Biomechanics in Cerebral Palsy

Foot & Ankle ◽  
1983 ◽  
Vol 4 (3) ◽  
pp. 114-119 ◽  
Author(s):  
Roger Mann
Keyword(s):  
Cerebral Palsy ◽  
Energy Expenditure ◽  
The Body ◽  
Energy Requirements ◽  
Minimal Energy ◽  
Normal Gait ◽  
Bipedal Gait ◽  
Minimal Energy Expenditure

Normal gait is dependent upon a coordinated series of events which moves the body through space with the minimal energy expenditure. Any neuromuscular abnormality which interferes with this pattern and results in loss of coordination will give rise to increased energy requirements. When energy requirements become too great, the patient becomes nonambulatory. This article presents the basic patterns present during normal bipedal gait and discusses the manner in which they are altered in the patient with cerebral palsy.

Comparison of calorimetry and the doubly labelled water technique for the measurement of energy expenditure in Equidae

2004 ◽  
Vol 78 (2) ◽  
pp. 293-303 ◽  
Author(s):  
Z. Fuller ◽  
C. A. Maltin ◽  
E. Milne ◽  
G.S. Mollison ◽  
J. E. Cox ◽  
...  
Keyword(s):  
Energy Expenditure ◽  
The Body ◽  
Metabolizable Energy ◽  
Energy Requirements ◽  
Water Pool ◽  
Doubly Labelled Water ◽  
Metabolizable Energy Intake ◽  
Free Ranging ◽  
Sequential Studies ◽  
Systematic Appraisal

AbstractEvaluations of the energy requirements of working animals have been confounded by the constraints of indirect calorimetric techniques (Cal). This study sought to investigate a non-restrictive methodology, the doubly labelled water (DLW; 2H218O) technique, for the measurement of energy expenditure in free ranging equids. Six pony geldings were intravenously injected with DLW in two sequential studies that permitted first, isotope equilibration and half-lives to be determined and then second, heat production (HP) to be measured simultaneously by DLW and traditional (Cal) techniques.In study 1, three animals were injected with DLW, three animals were untreated controls. Blood samples were collected every 30 min for 12 h and thereafter at 24 h intervals for 14 days. Isotopes equilibrated throughout the body water pool within 300 (2H) and 240 (18O) min and half-lives were 6.3 ± 0.6 days (2H) and 5.6 ± 0.4 days (18O).In study 2, HP was simultaneously determined by Cal and DLW over a 4-day period. Animals (no. = 6) were assigned to pairs and in successive weeks two ponies were injected with DLW and confined to metabolism chambers 12 h later. Cal HP was 0.51 ± 0.02 MJ/kg M0.75 per day compared with 0.48 ± 0.29 MJ/kg M0.75 per day estimated by DLW. Maintenance metabolizable energy intake was 0.53 ± 0.01 MJ/kg M0.75 per day (Cal) and 0.50 ± 0.01 MJ/kg M0.75 per day (DLW). Validation of the DLW technique may empower essential, systematic appraisal of energy requirements in unrestrained working horses.

Energy Expenditure in Adolescents With Cerebral Palsy: Comparison of the SenseWear Armband and Indirect Calorimetry

2015 ◽  
Vol 12 (4) ◽  
pp. 540-545 ◽  
Author(s):  
Karsten Koehler ◽  
Thomas Abel ◽  
Birgit Wallmann-Sperlich ◽  
Annika Dreuscher ◽  
Volker Anneken
Keyword(s):  
Cerebral Palsy ◽  
Energy Expenditure ◽  
Children And Adolescents ◽  
Indirect Calorimetry ◽  
Treadmill Exercise ◽  
Reference Method ◽  
Field Studies ◽  
The Body ◽  
Sensewear Armband ◽  
Body Energy

Background:Inactivity and overweight are major health concerns in children and adolescents with disabilities. Methods for the assessment of activity and energy expenditure may be affected negatively by the underlying disability, especially when motor function is impaired. The purpose of this study was to assess the validity of the SenseWear Armband in adolescents with cerebral palsy and hemiparesis.Methods:Ten volunteers (age: 13.4 ± 1.6 years) were equipped with SenseWear Armbands on the hemiparetic and nonhemiparetic side of the body. Energy expenditure was measured at rest and during treadmill exercise (speed range: 0.85 to 2.35 m/s). Indirect calorimetry served as independent reference method.Results:The mean error was between −0.6 and 0.8 kcal/min and there were no significant differences between SenseWear and indirect calorimetry at any speed. Differences between body sides in expenditure (mean: −0.2 to 0.0 kcal/min) and step count (mean: −3.4 to 9.7 steps/min) were not significant.Conclusions:The validity of the SenseWear Armband does not appear to be negatively affected by cerebral palsy during laboratory treadmill exercise. Future field studies are necessary to assess the validity and practicability of energy expenditure and physical activity assessment in children and adolescents with physical disabilities.

