PMID: 9161364May 1, 1997Paper

Gait electromyography in children with myelomeningocele at the sacral level

Archives of Physical Medicine and Rehabilitation
B K ParkL S Dias

Abstract

Patients with sacral level myelomeningocele can be expected to maintain a high level of ambulatory status long into adulthood. Gait deterioration and knee pain reported in this population may be attributed to compensatory movements and increased recruitment of less affected muscle groups to achieve this desired level of ambulation. The objective of this study was to analyze the effect of the solid ankle-foot-orthoses (AFOs) on the muscular activity of selected muscles during walking. Cohort/outcome. Laboratory. Twenty four patients with sacral level myelomeningocele between 4 to 17 years of age. Electromyographic activity of selected muscle groups were studied during barefoot walking and walking with solid AFOs at a self-selected walking velocity. Timing of electromyographic activity and sagittal plane knee kinematics. Comparison to normal electromyographic patterns and changes between barefoot and AFO walking conditions. With the AFOs there was significantly less prolonged stance phase quadriceps activity compared with barefoot walking, although greater than normal activity persisted. There was no change between conditions for the other monitored muscle groups. All muscles elicited greater duration of activity over the course ...Continue Reading

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Citations

May 24, 2000·Journal of Pediatric Orthopedics·C M DuffyA P Cosgrove
May 21, 2013·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Jennifer K SansomBeverly D Ulrich
Nov 13, 2004·Gait & Posture·Elena M GutierrezHelena Saraste
May 24, 2000·Journal of Pediatric Orthopedics·S J VankoskiL Dias
Jun 7, 2005·Nature Materials·Anand Bala SubramaniamHoward A Stone
Jan 10, 2018·Adapted Physical Activity Quarterly : APAQ·Jennifer K Sansom, Beverly D Ulrich
Dec 23, 1998·American Journal of Physical Medicine & Rehabilitation·D Dumitru, J C King
Feb 10, 2006·Prosthetics and Orthotics International·S YamamotoT Yasui

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