Effects of various treadmill interventions on the development of joint kinematics in infants with Down syndrome

Physical Therapy
Jianhua WuRosa M Angulo-Barroso

Abstract

Infants with Down syndrome (DS) have delayed walking and produce less-coordinated walking patterns. The aim of this study was to investigate whether 2 treadmill interventions would have different influences on the development of joint kinematic patterns in infants with DS. Thirty infants with DS were randomly assigned to a lower-intensity, generalized (LG) treadmill training group (LG group) or a higher-intensity, individualized (HI) treadmill training group (HI group) and trained until walking onset. Twenty-six participants (13 in each group) completed a 1-year gait follow-up assessment. During the gait follow-up assessment, reflective markers were placed bilaterally on the participants to measure the kinematic patterns of the hip, knee, and ankle joints. Both the timing and the magnitude of peak extension and flexion at the hip, knee, and ankle joints, as well as peak adduction and abduction at the hip joint, in the 2 groups were compared. Both the LG group and the HI group showed significantly advanced development of joint kinematics at the gait follow-up. In the HI group, peak ankle plantar flexion occurred at or before toe-off, and the duration of the forward thigh swing after toe-off increased. Joint kinematics in the low...Continue Reading

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Citations

Jul 30, 2017·The Cochrane Database of Systematic Reviews·Marta Valentín-GudiolRosa Maria Angulo-Barroso
Dec 7, 2017·JAAPA : Official Journal of the American Academy of Physician Assistants·Corey Dupre, Emily Weidman-Evans
Sep 24, 2015·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Leah LoweCharlotte Yates
Feb 23, 2019·Journal of Intellectual Disability Research : JIDR·L Ruiz-GonzálezJ A Moral-Munoz
Jun 4, 2016·International Journal of Evidence-based Healthcare·Judith HockingJared Campbell
Dec 20, 2014·Physical Therapy·Jianhua WuHuaqing Liang
Apr 20, 2014·Physical Therapy·Jill C HeathcockD Michele Basso
Apr 10, 2018·Journal of Pediatric Rehabilitation Medicine·Ginny PalegRoslyn Livingstone
Apr 11, 2020·Journal of Physical Therapy Science·Matteo ZagoManuela Galli
Dec 19, 2020·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Ashley Conklin, Adrienne H Simonds
Mar 4, 2021·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Rebekah JohnsonAlyssa Fiss

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