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https://www.readbyqxmd.com/read/29433091/the-influence-of-lower-limb-impairments-on-racerunning-performance-in-athletes-with-hypertonia-ataxia-or-athetosis
#1
Marietta L van der Linden, Sadaf Jahed, Nicola Tennant, Martine H G Verheul
OBJECTIVES: RaceRunning enables athletes with limited or no walking ability to propel themselves independently using a three-wheeled running bike that has a saddle and a chest plate for support but no pedals. For RaceRunning to be included as a Para athletics event, an evidence-based classification system is required. Therefore, the aim of this study was to assess the association between a range of impairment measures and RaceRunning performance. METHODS: The following impairment measures were recorded: lower limb muscle strength assessed using Manual Muscle Testing (MMT), selective voluntary motor control assessed using the Selective Control Assessment of the Lower Extremity (SCALE), spasticity recorded using both the Australian Spasticity Assessment Score (ASAS) and Modified Ashworth Scale (MAS), passive range of motion (ROM) of the lower extremities and the maximum static step length achieved on a stationary bike (MSSL)...
February 5, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29409817/botulinum-toxin-treatment-of-pain-syndromes-an-evidence-based-review
#2
Yasaman Safarpour, Bahman Jabbari
This review evaluates the existing level of evidence for efficacy of BoNTs in different pain syndromes using the recommended efficacy criteria from the Assessment and Therapeutic Subcommittee of the American Academy of Neurology. There is a level A evidence (effective) for BoNT therapy in post-herpetic neuralgia, trigeminal neuralgia, and posttraumatic neuralgia. There is a level B evidence (probably effective) for diabetic neuropathy, plantar fasciitis, piriformis syndrome, pain associated with total knee arthroplasty, male pelvic pain syndrome, chronic low back pain, male pelvic pain, and neuropathic pain secondary to traumatic spinal cord injury...
January 31, 2018: Toxicon: Official Journal of the International Society on Toxinology
https://www.readbyqxmd.com/read/29408925/outcome-of-medial-hamstring-lengthening-in-children-with-spastic-paresis-a-biomechanical-and-morphological-observational-study
#3
Helga Haberfehlner, Richard T Jaspers, Erich Rutz, Jaap Harlaar, Johannes A van der Sluijs, Melinda M Witbreuk, Kim van Hutten, Jacqueline Romkes, Marie Freslier, Reinald Brunner, Jules G Becher, Huub Maas, Annemieke I Buizer
To improve gait in children with spastic paresis due to cerebral palsy or hereditary spastic paresis, the semitendinosus muscle is frequently lengthened amongst other medial hamstring muscles by orthopaedic surgery. Side effects on gait due to weakening of the hamstring muscles and overcorrections have been reported. How these side effects relate to semitendinosus morphology is unknown. This study assessed the effects of bilateral medial hamstring lengthening as part of single-event multilevel surgery (SEMLS) on (1) knee joint mechanics (2) semitendinosus muscle morphology and (3) gait kinematics...
2018: PloS One
https://www.readbyqxmd.com/read/29400673/validation-of-manual-muscle-testing-mmt-in-children-and-adolescents-with-cerebral-palsy
#4
Faustyna Manikowska, Brian Po-Jung Chen, Marek Jóźwiak, Maria K Lebiedowska
BACKGROUND: Weakness is a major impairment in many movement disorders, including cerebral palsy (CP), which presents as a decrease in muscle strength. Manual muscle testing (MMT) is very popular in clinical practice, however it has many limitations. OBJECTIVE: (1) Whether maximum voluntary contraction (MVC) measures differ across clinical MMT groups; (2) Whether an association exists between clinical MMT score groups and instrumental MVC measures. METHODS: Twenty-one participants with spastic CP were recruited (11 females and 10 males; age = 13...
2018: NeuroRehabilitation
https://www.readbyqxmd.com/read/29389721/quantitative-assessment-of-knee-progression-angle-during-gait-in-children-with-cerebral-palsy
#5
Jon R Davids, Nina Q Cung, Robin Pomeroy, Brooke Schultz, Leslie Torburn, Vedant A Kulkarni, Sean Brown, Anita M Bagley
BACKGROUND: Abnormal hip rotation is a common deviation in children with cerebral palsy (CP). Clinicians typically assess hip rotation during gait by observing the direction that the patella points relative to the path of walking, which is referred to as the knee progression angle (KPA). Two kinematic methods for calculating the KPA are compared with each other. Video-based qualitative assessment of KPA is compared with the quantitative methods to determine reliability and validity. METHODS: The KPA was calculated by both direct and indirect methods for 32 typically developing (TD) children and a convenience cohort of 43 children with hemiplegic type CP...
