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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Steele, Katherine M. Seth, Ajay Hicks, Jennifer L. Schwartz, Michael H. Delp, Scott L. |
| Description | Country affiliation: United States Author Affiliation: Steele KM ( Department of Mechanical Engineering, Stanford University, Stanford, CA, USA.) |
| Abstract | The goals of this study were to determine if the muscle contributions to vertical and fore-aft acceleration of the mass center differ between crouch gait and unimpaired gait and if these muscle contributions change with crouch severity. Examining muscle contributions to mass center acceleration provides insight into the roles of individual muscles during gait and can provide guidance for treatment planning. We calculated vertical and fore-aft accelerations using musculoskeletal simulations of typically developing children and children with cerebral palsy and crouch gait. Analysis of these simulations revealed that during unimpaired gait the quadriceps produce large upward and backward accelerations during early stance, whereas the ankle plantarflexors produce large upward and forward accelerations later in stance. In contrast, during crouch gait, the quadriceps and ankle plantarflexors produce large, opposing fore-aft accelerations throughout stance. The quadriceps force required to accelerate the mass center upward was significantly larger in crouch gait than in unimpaired gait and increased with crouch severity. The gluteus medius accelerated the mass center upward during midstance in unimpaired gait; however, during crouch gait the upward acceleration produced by the gluteus medius was significantly reduced. During unimpaired gait the quadriceps and ankle plantarflexors accelerate the mass center at different times, efficiently modulating fore-aft accelerations. However, during crouch gait, the quadriceps and ankle plantarflexors produce fore-aft accelerations at the same time and the opposing fore-aft accelerations generated by these muscles contribute to the inefficiency of crouch gait. |
| File Format | HTM / HTML |
| ISSN | 09666362 |
| e-ISSN | 18792219 |
| DOI | 10.1016/j.gaitpost.2012.10.019 |
| Journal | Gait & Posture |
| Issue Number | 1 |
| Volume Number | 38 |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2013-05-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | Open |
| Subject Keyword | Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't Discipline Orthopedics Complications Gait Disorders, Neurologic Physiopathology Biomechanical Phenomena Quadriceps Muscle Etiology Models, Biological Computer Simulation Adolescent Lower Extremity Physiology Muscle, Skeletal Acceleration Cerebral Palsy Severity Of Illness Index |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science |
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