Trunk movements during gait in cerebral palsy

Attias, Michael; Bonnefoy‐Mazure, Alice; Lempereur, Mathieu; Lascombes, P.; Coulon, Geraldo De; Armand, Stéphane

doi:10.1016/j.clinbiomech.2014.11.009

Cited by 44 publications

(37 citation statements)

References 39 publications

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“…The selected articles with characteristics findings have been shown in Tables 2 and 3. [13] 2018 Cross-sectional 52 30 22 9.1-11.7 1-3 [14] 2017 Cross-sectional 72 52 20 8.5-14.5 1-2 [15] 2016 Cross-sectional 52 30 22 9.1-11.7 1-3 [16] 2016 Cross-sectional 40 20 20 2-9 1-3 [4] 2016 Cross-sectional 50 26 24 4-12 -17] 2014 Cross-sectional 36 16 20 8-14 - [18] 2014 Cross-sectional 40 23 17 8-18 - [19] 2014 Cross-sectional 34 17 17 5-18 1-3 [20] 2014 Cross-sectional 114 92 22 0-25 1-3 [6] 2014 Cross-sectional 32 16 16 9-13 1-2 [21] 2014 Cross-sectional 70 41 29 5-18 1-3 [22] 2014 Cross-sectional 107 92 15 5-30 1-3 [23] 2014 Cross-sectional 20 20 0 5-15 1-2 [24] 2013 Cross-sectional 100 100 0 8-15 1-3 [12] 2013 Cross-sectional 40 20 20 2-10 1-2 [25] 2011 Cross-sectional 56 26 30 8-15 1-3 [26] 2013 Cross-sectional 48 31 17 11-26 1-2 [27] 2013 Cross-sectional 149 122 27 17-23 1-3…”

Section: Resultsmentioning

confidence: 99%

“…Due to the developmental changes that occur in children as they grow, longitudinal studies are needed to identify the relationship between age and postural control and its impact on gait. Most of the studies compared CP children with age-matched TD children [4,6,7,12,[14][15][16][17][18][19][20][21][22][27][28][29][30][31][32]34,35] except two studies did not have TD as a comparable group [11,33]. Considering age-matched TD children in the gait analysis could provide accurate and effective measures of comparison regarding functional capacity and postural deviation from the baseline.…”

Section: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

“…In few studies, distribution of participants could also be seen based on CP classification [4,16,20,[23][24][25]27,31]. The most common type of CP under inclusion criteria of the review studies was spastic hemiplegia or diplegia.…”

Section: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

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Head and trunk kinematics and kinetics in normal and cerebral palsy gait: a systematic review

Hazari

Agouris

Wakode

et al. 2019

European Journal of Physiotherapy

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Background: Cerebral palsy (CP) is a neuromuscular disability characterised by a persistent disorder of movement and posture due to a non-progressive lesion in a developing brain. In children with CP, gait is compromised in a variety of ways. A number of studies have suggested that there is a higher degree of biomechanical variations including kinematics and kinetics at head and trunk while analysing a CP gait. Since coordinated movements of head and trunk are important to analyse a typical gait, it is important to determine these biomechanical changes among children with CP for altered movements such as decreased head and trunk stability. Studies have also reported a variety of outcome measures for clinical use. However, the results among the studies are not consistent as there is variability for altered biomechanics based on type and level of the disorder which requires further investigation. Although clinically very useful, the data regarding the head and trunk biomechanics in children with CP is limited. In this study, a systematic review was done to determine the head and trunk kinematic and kinetics variations in CP gait compared to TD children of the same age-group.Methodology: Scientific articles were obtained by a search in databases including Science Direct, Cinahl, Springer Link, Sport discuss, Web of Science and Pubmed. Limitations used were AND/OR. Full-text articles from 1999 to 2017 in English were selected. Results:A total of 3029 records were identified that included Science Direct (n = 1854), Cinahl (n = 176), Springer Link (n = 121), Sports Discuss (n = 101), Web of Science (n = 14) and Pubmed (n = 763). After removing the duplicates, 1786 records were obtained. Fifty-one full text articles were selected for the eligibility and 27 were included in the study. Conclusions:In this review study, we conclude that children with CP have a significant difference in head and trunk kinetics and kinematics compared to age-matched TD children

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Section: Resultsmentioning

confidence: 99%

Section: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

See 1 more Smart Citation

Head and trunk kinematics and kinetics in normal and cerebral palsy gait: a systematic review

Hazari

Agouris

Wakode

et al. 2019

European Journal of Physiotherapy

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“…So there are endless possible combinations of adaptation strategies although most participants choose similar gait adaptations for each condition. The (strategy) choice of the participants (probably also valid for the patients), is certainly guided to optimize their walk by preserving energy [33], to optimize forward progression [20], to assure balance and their stability [34]. The second limitation concerns the walking speed that was not controlled between the different conditions of this study.…”

Section: Discussionmentioning

confidence: 99%

“…The level of contracture was selected as mild, moderate and severe contracture according our clinical experience and the literature [16,20,21]. Hence, PSO was limited at 0°, -20° and -40° of hip extension angle (knee in extension), HAM was limited at 40°, 70° and 100° of unilateral popliteal angle and GAS was limited at 10°, 20° and 30° of ankle plantarflexion.…”

Section: Gait Evaluationmentioning

confidence: 99%

Kinematics can help to discriminate the implication of iliopsoas, hamstring and gastrocnemius contractures to a knee flexion gait pattern

Attias

Bonnefoy‐Mazure²,

Coulon³

et al. 2019

Gait & Posture

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Background: Excessive Knee Flexion Gait Pattern (KFGP) is a common gait deviation in many pathological conditions. The contractures of the muscles that have been identified as being responsible of KFGP are: iliopsoas, hamstring and gastrocnemius. Research question:How do isolated contractures of the iliopsoas, hamstrings and gastrocnemius impact knee flexion during gait?Methods: Three levels of contracture (mild, moderate and severe) were simulated bilaterally using an exoskeleton on 10 healthy participants for iliopsoas, hamstring and gastrocnemius muscles. A gait analysis session was performed to evaluate the joint kinematics according to the different simulated contractures. Thirty one parameters were chosen to analyze the kinematics of the thorax, pelvis, hip, knee and ankle. A principal component analysis (PCA) was used to determine the kinematic parameters influenced by contractures. Results:In addition to a permanent knee flexion observed for the three muscles with contracture: the contracture of the iliopsoas induces a large hip flexion with pronounced anterior pelvis tilt; the contracture of the hamstrings induces an ankle dorsiflexion during the support phase with a posterior pelvis tilt; the contracture of the gastrocnemius induces an absence of first and second rocker of the ankle with a slight flexion of hip and a slight anterior pelvis tilt.Significance: These results support the identification of the muscles responsible for a KFGP.A better knowledge of the interactions between contractures and associated joint kinematics of the same and adjacent joints will support the interpretation of gait analyses by more precisely and faster targeting the concerned muscle.

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Normal Human Gait

Miller¹

2018

Cerebral Palsy

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Trunk movements during gait in cerebral palsy

Cited by 44 publications

References 39 publications

Head and trunk kinematics and kinetics in normal and cerebral palsy gait: a systematic review

Head and trunk kinematics and kinetics in normal and cerebral palsy gait: a systematic review

Kinematics can help to discriminate the implication of iliopsoas, hamstring and gastrocnemius contractures to a knee flexion gait pattern

Normal Human Gait

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