By James R. Gage, Michael H. Schwartz, Steven E. Koop, Tom F. Novacheck
The one e-book to deal in particular with the therapy of gait difficulties in cerebral palsy, this accomplished, multi-disciplinary quantity may be useful for all these operating within the box of cerebral palsy and gait (neurologists, therapists, physiatrists, orthopaedic and neurosurgeons, and bioengineers). The publication is split into components. the 1st is designed to assist the reader evaluation and comprehend a baby with cerebral palsy. It bargains with neurological regulate, musculoskeletal development, and common gait, in addition to cerebral damage, development deformities and gait pathology in little ones with cerebral palsy. the second one part is a accomplished evaluate of administration. It emphasizes the main primary notion of remedy: deal with the kid's neurologic disorder first after which handle the skeletal and muscular results of that disorder.
The ebook has been completely up to date because the past version, with a better specialize in therapy and several other totally new subject matters coated, together with chapters at the operative remedy of orthopaedic deformities.
The ebook is followed via a DVD containing a educating video on common gait and a CD-ROM containing the video clips and movement research facts of all case examples utilized in the publication, in addition to instructing video clips demonstrating the specifics of some of the approaches utilized in the correction of gait deformities and gait modelling examples from the dept of Bioengineering at Stanford University.
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Additional info for The Identification and Treatment of Gait Problems in Cerebral Palsy
4 The phases of skeletal development of a child as portrayed by the growth velocity of increasing stature. The pertinence of the relationship between muscle activity and skeletal growth potential is found in the musculoskeletal problems of cerebral palsy. Altered central nervous system function, often resulting in increased and unbalanced muscle tone, sets off a cascade of bone and muscle responses leading to problems familiar to every clinician. Muscle architecture can change with alterations in muscle use associated with spasticity.
Stabilizers work in this mode. Most of these are postural, antigravity muscles. The gluteus medius during the period of single limb support is an example of this type of contraction. Assessing muscle function with electromyography Dynamic electromyography (EMG) has a long history in gait analysis. As the electrical activity measured through the surface of the skin or by in-dwelling ﬁne-wire electrodes, it indicates motor-unit activation and provides an indirect indicator of muscle function. The use of EMG for clinical gait analysis interpretation varies from one laboratory to another, but plays an important role.
13 A simple experiment that can be done using an above-knee prosthesis with a single-axis knee. The leg acts like a pendulum and its period is dictated by its mass moment of inertia. Since the lower-extremity functions as a compound pendulum in gait, the period of the pendulum (in this case the shank) will be equal to the cadence of the individual to whom it belongs. Given that the cadence of swing is usually found to be much lower than normal in these experiments, a strong argument could be made to bring the mass moment of inertia closer to the fulcrum by minimizing the weight distally and/or adding weight proximally.
The Identification and Treatment of Gait Problems in Cerebral Palsy by James R. Gage, Michael H. Schwartz, Steven E. Koop, Tom F. Novacheck