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Reach performance and postural adjustments during standing in children with severe spastic diplegia using dynamic ankle-foot orthoses
Luleå University of Technology, Department of Health Sciences, Health and Rehab.ORCID iD: 0000-0002-5332-0273
Umeå universitet, Institutionen för Samhällsmedicin, Avdelningen för Sjukgymnastik.
Karolinska Institutet, Forskningslaboratoriet för motorisk kontroll och sjukgymnastik, Institutionen Neurotec.
2007 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 39, no 9, p. 715-23Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate the co-ordination between reaching, ground reaction forces and muscle activity in standing children with severe spastic diplegia wearing dynamic ankle-foot orthoses compared with typically developing children. DESIGN: Clinical experimental study. SUBJECTS: Six children with spastic diplegia (Gross Motor Function Classification System level III-IV) and 6 controls. METHODS: Ground reaction forces (AMTI force plates), ankle muscle activity (electromyography and displacement of the hand (ELITE systems) were investigated while reaching for an object. RESULTS: For the children with severe spastic diplegia who were wearing dynamic ankle-foot orthoses, co-ordination between upward and forward reach velocity differed regarding the temporal sequencing and amplitude of velocity peaks. During reaching, these children lacked interplay of pushing force beneath the reach leg and braking force beneath the non-reach leg and co-ordinated ankle muscle activity, compared with controls. CONCLUSION: The results suggest differences in reach performance and postural adjustments for balance control during a reaching movement in standing between children with spastic diplegia Gross Motor Function Classification System level III-IV, wearing dynamic ankle-foot orthoses compared with typically developing children.

Place, publisher, year, edition, pages
2007. Vol. 39, no 9, p. 715-23
National Category
Physiotherapy
Research subject
Physiotherapy
Identifiers
URN: urn:nbn:se:ltu:diva-6998DOI: 10.2340/16501977-0121ISI: 000251368100009Scopus ID: 2-s2.0-36849038328Local ID: 5557d350-9688-11dc-ad7f-000ea68e967bOAI: oai:DiVA.org:ltu-6998DiVA, id: diva2:979884
Note
Validerad; 2007; 20071119 (andbra)Available from: 2016-09-29 Created: 2016-09-29 Last updated: 2018-07-10Bibliographically approved

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Näslund, Annika

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