January 31, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29389718/rectus-femoris-transfer-versus-rectus-intramuscular-lengthening-for-the-treatment-of-stiff-knee-gait-in-children-with-cerebral-palsy
#6
Matthew D Ellington, Allison C Scott, Judith Linton, Elroy Sullivan, Douglas Barnes
BACKGROUND: Rectus femoris transfer (RFT) is used to treat stiff knee gait in spastic cerebral palsy. Recently, rectus femoris lengthening has been reported as treatment for stiff knee gait. The purpose of this study was to compare short-term outcomes of 2 surgical procedures. METHODS: A retrospective chart review of 23 patients (42 limbs) with diplegic spastic cerebral palsy who had undergone rectus femoris intramuscular lengthening for treatment of stiff knee gait with a Gross Motor Function Classification System level I, II, or III was completed...
January 31, 2018: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/29353743/long-term-development-of-overcorrection-after-femoral-derotation-osteotomy-in-children-with-cerebral-palsy
#7
Mirjam Niklasch, Matthias C Klotz, Sebastian I Wolf, Thomas Dreher
BACKGROUND: Recent studies showed rates of recurrence of internal rotation gait (IRG) after femoral derotation osteotomy (FDO) up to 40%. Some surgeons even advice overcorrection during FDO to avoid a later recurrence. RESEARCH QUESTION: Evaluation of the long-term development of limbs with initial overcorrection after FDO. METHODS: 29 limbs of 20 children (9.9 ± 3.2 years at surgery) with IRG, cerebral palsy (CP) and more than 5° external hip rotation postoperatively were included retrospectively...
January 17, 2018: Gait & Posture
https://www.readbyqxmd.com/read/29340004/performance-and-kinematic-differences-in-putting-between-healthy-and-disabled-elite-golfers
#8
Tomáš Gryc, Petr Stastny, František Zahálka, Wojciech Smółka, Piotr Żmijewski, Artur Gołaś, Marek Zawartka, Tomáš Malý
Golfers with disability are limited in the execution of the full golf swing, but their performance in putting may be comparable because this stroke does not demand significant strength, balance and range of motion. Therefore, the aim of this study was to compare putting performance, kinetic and kinematic consistency between golfers with different disabilities and healthy athletes. The participants consisted of three disabled athletes (perinatal cerebral palsy, multiple sclerosis, below knee lower limb amputee) and three healthy golfers (age 34 ± 4...
December 2017: Journal of Human Kinetics
https://www.readbyqxmd.com/read/29326905/neuromuscular-features-in-sprinters-with-cerebral-palsy-case-studies-based-on-paralympic-classification
#9
Diego Antunes, Mateus Rossato, Rafael Lima Kons, Raphael Luiz Sakugawa, Gabriela Fischer
Despite the evolution of runner performance in athletes with cerebral palsy (CP), little is known about neuromuscular parameters of sprinters from different classes, especially related to power output, muscular imbalances and asymmetry indexes in lower limbs. The aim of this study was to assess muscle power, muscular imbalance and asymmetry in sprinters with CP. Four male sprinters with CP (age, 18 to 27 years; body mass, 58.5 to 72.8 kg; height, 161.5 to 174 cm) classified as T38, T37, T36, T35 according to International Paralympic Committee functional classification, performed vertical counter movement jump and squat jump on force plate and isokinetic torque evaluations in both limbs...
December 2017: Journal of Exercise Rehabilitation
https://www.readbyqxmd.com/read/29324873/a-new-strength-assessment-to-evaluate-the-association-between-muscle-weakness-and-gait-pathology-in-children-with-cerebral-palsy
#10
Marije Goudriaan, Angela Nieuwenhuys, Simon-Henri Schless, Nathalie Goemans, Guy Molenaers, Kaat Desloovere
AIM: The main goal of this validation study was to evaluate whether lower limb muscle weakness and plantar flexor rate of force development (RFD) related to altered gait parameters in children with cerebral palsy (CP), when weakness was assessed with maximal voluntary isometric contractions (MVICs) in a gait related test position. As a subgoal, we analyzed intra- and intertester reliability of this new strength measurement method. METHODS: Part 1 -Intra- and intertester reliability were determined with the intra-class correlation coefficient (ICC2,1) in 10 typical developing (TD) children (age: 5-15)...