Energy Requirements of Children With Cerebral Palsy

2004 ◽  
Vol 65 (3) ◽  
pp. 124-130 ◽  
Author(s):  
S. Eileen Hogan
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Cerebral Palsy ◽  
Energy Expenditure ◽  
Children And Adolescents ◽  
Resting Energy Expenditure ◽  
Energy Requirements ◽  
Energy Needs ◽  
The Central Nervous System ◽  
Resting Energy

Energy requirements of children and adolescents with cerebral palsy appear to be disease-specific and different from the current recommendations for healthy children, varying depending upon functional capacity, degree of mobility, severity of disease, and level of altered metabolism. Feeding problems are prevalent in many of these children, and can result in inadequate energy intake. Wasting of voluntary muscles, a common symptom of cerebral palsy, contributes to reduced resting energy needs; nevertheless, the location of the central nervous system lesion may also influence energy requirements. To guarantee individualized, accurate, and optimal energy recommendations for this population, resting energy expenditure should preferentially be measured by indirect calorimetry. Equations and formulae to predict healthy people's resting energy expenditure are available, but tend to overestimate these children's energy needs. Future studies should address the role of the central nervous system in regulating energy metabolism in this population. When adequately nourished, children and adolescents with cerebral palsy appear more tranquil and require decreased feeding time, which gives caregivers time to develop the child's functional independence and character. Understanding energy requirements of this population will provide caregivers and health professionals with guidelines for providing optimal nutritional status.

Energy intake and expenditure of improvised explosive device detection dogs

2015 ◽  
Vol 11 (4) ◽  
pp. 249-254 ◽  
Author(s):  
S. Pratt Phillips ◽  
J. Kutzner-Mulligan ◽  
M. Davis
Keyword(s):  
Energy Expenditure ◽  
Energy Intake ◽  
The Body ◽  
Metabolic Energy ◽  
Energy Requirements ◽  
Doubly Labelled Water ◽  
Improvised Explosive Device ◽  
Working Dogs ◽  
Explosive Device ◽  
Improvised Explosive

Improvised explosive device detection (IDD) dogs explore up to 40 km of land daily and therefore have energetic demands that may be above the National Research Council’s requirement for working dogs. This study was designed to quantify metabolic energy intake (MEI) and total energy expenditure (TEE) in a group of IDD dogs. Two groups of dogs that had undergone different training protocols (CP1, n=8 and CP2, n=11) underwent a 5-day deployment simulation that consisted of combined road clearing, orbit and point-to-point activities and lasted approximately 9 h per day. The CP1 dogs were fed according to the IDD Marine Corps Manual, while CP2 dogs were offered additional calories based on pilot study data of energy expenditure. The MEI was calculated based on feed intake rates and chemical composition of the diets. TEE was quantified using the doubly-labelled water technique in 2 of the CP1 dogs and 7 of the CP2 dogs. During the 5-day deployment simulation the MEI ranged from 189-310 kcal/bodyweight (BW)0.75 per day, with the CP2 dogs at the higher end because they were offered more feed. The TEE ranged between 375-507 kcal/BW0.75 per day, above the MEI, suggesting the dogs were in negative energy balance and metabolic reserves within the body were combusted for energy production. These findings reveal that energy requirements of deployed military working dogs are higher than previously published metabolic energy requirements of working dogs.

scholarly journals Effect of foot–floor friction on the external moment about the body center of mass during shuffling gait: a pilot study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Takeshi Yamaguchi ◽  
Kei Shibata ◽  
Hiromi Wada ◽  
Hiroshi Kakehi ◽  
Kazuo Hokkirigawa
Keyword(s):  
Friction Surface ◽  
Center Of Mass ◽  
Young Male ◽  
The Body ◽  
Low Friction ◽  
Surface Conditions ◽  
Normal Gait ◽  
External Moment ◽  
Body Center ◽  
Floor Condition

AbstractHerein, we investigated the effect of friction between foot sole and floor on the external forward moment about the body center of mass (COM) in normal and shuffling gaits. Five young male adults walked with normal and shuffling gaits, under low- and high-friction surface conditions. The maximum external forward moment about the COM (MEFM-COM) in a normal gait appeared approximately at initial foot contact and was unaffected by floor condition. However, MEFM-COM in a shuffling gait under high-friction conditions exceeded that under low-friction conditions (p < 0.001). Therein, MEFM-COM increased with an increasing utilized coefficient of friction at initial foot contact; this effect was weaker during a normal gait. These findings indicate that increased friction between foot sole and floor might increase tripping risk during a shuffling gait, even in the absence of discrete physical obstacles.

scholarly journals Functional Electrical Stimulation Changes Dynamic Resources in Children With Spastic Cerebral Palsy

2006 ◽  
Vol 86 (7) ◽  
pp. 987-1000 ◽  
Author(s):  
Chia-Ling Ho ◽  
Kenneth G Holt ◽  
Elliot Saltzman ◽  
Robert C Wagenaar
Keyword(s):  
Cerebral Palsy ◽  
Electrical Stimulation ◽  
Functional Electrical Stimulation ◽  
Stride Length ◽  
The Body ◽  
Stride Frequency ◽  
Spastic Cerebral Palsy ◽  
Significant Difference ◽  
Muscle Complex ◽  
Spring System

