Effects of novel tubing gait on neuromuscular imbalance in cerebral palsy.
BACKGROUND: Gait impairments from a neuromuscular imbalance are crucial issues in cerebral palsy. The purpose of our study was to compare the effects of the assistive tubing gait (ATG) and assistive-resistive tubing gait (ARTG) on improving the vasti and hamstring muscle imbalance during the initial...
| Publicado en: | NeuroRehabilitation Vol. 35; no. 3; pp. 587 - 597 |
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| Autores principales: | , , , , , , |
| Formato: | pictorial research tables/charts Journal Article |
| Publicado: |
Sage Publications Inc.
2014
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103913218&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103913218 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10538135 3RE jtl: NeuroRehabilitation issn: 10538135 maglogo: N pubinfo: dt: 2014 vid: 35 iid: 3 pid: 344 pub: Sage Publications Inc. place: Thousand Oaks, California artinfo: ui: 103913218 99178262 10.3233/NRE-141154 NLM25248450 103913218 ppf: 587 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Effects of novel tubing gait on neuromuscular imbalance in cerebral palsy. aug: au: Shin, Yoon Kyum Lee, Dong Ryul Kim, Do Hyun Lee, Jae Jin You, Sung (Joshua) Hyun Yi, Chung Hwi Jeon, Hye Seon affil: Department of Physical Therapy, Honam University, Gwangju, Republic of Korea sug: subj: Cerebral Palsy Therapy Gait Training Methods Balance, Postural Human Funding Source Case Control Studies Child Electromyography Repeated Measures One-Way Analysis of Variance Clinical Assessment Tools Male Female Adolescence Scales Data Analysis Software Post Hoc Analysis T-Tests Coefficient alpha Child: 6-12 years Adolescent: 13-18 years Male Female ab: BACKGROUND: Gait impairments from a neuromuscular imbalance are crucial issues in cerebral palsy. The purpose of our study was to compare the effects of the assistive tubing gait (ATG) and assistive-resistive tubing gait (ARTG) on improving the vasti and hamstring muscle imbalance during the initial contact to mid-stance phases in individuals with spastic diplegic cerebral palsy (CP). METHODS: Fourteen age-matched individuals including seven normal individuals (11.7 years) and seven individuals with CP (12.9 years) were recruited. All participants underwent electromyography (EMG) measurement of the unilateral vasti and hamstring muscle activity during the three gait training conditions of no-tubing gait (NTG), ATG, and ARTG. A statistical one-way repeated-measure analysis of variance (ANOVA) was used to determine differences in the vasti and hamstring activity, the vasti/hamstring ratio, and the knee joint angle across the three gait training conditions for each group. RESULTS: The initial vasti and hamstring muscle imbalance in CP was significantly improved by applying the ARTG compared with the ATG. The vasti/hamstring ratio during the ARTG was compatible with the ratio value obtained from the NTG of normal individuals. The knee joint angle in CP was not improved in this short-term intervention. CONCLUSIONS: The ARTG proportionately increased the vasti activation and reciprocally inhibited the hamstring activity, subsequently improving the neuromuscular imbalance associated with the flexed-knee gait in individuals with spastic diplegic CP. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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