Dynamic resources used in ambulation by children with spastic hemiplegic cerebral palsy: relationship to kinematics, energetics, and asymmetries.
OBJECTIVE
The atypical walking pattern in children with spastic cerebral palsy is assumed to involve kinematic and morphological adaptations that allow them to move. The purpose of this study was to explore how the requirements of the task and the energy-generating and energy-conserving capabilities of children with cerebral palsy relate to kinematic and mechanical energy patterns of walking.


METHODS
Six children with hemiplegic cerebral palsy and a matched group of typically developing children participated in the study.


METHODS
Kinematic data were collected at 5 different walking speeds. Vertical stiffness, mechanical energy parameters, and landing angle were measured during the stance phase.


RESULTS
The affected side of the children with cerebral palsy showed greater vertical stiffness, a greater ratio of kinetic forward energy to potential energy, and a smaller landing angle when compared with those of the nonaffected lower extremity and with those of typically developing children.


CONCLUSIONS
Previous research has shown that children with cerebral palsy assumed a gait similar to an inverted pendulum on the nonaffected limb and a pogo stick on the affected limb. Our results indicate that asymmetries between lower extremities and differences from typically developing children in the landing angle of the lower extremity, vertical lower-extremity stiffness, and kinetic and potential energy profiles support the claim that walking patterns in children with spastic hemiplegic cerebral palsy emerge as a function of the resources available to them.
Fonseca
Sérgio T
ST
Departamento de Fisioterapia, Universidade Federal de Minas Gerais, Av Antõnio Carlos 6627-Unidade Administrativa II, 31270-010, Belo Horizonte, Minas Gerais, Brazil. sfonseca@pib.com.br
Holt
Kenneth G
KG
Fetters
Linda
L
Saltzman
Elliot
E
D000293:Adolescent; D000704:Analysis of Variance; D001696:Biomechanical Phenomena; D002547:Cerebral Palsy / Q000503:physiopathology*; D002648:Child; D005260:Female; D005684:Gait; D020233:Gait Disorders, Neurologic; D006429:Hemiplegia / Q000503:physiopathology; D006801:Humans; D016014:Linear Models; D008297:Male; D008962:Models, Theoretical; D013997:Time Factors; D016138:Walking / Q000502:physiology*