2018: PloS One
https://www.readbyqxmd.com/read/29318610/demographic-and-modifiable-factors-associated-with-knee-contracture-in-children-with-cerebral-palsy
#11
Erika Cloodt, Andreas Rosenblad, Elisabet Rodby-Bousquet
AIM: To identify the prevalence of knee contracture and its association with gross motor function, age, sex, spasticity, and muscle length in children with cerebral palsy (CP). METHOD: Cross-sectional data for passive knee extension were analysed in 3 045 children with CP (1 756 males, 1 289 females; mean age 8y 1mo [SD 3.84]). CP was classified using the Gross Motor Function Classification System (GMFCS) levels I (n=1 330), II (n=508), III (n=280), IV (n=449), and V (n=478)...
January 10, 2018: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/29298270/is-the-knee-the-key-to-long-term-gait-function-in-cerebral-palsy-commentary-on-an-article-by-elizabeth-r-boyer-phd-et-al-long-term-outcomes-of-distal-femoral-extension-osteotomy-and-patellar-tendon-advancement-in-individuals-with-cerebral-palsy
#12
https://www.readbyqxmd.com/read/29298258/long-term-outcomes-of-distal-femoral-extension-osteotomy-and-patellar-tendon-advancement-in-individuals-with-cerebral-palsy
#13
Elizabeth R Boyer, Jean L Stout, Jennifer C Laine, Sarah M Gutknecht, Lucas H Araujo de Oliveira, Meghan E Munger, Michael H Schwartz, Tom F Novacheck
BACKGROUND: We examined long-term outcomes across the domains of the International Classification of Functioning, Disability and Health for 2 groups of participants with cerebral palsy who demonstrated crouch gait at clinical gait analysis. One group underwent a distal femoral extension osteotomy with patellar tendon advancement (DFEO + PTA). The other group received other treatments (non-DFEO + PTA). METHODS: Fifty-one participants returned for a long-term gait analysis, physical examination, energy consumption test, knee radiographs, and questionnaires (median, 13 years post-DFEO + PTA or post-baseline [range, 8 to 21 years])...
January 3, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29295638/postural-asymmetry-in-non-ambulant-adults-with-cerebral-palsy-a-scoping-review
#14
Carlee Holmes, Kim Brock, Prue Morgan
PURPOSE: Non-ambulant adults with cerebral palsy are vulnerable to development of postural asymmetry and associated complications. The primary aim of this scoping review was to identify postural deformities in non-ambulant adults with cerebral palsy. MATERIALS AND METHODS: Comprehensive searches were undertaken in EMBASE, CINAHL, AMED, Cochrane, Psych INFO, and Joanna Briggs (1986-Jan 2017), supplemented by hand searching. Two reviewers independently extracted data using a customised tool focusing on study design, participant characteristics, postural descriptors, measurement tools, and interventions...
January 2, 2018: Disability and Rehabilitation
https://www.readbyqxmd.com/read/29277060/does-additional-patella-tendon-shortening-influence-the-effects-of-multilevel-surgery-to-correct-flexed-knee-gait-in-cerebral-palsy-a-randomized-controlled-trial
#15
M C M Klotz, Britta K Krautwurst, K Hirsch, M Niklasch, M W Maier, S I Wolf, T Dreher
BACKGROUND: The aims of this study were to investigate if patellar tendon shortening (PTS) as a part of SEMLS (single event multilevel surgery) is effective for reduction of flexed knee gait in children with cerebral palsy (CP) and, if PTS leads to stiff knee gait. METHODS: In a randomized controlled study 22 children with flexed knee gait (age: 10.4 ± 2.6 years, GMFCS Level I-III) were randomized and allocated to two groups (1: SEMLS + PTS; 2: SEMLS no PTS): SEMLS was performed for correction of flexed knee gait either with or without additional PTS...
