Commenced in January 2007
Frequency: Monthly
Edition: International
Paper Count: 30455
Kinematic Gait Analysis of Upper and Lower Limbs Joints in Hemiplegic Children

Authors: Zeinab A.Hussein, Manal S. Abd El-Wahab, Shorouk A. W. El-Shennawy

Abstract:

Children with hemiplgic cerebral palsy often walk with diminished reciprocal arm swing so the purpose of this study was to describe kinematic characteristics in children with hemiplegic cerebral palsy (CP) during the gait suphases, and find if there is a correlation between upper(shoulder and elbow) and lower(hip, knee, and ankle) limb joints either in involved or uninvolved.48 children with hemiplegic cerebral palsy (18boys, 30girls) with an average age of (5.1±0.87) years were selected randomly to evaluate joint angles during gait by 3D motion analysis system with 6 pro reflex cameras in a sagittal plane for both sides of the body. The results showed increased shoulder and elbow flexion, increased hip angular displacement, decreased knee and ankle arcs during gait cycle, also there is correlation between shoulder and elbow to hip, knee, and ankle joints during various subphases of gait.

Keywords: Motion Analysis, Cerebral Palsy, hemiplegia, gait

Digital Object Identifier (DOI): doi.org/10.5281/zenodo.1332672

Procedia APA BibTeX Chicago EndNote Harvard JSON MLA RIS XML ISO 690 PDF Downloads 1985

References:


[1] E.M. Michael: Developmental vulnerability and Resilience in extreme preterm infants. JAMA, 2004, 2399- 2401.
[2] L. Koman, B.P. Smith, and R. Balkrishman: Spasticity associated with cerebral palsy in children: Guidelines for the use of botulinum A toxin. Pediatric Drugs, vol.5, 2003, pp. 11-33.
[3] C.P. Panteliadis: Cerebral palsy: in Panteliadis CP, and Daras BT(ed). Encyclopedia of pediatric Neurology; Theory and Practice, 2nd ed, Thessalonic. Greece.1999,pp 322-363
[4] D.l. Damiano, K. Dodd, and N.F. Taylor: Should we be testing and training muscle strength in cerebral palsy?. Dev Med Child Neurology; Bobath B. the treatment of neuromuscular disorders. vol 44, 2002,pp 68- 72.
[5] S.K. Campbell, D. Lenden, and R. Palisano: Gait: Development and Analysis. In: physical therapy for children, by. Stout,J. 1st ed , Saunders, Elsevier, 2006 pp 161-190.
[6] S.A. Jane: Physical Therapy for the Child with Cerebral Palsy. In: J.S. Tecklin , ed. Pediatric Physical Therapy. 4th ed. Baltimore, MD:Lippincott, Williams & Wilkins; 2008:120-125.
[7] S. Ounpuu, K.J. Bell, and P.A. Deluca: An evaluation of the posterior leaf spring orthosis using joint kinematics and kinetics. J Ped Orth; vol 16, 1996, pp.378- 384.
[8] J. Carr,and R. shepherd : Neurological rehabilitation. 1st ed, Oxford. Butterworth and Heinmann, 1998, 55-97.
[9] T.D. Sanger, C. Delgado, D.S. Gaebler, and J.W. Mink: Classification and definition of disorders causing hypertonia in childhood. Pediatrics;vol 11,2003,pp.89-97.
[10] - S. Allison, G. T.Darryl, H. S. Michael, C. A.Frank, and L. D.Scott: Muscular coordination of knee motion during the terminal-swing phase of normal gait, Journal of Biomechanics. Vol 40, 2007, pp.3314 - 3324.
[11] A.E.Tuzson,, K.P. Granata, and M.F Abel: Spastic velocity threshold constrains functional performance in cerebral palsy. Archives of Physical Medicine and Rehabilitation vol 84, 2003, pp1363-1368.
[12] B.S. Russman: Cerebral Palsy Curr Treat Options Neurol. vol 2, 2000, pp. 97- 108.
[13] D.P. Ferris, H.J. Huang, and P.C. Kao: Moving the Arms to Activate the Legs. Exercise and sport sciences Reviews. Vol 34(3), 2004: pp, 113- 120.
[14] H.M. Algra,: The neuronal group selection theory: promising principles for understanding and treating developmental motor disorders. Developmental Medicine& Child Neurology, vol 42, 2000, pp, 707-715.
[15] M.C. Kinlary and Bedford: Disorders of the central nervous system. In P.M Eckerslly, ed., Element of pediatric physiotherapy. Churchill Livingstone, London 1993, pp: 115-153.
[16] J.R. Gage, P.A. Deluca, and T.S.Renshaw: Gait analysis principle and applications with emphasis on its use in cerebral palsy. J Bone Joint Syrgery.vol 77(A), 1995,pp, 1607-1623.