Abstract
The aims of this study are to compare quantitatively the gait strategy of the right and left hemiplegic children with Cerebral Palsy (CP) using gait analysis. The gait strategy of 28 right hemiparetic CP (RHG) and 23 left hemiparetic CP (LHG) was compared using gait analysis (spatio-temporal and kinematic parameters) and considering the hemiplegic classification based on four gait strategies. Our results demonstrated that velocity was a significant parameter to differentiate RHG and LHG: all hemiplegic types revealed in fact that RHG walked with higher velocity than LHG. The ankle strategy displayed an increased number of differences between RHG and LHG from hemiplegia of Type I to Type III. In all the comparison, the LHG showed the less physiological gait pattern. As for knee kinematics, differences between right and left hemiplegic gait pattern were evidenced only in children with hemiplegia Type II: the LHG walked with a more flexed knee at initial contact, marked hyperextension in midstance and reduced knee flexion ability in the swing phase. The hip strategy was quite normal in both groups in hemiplegia Type I. In the other two types, LHG showed a limited extension ability in midstance in comparison to RHG. In conclusion, our data revealed that RHG and LHG were in general characterised by different gait patterns, evidencing a general a progression of involvement in the different types of hemiplegia; in particular in all the hemiplegic types the LHG patients revealed a more severe involvement than the RHG individuals and the differences were more evident at the distal joints, especially at the ankle joint.
| Original language | English |
|---|---|
| Pages (from-to) | 1340-1345 |
| Number of pages | 6 |
| Journal | Research in Developmental Disabilities |
| Volume | 31 |
| Issue number | 6 |
| DOIs | |
| Publication status | Published - Nov 2010 |
Fingerprint
Keywords
- Cerebral Palsy
- Gait analysis
- Hemiplegia
ASJC Scopus subject areas
- Clinical Psychology
- Developmental and Educational Psychology
Cite this
Gait patterns in hemiplegic children with Cerebral Palsy : Comparison of right and left hemiplegia. / Galli, Manuela; Cimolin, Veronica; Rigoldi, Chiara; Tenore, Nunzio; Albertini, Giorgio.
In: Research in Developmental Disabilities, Vol. 31, No. 6, 11.2010, p. 1340-1345.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Gait patterns in hemiplegic children with Cerebral Palsy
T2 - Comparison of right and left hemiplegia
AU - Galli, Manuela
AU - Cimolin, Veronica
AU - Rigoldi, Chiara
AU - Tenore, Nunzio
AU - Albertini, Giorgio
PY - 2010/11
Y1 - 2010/11
N2 - The aims of this study are to compare quantitatively the gait strategy of the right and left hemiplegic children with Cerebral Palsy (CP) using gait analysis. The gait strategy of 28 right hemiparetic CP (RHG) and 23 left hemiparetic CP (LHG) was compared using gait analysis (spatio-temporal and kinematic parameters) and considering the hemiplegic classification based on four gait strategies. Our results demonstrated that velocity was a significant parameter to differentiate RHG and LHG: all hemiplegic types revealed in fact that RHG walked with higher velocity than LHG. The ankle strategy displayed an increased number of differences between RHG and LHG from hemiplegia of Type I to Type III. In all the comparison, the LHG showed the less physiological gait pattern. As for knee kinematics, differences between right and left hemiplegic gait pattern were evidenced only in children with hemiplegia Type II: the LHG walked with a more flexed knee at initial contact, marked hyperextension in midstance and reduced knee flexion ability in the swing phase. The hip strategy was quite normal in both groups in hemiplegia Type I. In the other two types, LHG showed a limited extension ability in midstance in comparison to RHG. In conclusion, our data revealed that RHG and LHG were in general characterised by different gait patterns, evidencing a general a progression of involvement in the different types of hemiplegia; in particular in all the hemiplegic types the LHG patients revealed a more severe involvement than the RHG individuals and the differences were more evident at the distal joints, especially at the ankle joint.
AB - The aims of this study are to compare quantitatively the gait strategy of the right and left hemiplegic children with Cerebral Palsy (CP) using gait analysis. The gait strategy of 28 right hemiparetic CP (RHG) and 23 left hemiparetic CP (LHG) was compared using gait analysis (spatio-temporal and kinematic parameters) and considering the hemiplegic classification based on four gait strategies. Our results demonstrated that velocity was a significant parameter to differentiate RHG and LHG: all hemiplegic types revealed in fact that RHG walked with higher velocity than LHG. The ankle strategy displayed an increased number of differences between RHG and LHG from hemiplegia of Type I to Type III. In all the comparison, the LHG showed the less physiological gait pattern. As for knee kinematics, differences between right and left hemiplegic gait pattern were evidenced only in children with hemiplegia Type II: the LHG walked with a more flexed knee at initial contact, marked hyperextension in midstance and reduced knee flexion ability in the swing phase. The hip strategy was quite normal in both groups in hemiplegia Type I. In the other two types, LHG showed a limited extension ability in midstance in comparison to RHG. In conclusion, our data revealed that RHG and LHG were in general characterised by different gait patterns, evidencing a general a progression of involvement in the different types of hemiplegia; in particular in all the hemiplegic types the LHG patients revealed a more severe involvement than the RHG individuals and the differences were more evident at the distal joints, especially at the ankle joint.
KW - Cerebral Palsy
KW - Gait analysis
KW - Hemiplegia
UR - http://www.scopus.com/inward/record.url?scp=77957115274&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77957115274&partnerID=8YFLogxK
U2 - 10.1016/j.ridd.2010.07.007
DO - 10.1016/j.ridd.2010.07.007
M3 - Article
C2 - 20674265
AN - SCOPUS:77957115274
VL - 31
SP - 1340
EP - 1345
JO - Research in Developmental Disabilities
JF - Research in Developmental Disabilities
SN - 0891-4222
IS - 6
ER -