Abstract Background and Purpose. Children with cerebral palsy (CP) often are faced with difficulty in walking. The purpose of this experiment was to determine the effects of functional electrical stimulation (FES) applied to the gastrocnemius-soleus muscle complex on the ability to produce appropriately timed force and reduce stiffness (elastic property of the body) and on stride length and stride frequency during walking. Subjects and Methods. Thirteen children with spastic CP (including 4 children who were dropped from the study due to their inability to cooperate) and 6 children who were developing typically participated in the study. A crossover study design was implemented. The children with spastic CP were randomly assigned to either a group that received FES for 15 trials followed by no FES for 15 trials or a group that received no FES for 15 trials followed by FES for 15 trials. The children who were having typical development walked without FES. Kinematic data were collected for the children with CP in each walking condition and for the children who were developing typically. Impulse (force-producing ability) and stiffness were estimated from an escapement-driven pendulum and spring system model of human walking. Stride length and stride frequency also were measured. To compare between walking conditions and between the children with CP and the children who were developing typically, dimensional analysis and speed normalization procedures were used. Results. Nonparametric statistics showed that there was no significant difference between the children with CP in the no-FES condition and the children who were developing typically on speed-normalized dimensionless impulse. In contrast, the children with CP in the FES condition had a significantly higher median value than the children who were developing typically. The FES significantly increased speed-normalized dimensionless impulse from 10.02 to 16.32 when comparing walking conditions for the children with CP. No significant differences were found between walking conditions for stiffness, stride length, and stride frequency. Discussion and Conclusion. The results suggest that FES is effective in increasing impulse during walking but not in decreasing stiffness. The effect on increasing impulse does not result in more typical spatiotemporal gait parameters. [Ho CL, Holt KG, Saltzman E, Wagenaar RC. Functional electrical stimulation changes dynamic resources in children with spastic cerebral palsy. Phys Ther. 2006;86:987–1000.]

scholarly journals Estimación del gasto energético de los caprinos en la Península de Santa Elena

2018 ◽  
Vol 5 (1) ◽  
pp. 70-76
Author(s):  
Debbye Chávez ◽  
Julio Villacres Matías
Keyword(s):  
Weight Gain ◽  
Energy Expenditure ◽  
Metabolizable Energy ◽  
Descriptive Statistics ◽  
Energy Requirements ◽  
Maintenance Energy ◽  
Knowing That ◽  
Good Production ◽  
Santa Elena ◽  
The Way

El presente estudio guarda estrecha relación con la alimentación de caprinos, las ganancias de peso y su producción; sabiendo que, para que un animal logre buenos rendimientos productivos se hace necesaria una alimentación que cubra necesidades energéticas de mantenimiento, luego de crecimiento y ganancia de peso o de producción; se determinó el recorrido en unidades de desplazamiento; luego, por medio de fórmulas de medición energética trasformar esto a energía metabolizable que es una unidad fácilmente relacionable con las necesidades energéticas de mantenimiento y de producción, siendo 60 cabras de diferentes razas las que se consideraron en este estudio, donde se registró su peso, y edad antes de que formen parte del ensayo. Con la ayuda de podómetros calibrados para usarlos en cabras, se determinó el recorrido habitual. Los podómetros fueron colocados en uno de sus miembros posteriores a la altura de la rodilla, y retirados 24h después, registrando su desplazamiento y actividades en busca del alimento. Utilizando Excel se procedió a la tabulación y organización de los datos, que fueron sometidos a estadística descriptiva y análisis de la información, como resultado se evidenció 5Km de recorridos por animal, con edades entre 2,5 años de promedios, de igual forma las razas de cabras más frecuentes fueron, en primer lugar la Criolla y en segundo la Nubia; ambas razas de animales no se diferenciaron en el recorrido y peso, lo que permitió utilizar una forma universal de estimación del gasto energético (0,49 kcal/kg /km) pudiéndose determinar que fueron 87,69Kcal involucradas en 24h de actividad. ABSTRACT This study is closely related to feeding goats, weight gain and production; knowing that, for an animal to achieve good production yields a feed that covers maintenance energy requirements is necessary , after growth and weight gain or production a route was determined in units of displacement; then by using formulas of energetic measurement transform these to metabolizable energy which is a easily relatable unit with the energetic requirements of maintenance and production, 60 goats from different races were considered in this study, in which their weight and ages were recorded before forming part of the test. With the help of pedometers calibrated for use in goats, the usual route is determined. Pedometers were placed in one of his post-kneemembers, and retired after 24h, recording their movement and activities in search of food. Using Excel proceeded to the tabulation and organization of data, which were subjected to descriptive statistics and analysis of information, as a result of tours 5Km animal showed, aged 2.5 years average, similarly races more frequent goats were first Creole and secondly the Nubia; both breeds of animals did not differ in the way and weight, enabling use a universal way to estimate energy expenditure (0.49 kcal / kg / km) being able to determine which were involved in 24h 87,69Kcal activity.

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