Long-term sustained effect of gait training using a hybrid assistive limb on gait stability via prevention of knee collapse in a patient with cerebral palsy: a case report

Journal of Physical Therapy Science
Yusuke EndoMasashi Yamazaki

Abstract

[Purpose] The hybrid assistive limb was developed to improve the kinematics and muscle activity in patients with neurological and orthopedic conditions. The purpose of the present study was to examine the long-term sustained effect of gait training using a hybrid assistive limb on gait stability, kinematics, and muscle activity by preventing knee collapse in a patient with cerebral palsy. [Participant and Methods] A 17 year-old male with cerebral palsy performed gait training with a hybrid assistive limb 12 times in 4 weeks. After completion of 12 sessions of hybrid assistive limb training, monthly follow-up was conducted for 8 months. The improvement was assessed on the basis of joint angle and muscle activity during gait. [Results] The degree of knee collapse observed at baseline was improved at 8-month follow-up. Regarding muscle activity, electromyography revealed increased activation of the vastus lateralis at 8-month follow-up. Moreover, the hip and knee angles were expanded during gait. In particular, the knee extension angle at heel contact was increased at 8 months after follow-up. [Conclusion] Gait training with a hybrid assistive limb provided improvement of gait stability such as kinematics and muscle activity in a ...Continue Reading

References

Apr 1, 1997·Developmental Medicine and Child Neurology·R PalisanoB Galuppi
Mar 1, 2006·Neurology·B DobkinUNKNOWN Spinal Cord Injury Locomotor Trial Group
Sep 16, 2011·Clinical Orthopaedics and Related Research·Jacques RiadEva Broström
Jan 15, 2013·Archives of Physical Medicine and Rehabilitation·Shigeki KubotaNaoyuki Ochiai
Mar 29, 2016·Disability and Rehabilitation. Assistive Technology·Masafumi MizukamiAkira Matsumura
Sep 7, 2017·Case Reports in Orthopedics·Takashi FukayaMasashi Yamazaki

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Citations

Dec 11, 2020·Medicina·Yuki MatakiMasashi Yamazaki

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