A Method to Quantify Multi-Degree-of-Freedom Lower Limb Isometric Joint Torques in Children with Hemiplegia

Abstract

Pediatric hemiplegia, caused by a unilateral brain injury during childhood, can lead to motor deficits such as weakness and abnormal joint torque coupling patterns which may result in a loss of independent joint control. It is hypothesized that these motor impairments are present in the paretic lower extremity, especially at the hip joint where extension may be abnormally coupled with adduction. Previous studies investigating lower extremity isometric joint torques in children with spastic cerebral palsy used tools that limited data collection to one degree of freedom, making it impossible to quantify these coupling patterns. We describe the adaptation of a multijoint lower extremity isometric torque measurement device to allow for quantification of weakness and abnormal joint torque coupling patterns at the hip in the pediatric population. We also present preliminary data in three children without hemiplegia to highlight how the presence of atypical femoral bony geometry, often observed in childhood hemiplegia, can be accounted for in the Jacobian transformations and affect joint torque measurements at the hip.

Reinforcing the effect of microsurgery practice during robotic suturing skill acquisition

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Abnormal synergies and associated reactions post-hemiparetic stroke reflect muscle activation patterns of brainstem motor pathways

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