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Cerebral palsy , gait analysis, pediatric rehabilitation

Luanda André Collange Grecco, Natália de Almeida Carvalho Duarte, Mariana E Mendonça, Manuela Galli, Felipe Fregni, Claudia Santos Oliveira
OBJECTIVE: To compare the effects of anodal vs. sham transcranial direct current stimulation combined with virtual reality training for improving gait in children with cerebral palsy. DESIGN: A pilot, randomized, controlled, double-blind, clinical trial. SETTING: Rehabilitation clinics. SUBJECTS: A total of 20 children with diparesis owing to cerebral palsy. INTERVENTIONS: The experimental group received anodal stimulation and the control group received sham stimulation over the primary motor cortex during virtual reality training...
December 2015: Clinical Rehabilitation
Stefano Rossi, Alessandra Colazza, Maurizio Petrarca, Enrico Castelli, Paolo Cappa, Hermano Igo Krebs
We are designing a pediatric exoskeletal ankle robot (pediatric Anklebot) to promote gait habilitation in children with Cerebral Palsy (CP). Few studies have evaluated how much or whether the unilateral loading of a wearable exoskeleton may have the unwanted effect of altering significantly the gait. The purpose of this study was to evaluate whether adding masses up to 2.5 kg, the estimated overall added mass of the mentioned device, at the knee level alters the gait kinematics. Ten healthy children and eight children with CP, with light or mild gait impairment, walked wearing a knee brace with several masses...
2013: PloS One
Laura K Brunton, Doreen J Bartlett
PURPOSE: The aim of the study was to describe the lived bodily experience of cerebral palsy (CP). METHOD: This was a descriptive phenomenological inquiry. Ten participants were interviewed about their bodily experiences of living with CP. Interviews were semi-structured around pain and fatigue. Inductive thematic analysis was used to identify themes. RESULTS: The bodily experience of CP centered on issues of fatigue and pain as a feeling of muscle soreness...
2013: Disability and Rehabilitation
Z O Abu-Faraj, G F Harris, P A Smith
The objectives of this study were to quantitatively determine the effects of subtalar arthrodesis on the planovalgus foot using three-dimensional (3-D) gait analysis and plantar pressure measurements. Twelve children and adolescents with planovalgus foot deformity secondary to spastic cerebral palsy participated in this outcome study. The pediatric population were evaluated preoperatively and following subtalar fusion. Seventeen feet were operated for the correction of the planovalgus foot deformity. A Holter-type microprocessor-based portable in-shoe data acquisition system was used in this study to collect the multistep dynamic plantar pressure history, while a five-camera Vicon-based gait analysis system was used to track the lower extremity joint kinematics...
June 2001: IEEE Transactions on Neural Systems and Rehabilitation Engineering
D L Damiano, T L Martellotta, D J Sullivan, K P Granata, M F Abel
OBJECTIVE: To determine cocontraction's relation to strength and motor function in children with spastic cerebral palsy (CP). DESIGN: Prospective evaluation with a convenience sample of 10 subjects. SETTING: Pediatric rehabilitation center at a tertiary care hospital. PATIENTS: Ten ambulatory children with spastic CP, mean age 5 to 14yrs. MAIN OUTCOME MEASURES: A single comprehensive assessment of hamstring and quadriceps muscle strength; gait analysis while monitoring electromyographic (EMG) activity in those muscles; administration of the Gross Motor Function Measure (GMFM); heart-rate monitoring during quiet rest versus gait to compute an energy expenditure index (EEI)...
July 2000: Archives of Physical Medicine and Rehabilitation
D L Damiano, M F Abel
OBJECTIVE: To determine clinical effectiveness of strength training in children with spastic cerebral palsy. DESIGN: Prospective before and after trial in which subjects participated in a 6-week strength training program. All received before and after isometric strength evaluation of eight muscle groups in both lower extremities with a hand-held dynamometer, 3-D gait analysis at free and fast speeds, administration of the Gross Motor Function Measure (GMFM), and assessment of energy expenditure during gait...
February 1998: Archives of Physical Medicine and Rehabilitation
Z O Abu-Faraj, G F Harris, J H Abler, J J Wertsch, P A Smith
A multichannel, portable data acquisition system has been developed to measure discrete plantar pressures in the rehabilitation of children who have cerebral palsy and planovalgus foot deformity. The microprocessor-based system is designed to be lightweight (350 g with batteries) and portable (no umbilicus) in order to minimize encumbrances to gait patterns. It provides an improved method for obtaining accurate and reliable data during extended recording and rehabilitative periods that is not available from commercial systems...
March 1996: IEEE Transactions on Rehabilitation Engineering
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