Can Strength Training Predictably Improve Gait Kinematics? A Pilot Study on the Effects of Hip and Knee Extensor Strengthening on Lower-Extremity Alignment in Cerebral Palsy
Author(s) -
Diane L. Damiano,
Allison S. Arnold,
Katherine M. Steele,
Scott L. Delp
Publication year - 2009
Publication title -
physical therapy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.998
H-Index - 150
eISSN - 1538-6724
pISSN - 0031-9023
DOI - 10.2522/ptj.20090062
Subject(s) - cerebral palsy , physical medicine and rehabilitation , gait , medicine , kinematics , knee flexion , physical therapy , hip flexion , range of motion , physics , classical mechanics
Computer simulations have demonstrated that excessive hip and knee flexion during gait, as frequently seen in ambulatory children with cerebral palsy (CP), can reduce the ability of muscles to provide antigravity support and increase the tendency of hip muscles to internally rotate the thigh. These findings suggest that therapies for improving upright posture during gait also may reduce excessive internal rotation.
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