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Quantitative Effects of Repeated Muscle Vibrations on Gait Pattern in a 5-Year-Old Child with Cerebral Palsy

机译:重复的肌肉振动对5岁脑瘫儿童步态模式的定量影响

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摘要

Objective. To investigate quantitatively and objectively the effects of repeated muscle vibration (rMV) of triceps surae on the gait pattern in a 5-year-old patient with Cerebral Palsy with equinus foot deformity due to calf spasticity. Methods. The patient was assessed before and one month after the rMV treatment using Gait Analysis. Results. rMV had positive effects on the patient's gait pattern, as for spatio-temporal parameters (the stance duration and the step length increased their values after the treatment) and kinematics. The pelvic tilt reduced its anteversion and the hip reduced the high flexion evidenced at baseline; the knee and the ankle gained a more physiological pattern bilaterally. The Gillette Gait Index showed a significant reduction of its value bilaterally, representing a global improvement of the child's gait pattern. Conclusions. The rMV technique seems to be an effective option for the gait pattern improvement in CP, which can be used also in very young patient. Significant improvements were displayed in terms of kinematics at all lower limb joints, not only at the joint directly involved by the treatment (i.e., ankle and knee joints) but also at proximal joints (i.e., pelvis and hip joint).
机译:目的。为了定量和客观地研究三头肌肱三头肌反复肌肉振动(rMV)对5岁小腿痉挛引起的足equi畸形的脑瘫患者步态模式的影响。方法。使用步态分析在rMV治疗之前和之后1个月对患者进行评估。结果。 rMV对患者的步态模式有积极影响,如时空参数(治疗后的站立时间和步长增加其值)和运动学。骨盆倾斜减少了其前倾角,髋关节减少了基线时出现的高屈曲;膝盖和脚踝在两侧获得了更多的生理形态。吉列步态指数显示其双边价值显着下降,代表了孩子步态的全球改善。结论。 rMV技术似乎是改善CP步态模式的有效选择,也可以在非常年轻的患者中使用。在所有下肢关节的运动学方面均显示出显着改善,不仅在治疗直接涉及的关节(即踝关节和膝关节),而且在近端关节(即骨盆和髋关节)。

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