NDLI: Biomechanical and perceived differences between overground and treadmill walking in children with cerebral palsy.

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Biomechanical and perceived differences between overground and treadmill walking in children with cerebral palsy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Jung, Taeyou Kim, Yumi Kelly, Luke E. Abel, Mark F.
Description	Author Affiliation: Jung T ( Center of Achievement, California State University, Northridge, CA, United States. Electronic address: taeyou.jung@csun.edu.); Kim Y ( Center of Achievement, California State University, Northridge, CA, United States.); Kelly LE ( Kinesiology, University of Virginia, Charlottesville, VA, United States.); Abel MF ( Motion Analysis and Motor Performance Laboratory, Kluge Children's Rehabilitation Center, Charlottesville, VA, United States.)
Abstract	The treadmill is widely used as an instrument for gait training and analysis. The primary purpose of this study was to compare biomechanical variables between overground and treadmill walking in children with cerebral palsy (CP). Perceived differences between the two walking modes were also investigated by comparing self-selected walking speeds. Twenty children with CP performed both overground and treadmill walking at a matched speed for biomechanical comparison using a 3-D motion analysis system. In addition, they were asked to select comfortable and fastest walking speeds under each walking condition to compare perceived differences. Significant differences in spatiotemporal variables were found including higher cadence and shorter stride length during treadmill walking at a matched speed (for all, P<.003). The comparison of joint kinematics demonstrated significant differences between overground and treadmill walking, which showed increases in peak angles of ankle dorsi-flexion, knee flexion/extension, and hip flexion (for all, P<.001), increases in ankle and hip excursions and a decrease in pelvic rotation excursion while walking on treadmill (for all, P<.002). Comparison of perceived difference revealed that children with CP chose significantly slower speeds when asked to select their comfortable and fastest walking speeds on the treadmill as compared to overground (for both, P<.001). Our results suggest that these biomechanical and perceived differences should be considered when using a treadmill for gait intervention or assessment.
File Format	HTM / HTML
ISSN	09666362
Volume Number	45
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2016-03-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Gait Humans Male Exercise Therapy Journal Article Physiopathology Walking Ankle Joint Biomechanical Phenomena Exercise Test Range Of Motion, Articular Knee Joint Adolescent Female Physiology Diagnosis Rehabilitation Cerebral Palsy Child
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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Single-session reliability of discrete gait parameters in ambulatory children with cerebral palsy based on GMFCS level.

Biomechanical and perceived differences between overground and treadmill walking in children with cerebral palsy.

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