Evaluating upper body movements during gait in healthy children and children with diplegic cerebral palsy

Movements of the lower limbs during gait have been analysed extensively whereas data on upper body movements are scarce. The aim of this study was to evaluate upper body movements during gait in nine healthy children and 10 children with diplegic cerebral palsy. Children were investigated using a full-body marker set to calculate the upper body kinematics of trunk and arms. When the healthy children were compared with the children with cerebral palsy, the latter compensated more for their gait deviations and were less stable. This was expressed by their greater variability in arm movements and increased movements at the thorax. The thorax showed an increased forward tilt with greater range of motion over the gait cycle. The shoulders were more abducted with increased elbow flexion. Gait analysis with the full-body marker set has offered prospects for a better understanding of compensatory mechanisms for the pathological gait pattern in children with diplegic cerebral palsy.

[1]  P. Grimaud.  [Cerebral palsy]. , 1972, Pediatrie.

[2]  S. Simon.  Gait Analysis, Normal and Pathological Function. , 1993 .

[3]  C Frigo,et al.  The upper body segmental movements during walking by young females. , 2003, Clinical biomechanics.

[4]  Richard Baker,et al.  Two methods of calculating thorax kinematics in children with myelomeningocele. , 2004, Clinical biomechanics.

[5]  A G Cresswell,et al.  Upper body movement during walking in children with lumbo-sacral myelomeningocele. , 2002, Gait & posture.

[6]  La Koman,et al.  Seminar. Cerebral palsy , 2004 .

[7]  R. Loder,et al.  Spinal Deformity Following Selective Dorsal Rhizotomy , 2004, Journal of pediatric orthopedics.

[8]  R. van Emmerik,et al.  Age-related changes in upper body adaptation to walking speed in human locomotion. , 2005, Gait & posture.

[9]  Helena Saraste,et al.  Centre of mass motion during gait in persons with myelomeningocele. , 2003, Gait & posture.

[10]  A. T. Nelson,et al.  Sagittal plane analysis of head, neck, and trunk kinematics and electromyographic activity during locomotion. , 2001, The Journal of orthopaedic and sports physical therapy.

[11]  M. Sussman,et al.  Spinal Deformity After Selective Dorsal Rhizotomy in Ambulatory Patients With Cerebral Palsy , 2004, Journal of pediatric orthopedics.

[12]  M. Abel,et al.  The evolution of gait in childhood and adolescent cerebral palsy. , 1997, Journal of pediatric orthopedics.

[13]  E. Zwick,et al.  Hip locomotion mechanisms in cerebral palsy crouch gait. , 2001, Gait & posture.

[14]  K. Ono,et al.  The lumbar spine in spastic diplegia. A radiographic study. , 1993, The Journal of bone and joint surgery. British volume.

[15]  R. Betz,et al.  The Relationship Between Tight Hamstrings and Lumbar Hypolordosis in Children With Cerebral Palsy , 2000, Spine.

[16]  R. Waters,et al.  The energy expenditure of normal and pathologic gait. , 1999, Gait & posture.

[17]  A. Stacoff,et al.  Gait analysis in patients with idiopathic scoliosis , 2004, European Spine Journal.

[18]  A. Thorstensson,et al.  Lumbar back muscle activity in relation to trunk movements during locomotion in man. , 1982, Acta physiologica Scandinavica.

[19]  James R. Gage,et al.  Gait Analysis: Principles and Applications , 1995 .

[20]  M P Kadaba,et al.  Measurement of lower extremity kinematics during level walking , 1990, Journal of orthopaedic research : official publication of the Orthopaedic Research Society.

[21]  A. Daffertshofer,et al.  Effects of chronic low back pain on trunk coordination and back muscle activity during walking: changes in motor control , 2006, European Spine Journal.