Abstract
The aim of this study was to analyze locomotor function of children with cerebral palsy based on changes in muscle length and to evaluate if the muscle length changes may be used as a diagnostic indicator. The study group consisted of 23 people with normal gait and 3 patients with cerebral palsy. Locomotor function tests were performed using the BTS Smart system, while the length of the muscles were determined using mathematical modeling methods with the help of Anybody Modeling System software. In this study the muscle group functioning in connection with the knee joint were analyzed. The results of muscle length changes for children with CP were compared to those of people with no evidence of impaired locomotor function, as well as to the values of GGI and GDI indicators and to kinematic parameters.
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References
Arnold, E.M., Delp, S.L.: Fibre operating lengths of human lower limb muscles during walking. Philos. Trans. R. Soc. B Biol. Sci. 366, 1530–1539 (2011)
Arnold, E.M., Ward, S.R., Lieber, R.L., Delp, S.L.: A model of the lower limb for analysis of human movement. Ann. Biomed. Eng. 38, 269–279 (2010)
Chleboun, G.S., France, A.R., Crill, M.T., Braddock, H.K., Howell, J.N.: In vivo measurement of fascicle length and pennation angle of the human biceps femoris muscle. Cells Tissues Organs 169, 401–409 (2001)
Cutts, A.: The range of sarcomere lengths in the muscles of the human lower limb. J. Anat. 160, 79–88 (1988)
Cutts, A.: Sarcomere length changes in muscles of the human thigh during walking. J. Anat. 166, 77–84 (1989)
Fleeter, T.B., Adams, J.P., Brenner, B., Podolsky, R.J.: A laser diffraction method for measuring muscle sarcomere length in vivo for application to tendon transfers. J. Hand Surg. 10, 542–546 (1985)
Krogt, M.M., Doorenbosch, C.A.M., Harlaar, J.: Muscle length and lengthening velocity in voluntary crouch gait. Gait Posture 26, 532–538 (2007)
Lieber, R.L., Friden, J.: Musculoskeletal balance of the human wrist elucidated using intraoperative laser diffraction. J. Electromyogr. Kinesiol. 8, 93–100 (1998)
Llewellyn, M.E., Barretto, R.P., Delp, S.L., Schnitzer, M.J.: Minimally invasive high-speed imaging of sarcomere contractile dynamics in mice and humans. Nature 454, 784–788 (2008)
Maganaris, C.N.: Force-length characteristics of in vivo human skeletal muscle. Acta Physiol. Scand. 172, 279–285 (2001)
Michnik, R., Nowakowska, K., Jurkojć, J., Kopyta, Jochymczyk-Woźniak, K.I., Mandera M.: Wykorzystanie metod modelowania obciążeń układu szkieletowo-mięśniowego u pacjenta z mózgowym porażeniem dziecięcym (The use of musculosceletal system load modling methods in patients with cerebral palsy). Modelowanie Inżynierskie, Tom 24, Zeszyt 55, 2015, s. 74–80 (in Polish)
Orendurff, M.S., et al.: Length and force of the gastrocnemius and soleus during gait following tendo Achilles lengthenings in children with equinus. Gait Posture 15, 130–135 (2002)
Ward, S.R., Eng, C.M., Smallwood, L.H., Lieber, R.L.: Are current measurements of lower extremity muscle architecture accurate? Clin. Orthop. Rel. Res. 467, 1074–1082 (2009)
Wren, T.A., Do, K.P., Kay, R.M.: Gastrocnemius and soleus lengths in cerebral palsy equinus gait: differences between children with and without static contracture and effects of gastrocnemius recession. J. Biomech. 37(9), 1321–1327 (2004)
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The study was supported by the research grant DEC-2011/01/B/NZ7/02695 of the National Science Center.
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Nowakowska, K., Michnik, R., Jochymczyk-Woźniak, K., Jurkojć, J., Kopyta, I. (2017). Evaluation of Locomotor Function in Patients with CP Based on Muscle Length Changes. In: Gzik, M., Tkacz, E., Paszenda, Z., Piętka, E. (eds) Innovations in Biomedical Engineering. Advances in Intelligent Systems and Computing, vol 526. Springer, Cham. https://doi.org/10.1007/978-3-319-47154-9_19
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DOI: https://doi.org/10.1007/978-3-319-47154-9_19
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