Influence of body weight unloading and support surface during walking of children with cerebral palsy [
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Fisioterapia em Movimento |
Texto Completo: | https://periodicos.pucpr.br/fisio/article/view/21701 |
Resumo: | Introduction: Partial body weight support (BWS) systems have been employed for gait training of children with cerebral palsy (CP). Therefore, it would be important to analyze if the type of walking surface and the amount of body weight unloading over lower limbs change the way these children walk. Objectives: Investigate the influence of walking surface and amount of body weight unloading on the spatial temporal characteristics during walking of children with CP. Materials and methods: Seven children with spastic CP between four and eight years old and GMFCS (Gross Motor Function Classification System) between I and IV, were videotaped walking with 0%, 15% and 30% of BWS on both dynamic (treadmill) and static (ground level) surfaces. Walking spatial temporal variables were calculated. Results: Children walked with similar velocity in all experimental conditions. While stance duration decreased as the percentage of BWS development and, consequently, promotes more autonomy. Biped walking is an acquired motor action (4, 5) and, although it seems a simple motor action, it requires the control of many elements, that transform it on a complex motor action. Walking acquisition is one of the main goal of intervention programs for children with CP. Gait impairment in children with CP are due, mainly, to spasticity or abnormal muscular tonus, motor control diminished and poor balance (6), and in many cases, those children are not able to generate sufficient muscular force to maintain upright posture and ambulate around. In this way, a strategy that could promote upright posture maintenance andhelp in the balance of those children would be body weight unloading on the lower limb during the locomotion. This strategy is named body weight support or partial body weight support (BWS), and it increased, no differences were found for stance and swing periods and cadence. Children walked with longer steps and strides and with faster strides on static surface compared to dynamic surface. Conclusion: Children with CP presenting different levels of motor impairment presented some alterations in the spatial temporal walking parameters as they walked with body unloading. However, such alterations might be due mainly to the type of walking surface than the percentage of body weight unloading on lower limbs. |
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Fisioterapia em Movimento |
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Influence of body weight unloading and support surface during walking of children with cerebral palsy [Introduction: Partial body weight support (BWS) systems have been employed for gait training of children with cerebral palsy (CP). Therefore, it would be important to analyze if the type of walking surface and the amount of body weight unloading over lower limbs change the way these children walk. Objectives: Investigate the influence of walking surface and amount of body weight unloading on the spatial temporal characteristics during walking of children with CP. Materials and methods: Seven children with spastic CP between four and eight years old and GMFCS (Gross Motor Function Classification System) between I and IV, were videotaped walking with 0%, 15% and 30% of BWS on both dynamic (treadmill) and static (ground level) surfaces. Walking spatial temporal variables were calculated. Results: Children walked with similar velocity in all experimental conditions. While stance duration decreased as the percentage of BWS development and, consequently, promotes more autonomy. Biped walking is an acquired motor action (4, 5) and, although it seems a simple motor action, it requires the control of many elements, that transform it on a complex motor action. Walking acquisition is one of the main goal of intervention programs for children with CP. Gait impairment in children with CP are due, mainly, to spasticity or abnormal muscular tonus, motor control diminished and poor balance (6), and in many cases, those children are not able to generate sufficient muscular force to maintain upright posture and ambulate around. In this way, a strategy that could promote upright posture maintenance andhelp in the balance of those children would be body weight unloading on the lower limb during the locomotion. This strategy is named body weight support or partial body weight support (BWS), and it increased, no differences were found for stance and swing periods and cadence. Children walked with longer steps and strides and with faster strides on static surface compared to dynamic surface. Conclusion: Children with CP presenting different levels of motor impairment presented some alterations in the spatial temporal walking parameters as they walked with body unloading. However, such alterations might be due mainly to the type of walking surface than the percentage of body weight unloading on lower limbs.Editora PUCPRESS2017-09-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.pucpr.br/fisio/article/view/2170110.1590/0103-5150.027.004.AO11Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 27 No. 4 (2014)Fisioterapia em Movimento; v. 27 n. 4 (2014)1980-5918reponame:Fisioterapia em Movimentoinstname:Pontifícia Universidade Católica do Paraná (PUC-PR)instacron:PUC_PRenghttps://periodicos.pucpr.br/fisio/article/view/21701/20821Copyright (c) 2022 PUCPRESSinfo:eu-repo/semantics/openAccessCelestino, Melissa LeandroLopes Gama, GabrielaLonguinho, Gabryella Santos CordeiroFugita, MeicoForti Barela, Ana Maria2022-03-07T19:01:14Zoai:ojs.periodicos.pucpr.br:article/21701Revistahttps://periodicos.pucpr.br/fisioPRIhttps://periodicos.pucpr.br/fisio/oairubia.farias@pucpr.br||revista.fisioterapia@pucpr.br1980-59180103-5150opendoar:2022-03-07T19:01:14Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR)false |
