

scholarly journals Effect of Platform Swing Walkway on Locomotor Behavior in Children With Diplegic Cerebral Palsy: Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Hanaa Mohsen ◽  
Omnya Samy
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Motor Function ◽  
Gait Training ◽  
Therapeutic Modality ◽  
Control Group ◽  
Study Group ◽  
Sensory Stimuli ◽  
Gait Parameters ◽  
Before And After

BACKGROUND Limited attention has been given to the effectiveness of the platform swing walkway, which is a common way to improve gait pattern through activation of sensory stimuli (visual, auditory, vestibular, and somatosensory). OBJECTIVE The objective of this study was to determine the effect of a platform swing walkway on gait parameters in children with diplegic cerebral palsy (CP). METHODS A total of 30 children of both sexes (aged 6-8 years) with diplegic CP were enrolled in this study. They were randomly assigned into two groups of equal number: the control group (n=15) and the study group (n=15). The control group received the conventional physical therapy plan, whereas the study group received the same conventional physical therapy program in addition to gait training on a platform swing walkway. Temporal parameters during the gait cycle were collected using gait tracker video analysis, and the Growth Motor Function Measure Scale (GMFM-88) was used to assess standing and walking (Dimensions D and E) before and after the treatment program. RESULTS A statistically significant improvement in both groups was noted when comparing the mean values of all measured variables before and after treatment (<i>P</i>≤.05). There were significant differences between the control and study groups with respect to all measured variables, which favored the study group when comparing the posttreatment outcomes (<i>P</i>≤.05). CONCLUSIONS Results suggest that gait training on platform swing walkways can be included as an alternative therapeutic modality to enhance gait parameters and gross motor function in children with diplegic CP. CLINICALTRIAL ClinicalTrials.gov NTC04246658; https://clinicaltrials.gov/ct2/show/NTC04246658

scholarly journals Kinematic and EMG Responses to Pelvis and Leg Assistance Force during Treadmill Walking in Children with Cerebral Palsy

2016 ◽  
Vol 2016 ◽  
pp. 1-12 ◽  
Author(s):  
Ming Wu ◽  
Janis Kim ◽  
Pooja Arora ◽  
Deborah J. Gaebler-Spira ◽  
Yunhui Zhang
Keyword(s):  
Cerebral Palsy ◽  
Muscle Activation ◽  
Step Length ◽  
Swing Phase ◽  
Treadmill Walking ◽  
The Body ◽  
Treadmill Training ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Before And After

Treadmill training has been used for improving locomotor function in children with cerebral palsy (CP), but the functional gains are relatively small, suggesting a need to improve current paradigms. The understanding of the kinematic and EMG responses to forces applied to the body of subjects during treadmill walking is crucial for improving current paradigms. The objective of this study was to determine the kinematics and EMG responses to the pelvis and/or leg assistance force. Ten children with spastic CP were recruited to participate in this study. A controlled assistance force was applied to the pelvis and/or legs during stance and swing phase of gait through a custom designed robotic system during walking. Muscle activities and spatial-temporal gait parameters were measured at different loading conditions during walking. In addition, the spatial-temporal gait parameters during overground walking before and after treadmill training were also collected. Applying pelvis assistance improved step height and applying leg assistance improved step length during walking, but applying leg assistance also reduced muscle activation of ankle flexor during the swing phase of gait. In addition, step length and self-selected walking speed significantly improved after one session of treadmill training with combined pelvis and leg assistance.

scholarly journals Effect of Platform Swing Walkway on Locomotor Behavior in Children With Diplegic Cerebral Palsy: Randomized Controlled Trial

10.2196/18232 ◽  
2020 ◽  
Vol 5 (1) ◽  
pp. e18232
Author(s):  
Hanaa Mohsen ◽  
Omnya Samy
Keyword(s):  
Cerebral Palsy ◽  
Physical Therapy ◽  
Motor Function ◽  
Gait Training ◽  
Therapeutic Modality ◽  
Control Group ◽  
Study Group ◽  
Sensory Stimuli ◽  
Gait Parameters ◽  
Before And After

Background Limited attention has been given to the effectiveness of the platform swing walkway, which is a common way to improve gait pattern through activation of sensory stimuli (visual, auditory, vestibular, and somatosensory). Objective The objective of this study was to determine the effect of a platform swing walkway on gait parameters in children with diplegic cerebral palsy (CP). Methods A total of 30 children of both sexes (aged 6-8 years) with diplegic CP were enrolled in this study. They were randomly assigned into two groups of equal number: the control group (n=15) and the study group (n=15). The control group received the conventional physical therapy plan, whereas the study group received the same conventional physical therapy program in addition to gait training on a platform swing walkway. Temporal parameters during the gait cycle were collected using gait tracker video analysis, and the Growth Motor Function Measure Scale (GMFM-88) was used to assess standing and walking (Dimensions D and E) before and after the treatment program. Results A statistically significant improvement in both groups was noted when comparing the mean values of all measured variables before and after treatment (P≤.05). There were significant differences between the control and study groups with respect to all measured variables, which favored the study group when comparing the posttreatment outcomes (P≤.05). Conclusions Results suggest that gait training on platform swing walkways can be included as an alternative therapeutic modality to enhance gait parameters and gross motor function in children with diplegic CP. Trial Registration ClinicalTrials.gov NTC04246658; https://clinicaltrials.gov/ct2/show/NTC04246658

