Effect of additional load on angular parameters during gait and balance in children with hemiparesis – Cross sectional study

Author:

Mishra Siddharth S.1,Potdar Rashmi2

Affiliation:

1. MGM Hospital Department of Neuro-Physiotherapy and College of Physiotherapy Navi , Mumbai , Affiliated to Maharashtra University of Health Sciences (MUHS) Nasik , India

2. MGM Hospital and College of Physiotherapy Navi Mumbai , affiliated to Maharashtra University of Health Sciences (MUHS) Nasik , India

Abstract

Abstract Study aim: To study the effect of additional load over ankle and knee joints on angular parameters during gait and balance in children with hemiparesis. Material and methods: 10 children with hemiparesis were recruited and stratified into 2 chronological age groups: group A (4–8 years) and group B (9–12 years). Additional loads of 0.7 kg and 1.1 kg were placed on the affected and non-affected lower limb at the ankle and knee joint for group A and group B respectively. Angular parameters during gait were assessed using Kinovea software (version 0.8.15) and balance using the Pediatric Balance Scale. Results: Application of additional load of 0.7 kg over the non-affected leg knee joint is able to produce significant changes in ankle joint angles (p < 0.05) at initial contact and knee joint angles at heel-off (p < 0.05), toe-off (p < 0.001), acceleration (p < 0.05) and deceleration (p < 0.05) phases of gait and balance in group A, whereas on application of additional load of 1.1 kg over the affected leg at the ankle joint significant improvement in knee joint angles at initial contact (p < 0.001) and the deceleration (p < 0.05) phase of gait in group B was observed. There was significant improvement in the Pediatric Balance Scale score in both groups (p < 0.05). Conclusions: Additional load over knee and ankle joints of the affected and non-affected leg showed more improvement in angular parameters during gait and balance in younger children with hemiparesis than older children, as they present an immature form of gait that can be modified, corrected and brought back to a normal angle.

Publisher

Walter de Gruyter GmbH

Subject

Orthopedics and Sports Medicine,Physical Therapy, Sports Therapy and Rehabilitation

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Using the TUG Test for the Functional Assessment of Patients with Selected Disorders;International Journal of Environmental Research and Public Health;2022-04-11

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