dc.title.none.fl_str_mv |
Influence of body weight unloading and support surface during walking of children with cerebral palsy [ |
title |
Influence of body weight unloading and support surface during walking of children with cerebral palsy [ |
spellingShingle |
Influence of body weight unloading and support surface during walking of children with cerebral palsy [ Celestino, Melissa Leandro |
title_short |
Influence of body weight unloading and support surface during walking of children with cerebral palsy [ |
title_full |
Influence of body weight unloading and support surface during walking of children with cerebral palsy [ |
title_fullStr |
Influence of body weight unloading and support surface during walking of children with cerebral palsy [ |
title_full_unstemmed |
Influence of body weight unloading and support surface during walking of children with cerebral palsy [ |
title_sort |
Influence of body weight unloading and support surface during walking of children with cerebral palsy [ |
author |
Celestino, Melissa Leandro |
author_facet |
Celestino, Melissa Leandro Lopes Gama, Gabriela Longuinho, Gabryella Santos Cordeiro Fugita, Meico Forti Barela, Ana Maria |
author_role |
author |
author2 |
Lopes Gama, Gabriela Longuinho, Gabryella Santos Cordeiro Fugita, Meico Forti Barela, Ana Maria |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Celestino, Melissa Leandro Lopes Gama, Gabriela Longuinho, Gabryella Santos Cordeiro Fugita, Meico Forti Barela, Ana Maria |
description |
Introduction: Partial body weight support (BWS) systems have been employed for gait training of children with cerebral palsy (CP). Therefore, it would be important to analyze if the type of walking surface and the amount of body weight unloading over lower limbs change the way these children walk. Objectives: Investigate the influence of walking surface and amount of body weight unloading on the spatial temporal characteristics during walking of children with CP. Materials and methods: Seven children with spastic CP between four and eight years old and GMFCS (Gross Motor Function Classification System) between I and IV, were videotaped walking with 0%, 15% and 30% of BWS on both dynamic (treadmill) and static (ground level) surfaces. Walking spatial temporal variables were calculated. Results: Children walked with similar velocity in all experimental conditions. While stance duration decreased as the percentage of BWS development and, consequently, promotes more autonomy. Biped walking is an acquired motor action (4, 5) and, although it seems a simple motor action, it requires the control of many elements, that transform it on a complex motor action. Walking acquisition is one of the main goal of intervention programs for children with CP. Gait impairment in children with CP are due, mainly, to spasticity or abnormal muscular tonus, motor control diminished and poor balance (6), and in many cases, those children are not able to generate sufficient muscular force to maintain upright posture and ambulate around. In this way, a strategy that could promote upright posture maintenance andhelp in the balance of those children would be body weight unloading on the lower limb during the locomotion. This strategy is named body weight support or partial body weight support (BWS), and it increased, no differences were found for stance and swing periods and cadence. Children walked with longer steps and strides and with faster strides on static surface compared to dynamic surface. Conclusion: Children with CP presenting different levels of motor impairment presented some alterations in the spatial temporal walking parameters as they walked with body unloading. However, such alterations might be due mainly to the type of walking surface than the percentage of body weight unloading on lower limbs. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-09-18 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/21701 10.1590/0103-5150.027.004.AO11 |
url |
https://periodicos.pucpr.br/fisio/article/view/21701 |
identifier_str_mv |
10.1590/0103-5150.027.004.AO11 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.pucpr.br/fisio/article/view/21701/20821 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2022 PUCPRESS info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2022 PUCPRESS |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Editora PUCPRESS |
publisher.none.fl_str_mv |
Editora PUCPRESS |
dc.source.none.fl_str_mv |
Fisioterapia em Movimento (Physical Therapy in Movement); Vol. 27 No. 4 (2014) Fisioterapia em Movimento; v. 27 n. 4 (2014) 1980-5918 reponame:Fisioterapia em Movimento instname:Pontifícia Universidade Católica do Paraná (PUC-PR) instacron:PUC_PR |
instname_str |
Pontifícia Universidade Católica do Paraná (PUC-PR) |
instacron_str |
PUC_PR |
institution |
PUC_PR |
reponame_str |
Fisioterapia em Movimento |
collection |
Fisioterapia em Movimento |
repository.name.fl_str_mv |
Fisioterapia em Movimento - Pontifícia Universidade Católica do Paraná (PUC-PR) |
repository.mail.fl_str_mv |
rubia.farias@pucpr.br||revista.fisioterapia@pucpr.br |
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1799138747205287936 |