• NeuroRehabilitation · Jan 2013

    Case Reports

    Effects of the progressive walking-to-running technique on gait kinematics, ultrasound imaging, and motor function in spastic diplegic cerebral palsy - an experimenter-blind case study.

    • Nam Gi Lee, Su Ji Jeong, Joshua Sung Hyun You, Kang Hee Cho, and Tae Heon Lee.
    • Department of Physical Therapy, College of Health and Welfare, Woosong University, Daejeon, Republic of Korea.
    • NeuroRehabilitation. 2013 Jan 1;32(1):17-26.

    PurposeThe purpose of this study was to investigate the effects of the progressive walking-to-running technique (PWRT) in a child with spastic diplegic cerebral palsy (CP).DesignA single case study with pre-/post-test.SubjectAn 11-year-old male, diagnosed with spastic diplegic CP.MethodsThe PWRT was provided for 60 minutes a day, 2 times a week for 12 weeks. Gross motor function tests, ultrasound imaging, hand-held dynamometer, and the Vicon motion capture system were used to determine motor function, muscle size and strength, and gait kinematics.ResultsGross motor function was improved after the intervention. The size of right and left rectus femoris and tibialis anterior muscles in their contracted states were enhanced by 1.36, 5.09, 83.74, and 54.37%, respectively. Associated muscle strength was also increased by 58.8, 30.8, 28.0, and 118.2% in both rectus femoris and tibialis anterior muscles. Left stride length, walking speed, maximal flexion-extension angular excursion of the hip joint were enhanced by 95.7, 87.8, and 100.4% after PWRT, respectively.ConclusionsOur novel walking-running training paradigm was effective for restoring gait and running ability in a child with spastic diplegic CP.

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