Gait Characteristics of Children with Spastic Cerebral Palsy during Inclined Treadmill Walking under a Virtual Reality Environment.

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dc.contributor.author Ma, Ye en
dc.contributor.author Liang, Yali en
dc.contributor.author Kang, Xiaodong en
dc.contributor.author Shao, Ming en
dc.contributor.author Siemelink, Lilja en
dc.contributor.author Zhang, Yanxin en
dc.date.accessioned 2020-02-14T03:12:35Z en
dc.date.issued 2019-01 en
dc.identifier.citation Applied bionics and biomechanics 2019:8049156 Jan 2019 en
dc.identifier.issn 1176-2322 en
dc.identifier.uri http://hdl.handle.net/2292/50037 en
dc.description.abstract Objective:To investigate gait characteristics in children with spastic cerebral palsy during inclined treadmill walking under a virtual reality environment. Methods:Ten spastic cerebral palsy (CP) children and ten typically developing (TD) children were asked to walk at their comfortable speed on a treadmill at a ground level and 10° inclined. Three-dimensional kinematic data and ground reaction force data were captured in a computer-assisted rehabilitation environment system. Kinetic parameters and dynamic balance parameters were calculated using a standard biomechanical approach. Results:During uphill walking, both groups decreased walking speed and stride length and increased peak pelvis tilt, ankle dorsiflexion, and hip flexion. Compared with TD children, CP children had decreased walking speed and stride length, decreased peak hip abduction moment, increased stance phase percentage, increased peak ankle dorsiflexion and knee flexion, and increased peak hip extension moment. The peak trunk rotation angle, ankle angle at initial contact, and stride length showed a significant group∗walking condition interaction effect. Conclusions:CP children showed similar adjustments for most gait parameters during uphill walking as TD children. With a lower walking speed, CP children could maintain similar dynamic balance as TD children. Uphill walking magnifies the existing abnormal gait patterns of the cerebral palsy children. We suggest that during a treadmill training with an inclination, the walking speed should be carefully controlled in the case of improving peak joint loading too much. en
dc.format.medium Electronic-eCollection en
dc.language eng en
dc.relation.ispartofseries Applied bionics and biomechanics en
dc.rights Items in ResearchSpace are protected by copyright, with all rights reserved, unless otherwise indicated. Previously published items are made available in accordance with the copyright policy of the publisher. en
dc.rights.uri https://researchspace.auckland.ac.nz/docs/uoa-docs/rights.htm en
dc.rights.uri https://creativecommons.org/licenses/by/4.0/ en
dc.title Gait Characteristics of Children with Spastic Cerebral Palsy during Inclined Treadmill Walking under a Virtual Reality Environment. en
dc.type Journal Article en
dc.identifier.doi 10.1155/2019/8049156 en
pubs.begin-page 8049156 en
pubs.volume 2019 en
dc.rights.holder Copyright: The authors en
pubs.publication-status Published en
dc.rights.accessrights http://purl.org/eprint/accessRights/OpenAccess en
pubs.subtype research-article en
pubs.subtype Journal Article en
pubs.elements-id 783317 en
pubs.org-id Science en
pubs.org-id Exercise Sciences en
dc.identifier.eissn 1754-2103 en
pubs.record-created-at-source-date 2019-09-19 en
pubs.dimensions-id 31531126 en


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