کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4058003 1265706 2008 7 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Power generation in children with spastic hemiplegic cerebral palsy
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
پیش نمایش صفحه اول مقاله
Power generation in children with spastic hemiplegic cerebral palsy
چکیده انگلیسی

BackgroundSpastic hemiplegic cerebral palsy is a challenging disorder often affecting children with high functional and cognitive level, who are good candidates for physiotherapy treatment, including co-ordination and muscle strengthening exercises. The goal of this study was to investigate hip and ankle power generation on both the hemiplegic and uninvolved sides in children with spastic hemiplegic cerebral palsy and no previous surgery.MethodsNinety-nine patients with spastic hemiplegic CP with a mean age of 8.4 years were included. Medical records and gait analysis data were reviewed. Patients were classified using Winter's criteria and an independent sample t-test was used to compare groups.ResultsThe hip extensor power generation was higher in all Winter classification groups on both the hemiplegic and uninvolved sides, compared to age matched normal subjects. Comparing the power generation at the ankle, all groups had less power generation on both the hemiplegic and non-involved side.ConclusionsWe found a major power generation shift from the ankle to the hips in children with spastic hemiplegic cerebral palsy both on the hemiplegic and the uninvolved sides. This could be interpreted, as a way of compensating for decreased ankle power generation on the hemiplegic side. The results may suggest that muscle strengthening physiotherapy should be directed toward the hip power generators and co-ordination exercises should be focused distally to the knee and ankle. This may also suggest that power loss at the ankle, such as after tendon-Achilles lengthening, may be of less importance.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gait & Posture - Volume 27, Issue 4, May 2008, Pages 641–647
نویسندگان
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