Thermovision techniques for evaluation of the effect of hippotherapy on changes in lower limb temperature in children with cerebral palsy (CP) – a pilot study

Physiotherapy ◽  
2013 ◽  
Vol 21 (1) ◽  
Author(s):  
Alicja Katarzyna Dziuba ◽  
Krzysztof Dudek ◽  
Krystyna Kobel-Buys ◽  
Grzegorz Żurek ◽  
Ewa Smajda
Keyword(s):  
Cerebral Palsy ◽  
Muscle Tension ◽  
Circulatory System ◽  
Lower Limbs ◽  
Wilcoxon Test ◽  
Positive Effects ◽  
Non Invasive ◽  
Abnormal Pressure ◽  
Children With Cerebral Palsy ◽  
Before And After

AbstractIntroduction: of the study. The elevated muscle tension in lower limbs (LL) in children with cerebral palsy (CP) results in the abnormal pressure on major blood vessels. Consequently, this leads to the disturbances in the circulatory system and a reduction in the temperature in lower limbs. This study assesses thermal effects of a single-session hippotherapy in LL in CP children by means of a non-invasive thermovision technique. Materials and methods: The study included 9 children with CP aged 11,8 ± 4,5 who were treated with hippotherapy. A thermovision camera was used for measurements of the temperature on the surface of lower limbs in anterior, posterior, lateral and medial parts before and after the hippotherapy. Results: The increase in the temperature was observed in the areas of lower limbs which remain directly in contact with the horse’s body. The Wilcoxon test (p<0,01) revealed statistically significant changes in the temperature of the posterior regions in lower limbs. Conclusions: Hippotherapy causes an increase in the temperature of lower limbs in the areas directly involved in contact with the horse’s body. When continuing the study, the factors required for positive effects of the hippotherapy, such as the quality of the therapy and patient’s activation should also be taken into consideration.

Static and Dynamic Gait Parameters Before and After Multilevel Soft Tissue Surgery in Ambulating Children With Cerebral Palsy

2010 ◽  
Vol 30 (2) ◽  
pp. 174-179 ◽  
Author(s):  
Nicholas M. Bernthal ◽  
Seth C. Gamradt ◽  
Robert M. Kay ◽  
Tishya A. L. Wren ◽  
Anna V. Cuomo ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Soft Tissue ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Before And After ◽  
Dynamic Gait ◽  
Soft Tissue Surgery

scholarly journals Robot-Assisted Gait Training in Patients with Multiple Sclerosis: A Randomized Controlled Crossover Trial

Medicina ◽  
2021 ◽  
Vol 57 (7) ◽  
pp. 713
Author(s):  
Cristiano Sconza ◽  
Francesco Negrini ◽  
Berardo Di Matteo ◽  
Alberto Borboni ◽  
Gennaro Boccia ◽  
...  
Keyword(s):  
Crossover Trial ◽  
Gait Training ◽  
Treatment Session ◽  
Control Group ◽  
Walk Test ◽  
Robot Assisted ◽  
Randomized Controlled ◽  
Gait Parameters ◽  
Before And After

Background and Objectives: Gait disorders represent one of the most disabling aspects in multiple sclerosis (MS) that strongly influence patient quality of life. The improvement of walking ability is a primary goal for rehabilitation treatment. The aim of this study is to evaluate the effectiveness of robot-assisted gait training (RAGT) in association with physiotherapy treatment in patients affected by MS in comparison with ground conventional gait training. Study design: Randomized controlled crossover trial. Materials and Methods: Twenty-seven participants affected by MS with EDSS scores between 3.5 and 7 were enrolled, of whom seventeen completed the study. They received five training sessions per week over five weeks of conventional gait training with (experimental group) or without (control group) the inclusion of RAGT. The patients were prospectively evaluated before and after the first treatment session and, after the crossover phase, before and after the second treatment session. The evaluation was based on the 25-foot walk test (25FW, main outcome), 6 min walk test (6MWT), Tinetti Test, Modified Ashworth Scale, and modified Motricity Index for lower limbs. We also measured disability parameters using Functional Independence Measure and Quality of Life Index, and instrumental kinematic and gait parameters: knee extensor strength, double-time support, step length ratio; 17 patients reached the final evaluation. Results: Both groups significantly improved on gait parameters, motor abilities, and autonomy recovery in daily living activities with generally better results of RAGT over control treatment. In particular, the RAGT group improved more than control group in the 25FW (p = 0.004) and the 6MWT (p = 0.022). Conclusions: RAGT is a valid treatment option that in association with physiotherapy could induce positive effects in MS-correlated gait disorders. Our results showed greater effectiveness in recovering gait speed and resistance than conventional gait training.

Effect of physical therapy interventions on spatiotemporal gait parameters in children with cerebral palsy: a systematic review

2019 ◽  
pp. 1-10
Author(s):  
Carolina Corsi ◽  
Mariana M. Santos ◽  
Roberta F. C. Moreira ◽  
Adriana N. dos Santos ◽  
Ana C. de Campos ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Physical Therapy ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Therapy Interventions
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