Association between isometric muscle strength and gait joint kinetics in adolescents and young adults with cerebral palsy

被引:55
作者
Dallmeijer, A. J. [1 ]
Baker, R. [2 ,3 ]
Dodd, K. J. [4 ,5 ]
Taylor, N. F. [4 ,5 ]
机构
[1] Vrije Univ Amsterdam, Med Ctr Amsterdam, Res Inst MOVE, Dpt Rehabil Med, NL-1007 MB Amsterdam, Netherlands
[2] Royal Childrens Hosp Melbourne, Murdoch Childrens Res Inst, Hugh Williamson Gait Anal Lab, Melbourne, Vic, Australia
[3] Univ Salford, Sch Health Sport & Rehabil Sci, Salford M5 4WT, Lancs, England
[4] La Trobe Univ, Musculoskeletal Res Ctr, Bundoora, Vic 3086, Australia
[5] La Trobe Univ, Sch Physiotherapy, Bundoora, Vic 3086, Australia
基金
英国医学研究理事会;
关键词
Cerebral palsy; Joint kinetics; Gait; Isometric muscle strength; CHILDREN; WALKING; SPASTICITY;
D O I
10.1016/j.gaitpost.2010.10.092
中图分类号
Q189 [神经科学];
学科分类号
071006 ;
摘要
The purpose of this study was to determine the association between isometric muscle strength of the lower limbs and gait joint kinetics in adolescents and young adults with cerebral palsy (CP). Twenty-five participants (11 males) with bilateral spastic CP, aged 14-22 years (mean: 18.9, sd: 2.0 yr) and Gross Motor Function Classification System (GMFCS) level II (n = 19) and III (n = 6) were tested. Hand held dynamometry was used to measure isometric strength (expressed in N m/kg) of the hip, knee, and ankle muscles using standardized testing positions and procedures. 3D gait analysis was performed with a VICON system to calculate joint kinetics in the hip, knee and ankle during gait. Ankle peak moments exceeded by far the levels of isometric strength of the plantar flexors, while the knee and hip peak moments were just at or below maximal isometric strength of knee and hip muscles. Isometric muscle strength showed weak to moderate correlations with peak ankle and hip extension moment and power during walking. Despite considerable muscle weakness, joint moment curves were similar to norm values. Results suggest that passive stretch of the muscle-tendon complex of the triceps surae contributes to the ankle moment during walking and that muscle strength assessment may provide additional information to gait kinetics. (C) 2010 Elsevier B.V. All rights reserved.
引用
收藏
页码:326 / 332
页数:7
相关论文
共 19 条
[1]   The Gait Profile Score and Movement Analysis Profile [J].
Baker, Richard ;
McGinley, Jennifer L. ;
Schwartz, Michael H. ;
Beynon, Sarah ;
Rozumalski, Adam ;
Graham, H. Kerr ;
Tirosh, Oren .
GAIT & POSTURE, 2009, 30 (03) :265-269
[2]   Hand-held dynamometry for muscle strength measurement in children with cerebral palsy [J].
Crompton, Jodi ;
Galea, Mary P. ;
Phillips, Bev .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2007, 49 (02) :106-111
[3]   Functional outcomes of strength training in spastic cerebral palsy [J].
Damiano, DL ;
Abel, MF .
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION, 1998, 79 (02) :119-125
[4]   MUSCLE RESPONSE TO HEAVY RESISTANCE EXERCISE IN CHILDREN WITH SPASTIC CEREBRAL-PALSY [J].
DAMIANO, DL ;
VAUGHAN, CL ;
ABEL, MF .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 1995, 37 (08) :731-739
[5]   Do dynamic and static clinical measurements correlate with gait analysis parameters in children with cerebral palsy? [J].
Desloovere, Kaat ;
Molenaers, Guy ;
Feys, Hilde ;
Huenaerts, Catherine ;
Callewaert, Barbara ;
de Walle, Patricia Van .
GAIT & POSTURE, 2006, 24 (03) :302-313
[6]   Walking ability is related to muscle strength in children with cerebral palsy [J].
Eek, Meta Nystrom ;
Beckung, Eva .
GAIT & POSTURE, 2008, 28 (03) :366-371
[7]   Muscle strength training to improve gait function in children with cerebral palsy [J].
Eek, Meta Nystrom ;
Tranberg, Roy ;
Zugner, Roland ;
Alkema, Kristina ;
Beckung, Eva .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2008, 50 (10) :759-764
[8]   A method for comparing manual muscle strength measurements with joint moments during walking [J].
Fosang, Adrienne ;
Baker, Richard .
GAIT & POSTURE, 2006, 24 (04) :406-411
[9]  
Gage JR, 2004, TREATMENT GAIT PROBL
[10]  
Lance J.W., 1980, Spasticity: disordered motor control, P485