scholarly journals Muscle Synergies in Response to Biofeedback-Driven Gait Adaptations in Children With Cerebral Palsy

2019 ◽  
Vol 10 ◽  
Author(s):  
Adam T. C. Booth ◽  
Marjolein M. van der Krogt ◽  
Jaap Harlaar ◽  
Nadia Dominici ◽  
Annemieke I. Buizer
Keyword(s):  
Cerebral Palsy ◽  
Muscle Synergies ◽  
Children With Cerebral Palsy

scholarly journals Muscle Synergies During Walking in Children With Cerebral Palsy: A Systematic Review

2020 ◽  
Vol 11 ◽  
Author(s):  
Annike Bekius ◽  
Margit M. Bach ◽  
Marjolein M. van der Krogt ◽  
Ralph de Vries ◽  
Annemieke I. Buizer ◽  
...  
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Muscle Synergies ◽  
Children With Cerebral Palsy

scholarly journals People With Cerebral Palsy: Effects of and Perspectives for Therapy

2001 ◽  
Vol 8 (1-2) ◽  
pp. 51-69 ◽  
Author(s):  
Margaret J. Mayston
Keyword(s):  
Nervous System ◽  
Cerebral Palsy ◽  
Brain Injury ◽  
Functional Ability ◽  
Muscle Tone ◽  
Direct Result ◽  
Muscle Synergies ◽  
Motor Disorder ◽  
Children With Cerebral Palsy ◽  
The Brain

The movement disorder of cerebral palsy (CP) is expressed in a variety of ways and to varying degrees in each individual. The condition has become more complex over the last 20 years with the increasing survival of children born at less than 28 to 30 weeks gestationai age. Impairments present in children with CP as a direct result of the brain injury or occurring indirectly to compensate for underlying problems include abnormal muscle tone; weakness and lack of fitness; limited variety of muscle synergies; contracture and altered biomechanics, the net result being limited functional ability. Other contributors to the motor disorder include sensory, cognitive and perceptual impairments. In recent years understanding of the motor problem has increased, but less is known about effects of therapy. Evidence suggests that therapy can improve functional possibilities for children with cerebral palsy but is inconclusive as to which approach might be most beneficial. The therapist requires an understanding of the interaction of all systems, cognitive/perceptual, motor, musculoskeletal, sensory and behavioral, in the context of the development and plasticity of the CNS. It is necessary to understand the limitations of the damaged immature nervous system, but important to optimize the child's functional possibilities.

Repeatability of muscle synergies within and between days for typically developing children and children with cerebral palsy

2016 ◽  
Vol 45 ◽  
pp. 127-132 ◽  
Author(s):  
Benjamin Shuman ◽  
Marije Goudriaan ◽  
Lynn Bar-On ◽  
Michael H. Schwartz ◽  
Kaat Desloovere ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Muscle Synergies ◽  
Typically Developing ◽  
Typically Developing Children ◽  
Children With Cerebral Palsy

scholarly journals Children With Cerebral Palsy Have Greater Stride-to-Stride Variability of Muscle Synergies During Gait Than Typically Developing Children: Implications for Motor Control Complexity

2018 ◽  
Vol 32 (9) ◽  
pp. 834-844 ◽  
Author(s):  
Yushin Kim ◽  
Thomas C. Bulea ◽  
Diane L. Damiano
Keyword(s):  
Cerebral Palsy ◽  
Motor Control ◽  
Clinical Utility ◽  
Neuromuscular Control ◽  
Muscle Synergy ◽  
Neurological Deficits ◽  
Muscle Synergies ◽  
Children With Cerebral Palsy ◽  
The Central Nervous System ◽  
Potential Clinical Utility

Background. There is mounting evidence that the central nervous system utilizes a modular approach for neuromuscular control of walking by activating groups of muscles in units termed muscle synergies. Examination of muscle synergies in clinical populations may provide insights into alteration of neuromuscular control underlying pathological gait patterns. Previous studies utilizing synergy analysis have reported reduced motor control complexity during walking in those with neurological deficits, revealing the potential clinical utility of this approach. Methods. We extracted muscle synergies on a stride-to-stride basis from 20 children with cerebral palsy (CP; Gross Motor Function Classification System levels I-II) and 8 children without CP, allowing the number of synergies to vary for each stride. Similar muscle synergies across all participants and strides were grouped using a k-means clustering and discriminant analysis. Results. In total, 10 clusters representing 10 distinct synergies were found across the 28 individuals. Relative to their total number of synergies deployed during walking, synergies from children with CP were present in a higher number of clusters than in children with typical development (TD), indicating significantly greater stride-to-stride variability. This increased variability was present despite reduced complexity, as measured by the mean number of synergies in each stride. Whereas children with CP demonstrate some novel synergies, they also deploy some of the same muscle synergies as those with TD, although less frequently and with more variability. Conclusion. A stride-by-stride approach to muscle synergy analysis expands its clinical utility and may provide a method to tailor rehabilitation strategies by revealing inconsistent but functional synergies in each child with CP.

scholarly journals Repeatability of electromyography recordings and muscle synergies during gait among children with cerebral palsy

2019 ◽  
Vol 67 ◽  
pp. 290-295 ◽  
Author(s):  
Katherine M. Steele ◽  
Meghan E. Munger ◽  
Keshia M. Peters ◽  
Benjamin R. Shuman ◽  
Michael H. Schwartz
Keyword(s):  
Cerebral Palsy ◽  
Muscle Synergies ◽  
Children With Cerebral Palsy

Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway

2010 ◽  
Vol 19 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Guro Andersen ◽  
Tone R. Mjøen ◽  
Torstein Vik
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gestational Age ◽  
Augmentative And Alternative Communication ◽  
Alternative Communication ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
Communicative Abilities ◽  
Normal Speech

Abstract This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.

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