The use of a dynamic orthosis in a child with unilateral spastic Cerebral Palsy: effects on gait kinematics
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.26/39830 |
Resumo: | Hemiplegia is a form of spastic Cerebral Palsy in which one side of the body is affected, resulting in an atypical body posture and abnormal gait patterns. The purpose of this case-report was to provide a descriptive analysis of the immediate effects of a dynamic orthosis, the TheraSuit® (TS), in gait kinematics. A 5.88 years old child with left spastic hemiplegia, level II (GMFCS) and gait classification type III, was instructed to walk at a self-selected pace along a 10m walkway in two conditions: 1) BL (Baseline); 2) TS (wearing the TS). Two video-digital cameras (Basler piA1000-48gс GigE) and six infrared cameras (VICON T10), sampled at 100 Hz were used. Spatiotemporal parameters and lower limb joint angles were determined. For the spatiotemporal parameters, the TS reduced gait cadence (BL: 156 +/- 10.1 steps/min; TS: 132 +/- 3.4 steps/min). While the TS showed few changes in terms of the spatiotemporal parameters, the lower limb joint kinematics looked to be more affected towards a more functional gait pattern. The joints' motion looked to be altered throughout the gait cycle. At the initial contact, the TS showed i) a reduction of dorsiflexion on non-paretic side (BL: 10.2 deg +/- 3.4; TS: 9.2 deg +/- 1.5) and plantarflexion on paretic side (BL: -5.8 deg +/- 1.1; TS: 9.3 deg +/- 1.4); ii) a reduced knee flexion angle in both limbs; iii) a reduced hip flexion in the non-paretic limb. During the stance phase, the child was able to decrease the flexion pattern by showing more knee extension in the paretic limb and greater hip extension in both limbs. In the swing phase, a decrease in knee and hip flexion in the non-paretic limb was also verified. This case-report shows that TS seems to be able of changing gait kinematics toward a more functional gait pattern (i.e., reducing hip and knee flexion and the amount of plantarflexion). It was particularly clear at a distal level (i.e., ankle). The TS might be an interesting tool to implement in physical therapy programs. However, further investigation is required to better understand its short and long term effects. |
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The use of a dynamic orthosis in a child with unilateral spastic Cerebral Palsy: effects on gait kinematicsUnilateral spastic cerebral palsyDynamic orthosisGait kinematicsLeft spastic hemiplegiaHemiplegia is a form of spastic Cerebral Palsy in which one side of the body is affected, resulting in an atypical body posture and abnormal gait patterns. The purpose of this case-report was to provide a descriptive analysis of the immediate effects of a dynamic orthosis, the TheraSuit® (TS), in gait kinematics. A 5.88 years old child with left spastic hemiplegia, level II (GMFCS) and gait classification type III, was instructed to walk at a self-selected pace along a 10m walkway in two conditions: 1) BL (Baseline); 2) TS (wearing the TS). Two video-digital cameras (Basler piA1000-48gс GigE) and six infrared cameras (VICON T10), sampled at 100 Hz were used. Spatiotemporal parameters and lower limb joint angles were determined. For the spatiotemporal parameters, the TS reduced gait cadence (BL: 156 +/- 10.1 steps/min; TS: 132 +/- 3.4 steps/min). While the TS showed few changes in terms of the spatiotemporal parameters, the lower limb joint kinematics looked to be more affected towards a more functional gait pattern. The joints' motion looked to be altered throughout the gait cycle. At the initial contact, the TS showed i) a reduction of dorsiflexion on non-paretic side (BL: 10.2 deg +/- 3.4; TS: 9.2 deg +/- 1.5) and plantarflexion on paretic side (BL: -5.8 deg +/- 1.1; TS: 9.3 deg +/- 1.4); ii) a reduced knee flexion angle in both limbs; iii) a reduced hip flexion in the non-paretic limb. During the stance phase, the child was able to decrease the flexion pattern by showing more knee extension in the paretic limb and greater hip extension in both limbs. In the swing phase, a decrease in knee and hip flexion in the non-paretic limb was also verified. This case-report shows that TS seems to be able of changing gait kinematics toward a more functional gait pattern (i.e., reducing hip and knee flexion and the amount of plantarflexion). It was particularly clear at a distal level (i.e., ankle). The TS might be an interesting tool to implement in physical therapy programs. However, further investigation is required to better understand its short and long term effects.Repositório ComumMartins, Maria ElisabeteCordovil, RitaOliveira, RaúlPinho, JoanaVaz, João R2022-03-24T17:26:54Z2017-06-052017-06-05T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.26/39830enghttps://www.naspspa.com/wp-content/uploads/2017/06/REC-NASPSPA-Abstract-Booklet-with-Lead-Material-6-3-17.pdfinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-10T05:34:49Zoai:comum.rcaap.pt:10400.26/39830Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T22:35:54.510543Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
