Revista brasileira de fisioterapia (Sao Carlos (Sao Paulo, Brazil)) · 2010
Analysis of partial body weight support during treadmill and overground walking of children with cerebral palsy.
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Matsuno Vânia M, Camargo Muriel R, Palma Gabriel C, Alveno Diego, Barela Ana Maria F
Аннотация
OBJECTIVE: to analyze the spatial-temporal characteristics and joint angles during overground walking without body weight support (BWS) and with 0% and 30% BWS, and during treadmill walking with the same BWS in children with cerebral palsy.
METHODS: six children with hemiplegic and spastic cerebral palsy (7.70 ± 1.04 years old) were videotaped during overground walking at a comfortable speed with no BWS, with 0% and 30% BWS, and during treadmill walking with 0% and 30% BWS. Reflective markers were placed over main bony landmarks in both body sides to register the coordinates "x", "y", "z".
RESULTS: during overground walking, children walked faster and presented longer and faster strides, longer duration of single-stance and swing periods, and shorter duration of double-stance period, than treadmill walking, regardless of BWS use. The hip was the only joint that presented a difference between body sides and experimental conditions; i.e. range of motion (ROM) was reduced in the plegic side when compared to the nonplegic side, and during overground walking without BWS when compared to 30% BWS.
CONCLUSION: children with hemiplegic and spastic cerebral palsy were able to walk overground and on a treadmill with different percentages of BWS, and their performance was superior during overground walking, regardless of BWS use.
METHODS: six children with hemiplegic and spastic cerebral palsy (7.70 ± 1.04 years old) were videotaped during overground walking at a comfortable speed with no BWS, with 0% and 30% BWS, and during treadmill walking with 0% and 30% BWS. Reflective markers were placed over main bony landmarks in both body sides to register the coordinates "x", "y", "z".
RESULTS: during overground walking, children walked faster and presented longer and faster strides, longer duration of single-stance and swing periods, and shorter duration of double-stance period, than treadmill walking, regardless of BWS use. The hip was the only joint that presented a difference between body sides and experimental conditions; i.e. range of motion (ROM) was reduced in the plegic side when compared to the nonplegic side, and during overground walking without BWS when compared to 30% BWS.
CONCLUSION: children with hemiplegic and spastic cerebral palsy were able to walk overground and on a treadmill with different percentages of BWS, and their performance was superior during overground walking, regardless of BWS use.