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Immediate effects of a single treadmill session with additional ankle loading on gait in children with hemiparetic

Camila R Simão1, Isabelly Cristina R Regalado2, Ana Paula Spaniol2

  • 1Anita Garibaldi Center for Education and Research in Health, Santos Dumont Institute, Macaíba, Brazil.

Neurorehabilitation
|February 5, 2019
PubMed

Insights

Treadmill training with added lower limb weight improved gait in children with hemiparetic cerebral palsy (CP). This intervention enhanced hip and knee motion, leading to better foot clearance during walking.

Area of Science:

  • Pediatrics
  • Neurology
  • Biomechanics

Background:

  • Children with hemiparetic cerebral palsy exhibit inefficient gait due to reduced speed, shorter step length, and wider base of support.
  • These kinematic alterations significantly impact mobility and functional independence.

Purpose of the Study:

  • To evaluate the immediate effects of treadmill training with added lower limb loading on gait kinematics in children with cerebral palsy (CP).

Main Methods:

  • A cross-sectional, observational study involving 20 children with hemiparetic CP.
  • Kinematic gait data were collected using a motion capture system during a single treadmill session with ankle loading (baseline, post-training, and follow-up).

Main Results:

  • Significant increases in knee and hip range of motion were observed.
  • Maximum knee and hip flexion in the swing phase, as well as paretic foot height during swing, significantly increased post-intervention.

Conclusions:

  • Treadmill gait training with lower limb loading effectively modifies locomotor strategies in children with hemiparetic CP.
  • Increased hip flexion during swing phase promotes higher paretic foot clearance, potentially improving overall gait function.
Abstract

Keywords:
Cerebral palsygaitkinematicslower extremityrehabilitationweight-bearing

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