Changes in Mobility and Muscle Function of Children with Cerebral Palsy after Gait Training: A Pilot Study.

Abstract:

:The goal of this pilot study was to characterize the effects of gait training on the capacity of muscles to produce body accelerations and relate these changes to mobility improvements seen in children with cerebral palsy (CP). Five children (14 years ± 3 y; GMFCS I-II) with spastic diplegic CP participated in a 6-week gait training program. Changes in 10-m fast-as-possible walking speed and 6-minute walking endurance were used to assess changes in mobility. In addition, musculoskeletal modeling was used to determine the potential of lower-limb muscles to accelerate the body's center of mass vertically and forward during stance. The mobility changes after the training were mixed, with some children demonstrating vast improvements, while others appeared to be minimal. However, the musculoskeletal results revealed unique responses for each child. The most common changes occurred in the capacity for the hip and knee extensors to produce body support and the hip flexors to produce body propulsion. These results cannot yet be generalized to the broad population of children with CP, but demonstrate that therapy protocols may be enhanced by modeling analyses. The pilot study results provide motivation for gait training emphasizing upright leg posture, mediolateral balance, and ankle push-off.

journal_name

J Appl Biomech

authors

Hegarty AK,Kurz MJ,Stuberg W,Silverman AK

doi

10.1123/jab.2015-0311

subject

Has Abstract

pub_date

2016-10-01 00:00:00

pages

469-86

issue

5

eissn

1065-8483

issn

1543-2688

pii

2015-0311

journal_volume

32

pub_type

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