Number of Synergies Is Dependent on Spasticity and Gait Kinetics in Children With Cerebral Palsy

被引：15
作者：
Hashiguchi, Yu [1 ]
Ohata, Koji [2 ]
Osako, Sayuri [3 ,4 ]
Kitatani, Ryosuke [5 ]
Aga, Yumi [6 ]
Masaki, Mitsuhiro [7 ]
Yamada, Shigehito [2 ]
机构：
[1] Gunma Paz Univ, Fac Hlth Sci, Dept Phys Therapy, 1-7-1 Tonyamachi, Takasaki, Gunma 3700006, Japan
[2] Kyoto Univ, Grad Sch Med, Human Hlth Sci, Dept Phys Therapy, Kyoto, Japan
[3] Kuretake Special Support Sch, Kyoto, Japan
[4] Kita Special Support Sch, Kyoto, Japan
[5] Kansai Rehabil Hosp, Osaka, Japan
[6] Aijinkai Rehabil Hosp, Osaka, Japan
[7] Niigata Univ Hlth & Welf, Dept Phys Therapy, Niigata, Japan
来源：
PEDIATRIC PHYSICAL THERAPY | 2018年 / 30卷 / 01期
关键词：
cerebral palsy; gait kinetics; spasticity; MOTOR MODULES; PATTERNS; PRIMITIVES;
D O I：
10.1097/PEP.0000000000000460
中图分类号：
R72 [儿科学];
学科分类号：
100202 ;
摘要：
Purpose: Children with cerebral palsy have motor dysfunctions, which are mainly associated with the loss of motor coordination. For the assessment of motor coordination, muscle synergies calculated by nonnegative matrix factorization have been investigated. However, the characteristics of muscle synergies in children with cerebral palsy are not understood. Methods: This study compared the number of muscle synergies during gait between children with cerebral palsy and children with typical development and clarified whether certain clinical parameters differed according to the number of synergies. Results: Children with cerebral palsy had significantly fewer synergies than children developing typically. The extent of spasticity and gait kinetics differed according to the number of synergies. Conclusion: Increases in the number of synergies are limited by severe spasticity. The muscle synergies calculated by nonnegative matrix factorization have the potential to enable the quantification of motor coordination during gait.
引用
收藏
页码：34 / 38
页数：5
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