The use of a dynamic orthosis in a child with unilateral spastic Cerebral Palsy: effects on gait kinematics |
title |
The use of a dynamic orthosis in a child with unilateral spastic Cerebral Palsy: effects on gait kinematics |
spellingShingle |
The use of a dynamic orthosis in a child with unilateral spastic Cerebral Palsy: effects on gait kinematics Martins, Maria Elisabete Unilateral spastic cerebral palsy Dynamic orthosis Gait kinematics Left spastic hemiplegia |
title_short |
The use of a dynamic orthosis in a child with unilateral spastic Cerebral Palsy: effects on gait kinematics |
title_full |
The use of a dynamic orthosis in a child with unilateral spastic Cerebral Palsy: effects on gait kinematics |
title_fullStr |
The use of a dynamic orthosis in a child with unilateral spastic Cerebral Palsy: effects on gait kinematics |
title_full_unstemmed |
The use of a dynamic orthosis in a child with unilateral spastic Cerebral Palsy: effects on gait kinematics |
title_sort |
The use of a dynamic orthosis in a child with unilateral spastic Cerebral Palsy: effects on gait kinematics |
author |
Martins, Maria Elisabete |
author_facet |
Martins, Maria Elisabete Cordovil, Rita Oliveira, Raúl Pinho, Joana Vaz, João R |
author_role |
author |
author2 |
Cordovil, Rita Oliveira, Raúl Pinho, Joana Vaz, João R |
author2_role |
author author author author |
dc.contributor.none.fl_str_mv |
Repositório Comum |
dc.contributor.author.fl_str_mv |
Martins, Maria Elisabete Cordovil, Rita Oliveira, Raúl Pinho, Joana Vaz, João R |
dc.subject.por.fl_str_mv |
Unilateral spastic cerebral palsy Dynamic orthosis Gait kinematics Left spastic hemiplegia |
topic |
Unilateral spastic cerebral palsy Dynamic orthosis Gait kinematics Left spastic hemiplegia |
description |
Hemiplegia is a form of spastic Cerebral Palsy in which one side of the body is affected, resulting in an atypical body posture and abnormal gait patterns. The purpose of this case-report was to provide a descriptive analysis of the immediate effects of a dynamic orthosis, the TheraSuit® (TS), in gait kinematics. A 5.88 years old child with left spastic hemiplegia, level II (GMFCS) and gait classification type III, was instructed to walk at a self-selected pace along a 10m walkway in two conditions: 1) BL (Baseline); 2) TS (wearing the TS). Two video-digital cameras (Basler piA1000-48gс GigE) and six infrared cameras (VICON T10), sampled at 100 Hz were used. Spatiotemporal parameters and lower limb joint angles were determined. For the spatiotemporal parameters, the TS reduced gait cadence (BL: 156 +/- 10.1 steps/min; TS: 132 +/- 3.4 steps/min). While the TS showed few changes in terms of the spatiotemporal parameters, the lower limb joint kinematics looked to be more affected towards a more functional gait pattern. The joints' motion looked to be altered throughout the gait cycle. At the initial contact, the TS showed i) a reduction of dorsiflexion on non-paretic side (BL: 10.2 deg +/- 3.4; TS: 9.2 deg +/- 1.5) and plantarflexion on paretic side (BL: -5.8 deg +/- 1.1; TS: 9.3 deg +/- 1.4); ii) a reduced knee flexion angle in both limbs; iii) a reduced hip flexion in the non-paretic limb. During the stance phase, the child was able to decrease the flexion pattern by showing more knee extension in the paretic limb and greater hip extension in both limbs. In the swing phase, a decrease in knee and hip flexion in the non-paretic limb was also verified. This case-report shows that TS seems to be able of changing gait kinematics toward a more functional gait pattern (i.e., reducing hip and knee flexion and the amount of plantarflexion). It was particularly clear at a distal level (i.e., ankle). The TS might be an interesting tool to implement in physical therapy programs. However, further investigation is required to better understand its short and long term effects. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-06-05 2017-06-05T00:00:00Z 2022-03-24T17:26:54Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.26/39830 |
url |
http://hdl.handle.net/10400.26/39830 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://www.naspspa.com/wp-content/uploads/2017/06/REC-NASPSPA-Abstract-Booklet-with-Lead-Material-6-3-17.pdf |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
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application/pdf |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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