December 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29277025/fatigue-quality-of-life-and-walking-ability-in-adults-with-cerebral-palsy
#16
Sofia Lundh, Salmir Nasic, Jacques Riad
INTRODUCTION: Few studies on fatigue, quality of life and walking ability in adults with cerebral palsy (CP) are available. It is unclear whether these variables are associated. AIM: The aim was to study the influence of CP on fatigue, quality of life, and gait of adult patients. MATERIAL AND METHODS: Three-dimensional gait analysis was performed on 24 women and 26 men, mean age 32.1 (range 21.7-67.2), 23 with unilateral and 27 with bilateral CP...
December 16, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29248848/the-coupled-effects-of-crouch-gait-and-patella-alta-on-tibiofemoral-and-patellofemoral-cartilage-loading-in-children
#17
Scott C E Brandon, Darryl G Thelen, Colin R Smith, Tom F Novacheck, Michael H Schwartz, Rachel L Lenhart
BACKGROUND: Elevated tibiofemoral and patellofemoral loading in children who exhibit crouch gait may contribute to skeletal deformities, pain, and cessation of walking ability. Surgical procedures used to treat crouch frequently correct knee extensor insufficiency by advancing the patella. However, there is little quantitative understanding of how the magnitudes of crouch and patellofemoral correction affect cartilage loading in gait. METHODS: We used a computational musculoskeletal model to simulate the gait of twenty typically developing children and fifteen cerebral palsy patients who exhibited mild, moderate, and severe crouch...
December 5, 2017: Gait & Posture
https://www.readbyqxmd.com/read/29215495/caregiver-perceptions-and-health-related-quality-of-life-changes-in-cerebral-palsy-patients-after-spinal-arthrodesis
#18
Amit Jain, Brian Sullivan, Suken A Shah, Amer F Samdani, Burt Yaszay, Michelle C Marks, Paul D Sponseller
STUDY DESIGN: Retrospective analysis of a prospective registryObjective: Our objective was to prospectively assess caregivers' perceptions regarding changes in the health-related quality of life (HRQL) of patients with cerebral palsy (CP) after spinal arthrodesis. We assessed caregiver perceptions from 3 perspectives: 1) qualitative assessment of changes in global quality of life, comfort, and health; 2) relative valuation of spine surgery versus other common interventions in CP patients; and 3) quantitative changes in HRQL scores...
December 5, 2017: Spine
https://www.readbyqxmd.com/read/29214458/the-effects-of-uninvolved-side-epiphysiodesis-for-limb-length-equalization-in-children-with-unilateral-cerebral-palsy-clinical-evaluation-with-the-edinburgh-visual-gait-score
#19
Marco Corradin, Roberto Schiavon, Andrea Borgo, Jacques Deslandes, Antonella Cersosimo, Federico Canavese
PURPOSE: Hemiplegic cerebral palsy patient may present a shorten leg on the hemiplegic side that afflicts negatively the kinematic of the uninvolved limb. Thus, the aim of this study was to investigate the modification of gait kinematic after epiphysiodesis for limb equalization and secondary to verify the prediction of correction. METHODS: Skeletally immature hemiplegic patients with a minimum limb leg discrepancy (LLD) of 2.5 cm were treated with epiphysiodesis of the unaffected knee and clinically evaluated with Edinburgh visual gait score (EVGS)...
December 6, 2017: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://www.readbyqxmd.com/read/29197788/effects-of-antagonistic-and-synergistic-muscles-co-activation-on-mechanics-of-activated-spastic-semitendinosus-in-children-with-cerebral-palsy
#20
Filiz Ateş, Yener Temelli, Can A Yucesoy
OBJECTIVES: Most activities involve co-activation of several muscles and epimuscular myofascial force transmission (EMFT) can affect their mechanics. This can be relevant for spastic muscles of cerebral palsy (CP) patients. Isometric spastic semitendinosus (ST) forces vs. knee angle (KA-FST) data were collected intra-operatively to test the following hypotheses: (i) Inter-antagonistic EMFT elevates FST, (ii) changes the shape of KA-FST characteristics, (iii) reduces the muscle's joint range of force exertion (Range-FST) and (iv) combined inter-antagonistic and synergistic EMFT further changes those effects...
November 30, 2017: Human Movement Science
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