Mokhtar Arazpour1,2, Farin Soleimani1, Firoozeh Sajedi1, Roshanak Vameghi1, Monireh Ahmadi Bani2, Masoud Gharib3, Mohammad Samadian4. 1. Pediatric Neurorehabilitation Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. 2. Department of Orthotics and Prosthetics, University of Social Welfare and Rehabilitation Science, Tehran, Iran. 3. Department of Occupational Therapy, Faculty of Para-medical Sciences, Mazandaran University of Medical Sciences, Sari, Iran. 4. Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Department of Neurosurgery, Tehran, Iran.
Abstract
Background: Mechanical orthoses are used to assist in standing and walking after neurological injury in children with myelomeningocele (MMC). Objectives: To evaluate the influence of orthotic gait training with an isocentric reciprocating gait orthosis (IRGO) on the kinematics and temporal-spatial parameters of walking in children with MMC. Methods: Five children with MMC were fitted with an IRGO. They walked at their own comfortable cadence using the orthosis. The hip joint angle, spatial temporal parameters, and compensatory motions were measured and analyzed. Results: Significant increases in walking speed and step length were demonstrated following orthotic gait training during walking with the IRGO. The sagittal plane hip range of motion was also significantly increased; however, the vertical and horizontal compensatory motions were significantly decreased. Conclusion: This study evaluated the influence of gait training with an IRGO on the kinematics and temporal spatial parameters in MMC children. The findings showed that orthotic gait training improved hip joint range of motion, increased walking speed and step length, and decreased lateral and vertical compensatory motions during level-ground walking trials.
Background: Mechanical orthoses are used to assist in standing and walking after neurological injury in children with myelomeningocele (MMC). Objectives: To evaluate the influence of orthotic gait training with an isocentric reciprocating gait orthosis (IRGO) on the kinematics and temporal-spatial parameters of walking in children with MMC. Methods: Five children with MMC were fitted with an IRGO. They walked at their own comfortable cadence using the orthosis. The hip joint angle, spatial temporal parameters, and compensatory motions were measured and analyzed. Results: Significant increases in walking speed and step length were demonstrated following orthotic gait training during walking with the IRGO. The sagittal plane hip range of motion was also significantly increased; however, the vertical and horizontal compensatory motions were significantly decreased. Conclusion: This study evaluated the influence of gait training with an IRGO on the kinematics and temporal spatial parameters in MMC children. The findings showed that orthotic gait training improved hip joint range of motion, increased walking speed and step length, and decreased lateral and vertical compensatory motions during level-ground walking trials.
Authors: Marcos J B Aguiar; Angela S Campos; Regina A L P Aguiar; Ana Maria A Lana; Renata L Magalhães; Luciana T Babeto Journal: J Pediatr (Rio J) Date: 2003 Mar-Apr Impact factor: 2.197
Authors: Mokhtar Arazpour; Monireh Ahmadi Bani; Stephen William Hutchins; Sarah Curran; Mohammad Ali Javanshir; Mohammad Ebrahim Mousavi Journal: Disabil Rehabil Assist Technol Date: 2013-06-19
Authors: S Hirokawa; M Grimm; T Le; M Solomonow; R V Baratta; H Shoji; R D D'Ambrosia Journal: Arch Phys Med Rehabil Date: 1990-08 Impact factor: 3.966