Hemiplegia is a neurological disorder that in children is a common consequence of cerebral palsy. Hemiplegia involves one-half of the body, while the other half is typically not affected. Aim of the study was to evaluate gait asymmetry in Winters’ group I hemiplegic children (W1), by identifying possible differences between hemiplegic and non-hemiplegic side in foot-floor contact and activation patterns of gastrocnemius lateralis (GL). To this aim, basographic and EMG data from 12 hemiplegic cerebral palsy children (Winters’ group I) were analyzed. Gait data from 100 normal developing children were used as reference. Mean decrease (p<0.05) of normal cycles (i.e. normal sequence of gait phases HFPS) and a concomitant increase (p<0.05) of atypical cycles (PFPS) were detected in hemiplegic side of W1, with respect to both non-hemiplegic side and control group. No relevant variations of GL recruitment were observed between hemiplegic and non-hemiplegic side of W1, in terms of muscle activation patterns and occurrence frequency. In conclusion, the study suggested that gait asymmetries detected in W1 lie in foot-floor contact patterns, but not in GL recruitment.
Gait asymmetry in Winters’ group I hemiplegic children / DI NARDO, Francesco; Agostini, V.; Strazza, Annachiara; Nascimbeni, A.; Knaflitz, Marco; Burattini, Laura; Fioretti, Sandro. - ELETTRONICO. - 65:(2017), pp. 976-979. (Intervento presentato al convegno Joint Conference of the European Medical and Biological Engineering Conference, EMBEC 2017 and Nordic-Baltic Conference on Biomedical Engineering and Medical Physics, NBC 2107 tenutosi a fin nel 2017) [10.1007/978-981-10-5122-7_244].
Gait asymmetry in Winters’ group I hemiplegic children
DI NARDO, Francesco;STRAZZA, ANNACHIARA;KNAFLITZ, MARCO;BURATTINI, LAURA;FIORETTI, Sandro
2017-01-01
Abstract
Hemiplegia is a neurological disorder that in children is a common consequence of cerebral palsy. Hemiplegia involves one-half of the body, while the other half is typically not affected. Aim of the study was to evaluate gait asymmetry in Winters’ group I hemiplegic children (W1), by identifying possible differences between hemiplegic and non-hemiplegic side in foot-floor contact and activation patterns of gastrocnemius lateralis (GL). To this aim, basographic and EMG data from 12 hemiplegic cerebral palsy children (Winters’ group I) were analyzed. Gait data from 100 normal developing children were used as reference. Mean decrease (p<0.05) of normal cycles (i.e. normal sequence of gait phases HFPS) and a concomitant increase (p<0.05) of atypical cycles (PFPS) were detected in hemiplegic side of W1, with respect to both non-hemiplegic side and control group. No relevant variations of GL recruitment were observed between hemiplegic and non-hemiplegic side of W1, in terms of muscle activation patterns and occurrence frequency. In conclusion, the study suggested that gait asymmetries detected in W1 lie in foot-floor contact patterns, but not in GL recruitment.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
