Is the modified Tardieu scale in semi-standing position better associated with knee extension and hamstring activity in terminal swing than the supine Tardieu?

被引:6
作者
Faber, Irene R. [2 ]
Nienhuis, Bart
Rijs, Nique P. A. M.
Geurts, Alexander C. H. [2 ]
Duysens, Jacques [1 ]
机构
[1] Res Ctr Movement Control & Neuroplastic, Dept Biomed Kinesiol FaBeR, BE-3001 Heverlee, Belgium
[2] Radboud Univ Nijmegen, Med Ctr, Dept Rehabil, NL-6525 ED Nijmegen, Netherlands
关键词
D O I
10.1111/j.1469-8749.2008.02056.x
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The aim of this study was to investigate whether the modified Tardieu scale (MTS) in a semi-standing position, used for the assessment of hamstrings spasticity, was better associated with knee extension and hamstrings activity in terminal swing than the MTS in a supine position in children with cerebral palsy (CP). Seven children diagnosed with spastic CP (Gross Motor Function Classification System Levels I-II) and seven healthy comparison children participated in the study. An instrumented MTS in supine and semi-standing position and an instrumented gait assessment were conducted. Results showed that spasticity-related outcomes of the semi-standing MTS do not show better associations with terminal swing characteristics of gait than the same outcomes of the supine MTS in children with spastic CP. Only the passive restricted knee angle from the supine MTS was strongly associated with the maximum knee extension during gait (r(s)=0.99; p < 0.001), suggesting that hamstrings length is more important for terminal swing behaviour than hamstrings spasticity.
引用
收藏
页码:382 / 387
页数:6
相关论文
共 37 条
[1]   Do the hamstrings operate at increased muscle-tendon lengths and velocities after surgical lengthening? [J].
Arnold, Allison S. ;
Liu, May Q. ;
Schwartz, Michael H. ;
Ounpuu, Sylvia ;
Dias, Luciano S. ;
Delp, Scott L. .
JOURNAL OF BIOMECHANICS, 2006, 39 (08) :1498-1506
[2]   The role of estimating muscle-tendon lengths and velocities of the hamstrings in the evaluation and treatment of crouch gait [J].
Arnold, AS ;
Liu, MQ ;
Schwartz, MH ;
Ounpuu, S ;
Delp, SL .
GAIT & POSTURE, 2006, 23 (03) :273-281
[3]   Muscular contributions to hip and knee extension during the single limb stance phase of normal gait: a framework for investigating the causes of crouch gait [J].
Arnold, AS ;
Anderson, FC ;
Pandy, MG ;
Delp, SL .
JOURNAL OF BIOMECHANICS, 2005, 38 (11) :2181-2189
[4]   Objective measurement of clinical findings in the use of botulinum toxin type A for the management of children with cerebral palsy [J].
Boyd, RN ;
Graham, HK .
EUROPEAN JOURNAL OF NEUROLOGY, 1999, 6 :S23-S35
[5]   MODULATION OF HUMAN SHORT LATENCY REFLEXES BETWEEN STANDING AND WALKING [J].
BROOKE, JD ;
COLLINS, DF ;
BOUCHER, S ;
MCILROY, WE .
BRAIN RESEARCH, 1991, 548 (1-2) :172-178
[6]   DIFFERENCE IN THE AMPLITUDE OF THE HUMAN SOLEUS H REFLEX DURING WALKING AND RUNNING [J].
CAPADAY, C ;
STEIN, RB .
JOURNAL OF PHYSIOLOGY-LONDON, 1987, 392 :513-522
[7]   Novel biomechanics demonstrate gait dysfunction due to hamstring tightness [J].
Cooney, KM ;
Sanders, JO ;
Concha, MC ;
Buczek, FL .
CLINICAL BIOMECHANICS, 2006, 21 (01) :59-66
[8]   Spasticity and 'spastic' gait in children with cerebral palsy [J].
Crenna, P .
NEUROSCIENCE AND BIOBEHAVIORAL REVIEWS, 1998, 22 (04) :571-578
[9]   Relationship of spasticity to knee angular velocity and motion during gait in cerebral palsy [J].
Damiano, DL ;
Laws, E ;
Carmines, DV ;
Abel, MF .
GAIT & POSTURE, 2006, 23 (01) :1-8
[10]   What does the Ashworth scale really measure and are instrumented measures more valid and precise? [J].
Damiano, DL ;
Quinlivan, JM ;
Owen, BF ;
Payne, P ;
Nelson, KC ;
Abel, MF .
DEVELOPMENTAL MEDICINE AND CHILD NEUROLOGY, 2002, 44 (02) :112-118