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|Title||Trunk and hip muscle activation patterns are different during walking in young children with and without cerebral palsy.|
|Publication Type||Journal Article|
|Year of Publication||2010|
|Authors||Prosser LA, Lee SCK, VanSant AF, Barbe MF, Lauer RT|
|Date Published||2010 Jul|
|Keywords||Anthropometry, Biomechanical Phenomena, Cerebral Palsy, Chi-Square Distribution, Child, Child, Preschool, Electromyography, Feedback, Sensory, Female, Gait Disorders, Neurologic, Hip, Humans, Male, Muscle, Skeletal, Physical Therapy Modalities, Posture, Statistics, Nonparametric, Thorax, Time Factors, Video Recording|
BACKGROUND: Poor control of postural muscles is a primary impairment in people with cerebral palsy (CP).
OBJECTIVE: The purpose of this study was to investigate differences in the timing characteristics of trunk and hip muscle activity during walking in young children with CP compared with children with typical development (TD).
METHODS: Thirty-one children (16 with TD, 15 with CP) with an average of 28.5 months of walking experience participated in this observational study. Electromyographic data were collected from 16 trunk and hip muscles as participants walked at a self-selected pace. A custom-written computer program determined onset and offset of activity. Activation and coactivation data were analyzed for group differences.
RESULTS: The children with CP had greater total activation and coactivation for all muscles except the external oblique muscle and differences in the timing of activation for all muscles compared with the TD group. The implications of the observed muscle activation patterns are discussed in reference to existing postural control literature.
LIMITATIONS: The potential influence of recording activity from adjacent deep trunk muscles is discussed, as well as the influence of the use of an assistive device by some children with CP.
CONCLUSIONS: Young children with CP demonstrate excessive, nonreciprocal trunk and hip muscle activation during walking compared with children with TD. Future studies should investigate the efficacy of treatments to reduce excessive muscle activity and improve coordination of postural muscles in CP.
|Alternate Journal||Phys Ther|
|PubMed Central ID||PMC2897131|
|Grant List||R03 NS048875 / NS / NINDS NIH HHS / United States |
R01 HD043859 / HD / NICHD NIH HHS / United States
/ / Intramural NIH HHS / United States
R01HD043859 / HD / NICHD NIH HHS / United States
R03NS048875 / NS / NINDS NIH HHS / United States