Effects of novel tubing gait on neuromuscular imbalance in cerebral palsy

Yoon Kyum Shin, Dong Ryul Lee, Do Hyun Kim, Jae Jin Lee, Sung Hyun You, Chung Hwi Yi, Hye Seon Jeon

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

BACKGROUND: Gait impairments from a neuromuscular imbalance are crucial issues in cerebral palsy. The purpose of our study was to compare the effects of the assistive tubing gait (ATG) and assistive-resistive tubing gait (ARTG) on improving the vasti and hamstring muscle imbalance during the initial contact to mid-stance phases in individuals with spastic diplegic cerebral palsy (CP).

METHODS: Fourteen age-matched individuals including seven normal individuals (11.7 years) and seven individuals with CP (12.9 years) were recruited. All participants underwent electromyography (EMG) measurement of the unilateral vasti and hamstring muscle activity during the three gait training conditions of no-tubing gait (NTG), ATG, and ARTG. A statistical one-way repeated-measure analysis of variance (ANOVA) was used to determine differences in the vasti and hamstring activity, the vasti/hamstring ratio, and the knee joint angle across the three gait training conditions for each group. RESULTS: The initial vasti and hamstring muscle imbalance in CP was significantly improved by applying the ARTG compared with the ATG. The vasti/hamstring ratio during the ARTG was compatible with the ratio value obtained from the NTG of normal individuals. The knee joint angle in CP was not improved in this short-term intervention.

CONCLUSIONS: The ARTG proportionately increased the vasti activation and reciprocally inhibited the hamstring activity, subsequently improving the neuromuscular imbalance associated with the flexed-knee gait in individuals with spastic diplegic CP.

Original languageEnglish
Pages (from-to)587-596
Number of pages10
JournalNeuroRehabilitation
Volume35
Issue number3
DOIs
Publication statusPublished - 2014 Jan 1

Fingerprint

Cerebral Palsy
Gait
Knee Joint
Electromyography
Knee
Analysis of Variance

All Science Journal Classification (ASJC) codes

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

Cite this

Shin, Y. K., Lee, D. R., Kim, D. H., Lee, J. J., You, S. H., Yi, C. H., & Jeon, H. S. (2014). Effects of novel tubing gait on neuromuscular imbalance in cerebral palsy. NeuroRehabilitation, 35(3), 587-596. https://doi.org/10.3233/NRE-141154
Shin, Yoon Kyum ; Lee, Dong Ryul ; Kim, Do Hyun ; Lee, Jae Jin ; You, Sung Hyun ; Yi, Chung Hwi ; Jeon, Hye Seon. / Effects of novel tubing gait on neuromuscular imbalance in cerebral palsy. In: NeuroRehabilitation. 2014 ; Vol. 35, No. 3. pp. 587-596.
@article{963c0fe9ad824febb1dc2bd39acec856,
title = "Effects of novel tubing gait on neuromuscular imbalance in cerebral palsy",
abstract = "BACKGROUND: Gait impairments from a neuromuscular imbalance are crucial issues in cerebral palsy. The purpose of our study was to compare the effects of the assistive tubing gait (ATG) and assistive-resistive tubing gait (ARTG) on improving the vasti and hamstring muscle imbalance during the initial contact to mid-stance phases in individuals with spastic diplegic cerebral palsy (CP).METHODS: Fourteen age-matched individuals including seven normal individuals (11.7 years) and seven individuals with CP (12.9 years) were recruited. All participants underwent electromyography (EMG) measurement of the unilateral vasti and hamstring muscle activity during the three gait training conditions of no-tubing gait (NTG), ATG, and ARTG. A statistical one-way repeated-measure analysis of variance (ANOVA) was used to determine differences in the vasti and hamstring activity, the vasti/hamstring ratio, and the knee joint angle across the three gait training conditions for each group. RESULTS: The initial vasti and hamstring muscle imbalance in CP was significantly improved by applying the ARTG compared with the ATG. The vasti/hamstring ratio during the ARTG was compatible with the ratio value obtained from the NTG of normal individuals. The knee joint angle in CP was not improved in this short-term intervention.CONCLUSIONS: The ARTG proportionately increased the vasti activation and reciprocally inhibited the hamstring activity, subsequently improving the neuromuscular imbalance associated with the flexed-knee gait in individuals with spastic diplegic CP.",
author = "Shin, {Yoon Kyum} and Lee, {Dong Ryul} and Kim, {Do Hyun} and Lee, {Jae Jin} and You, {Sung Hyun} and Yi, {Chung Hwi} and Jeon, {Hye Seon}",
year = "2014",
month = "1",
day = "1",
doi = "10.3233/NRE-141154",
language = "English",
volume = "35",
pages = "587--596",
journal = "NeuroRehabilitation",
issn = "1053-8135",
publisher = "IOS Press",
number = "3",

}

Shin, YK, Lee, DR, Kim, DH, Lee, JJ, You, SH, Yi, CH & Jeon, HS 2014, 'Effects of novel tubing gait on neuromuscular imbalance in cerebral palsy', NeuroRehabilitation, vol. 35, no. 3, pp. 587-596. https://doi.org/10.3233/NRE-141154

Effects of novel tubing gait on neuromuscular imbalance in cerebral palsy. / Shin, Yoon Kyum; Lee, Dong Ryul; Kim, Do Hyun; Lee, Jae Jin; You, Sung Hyun; Yi, Chung Hwi; Jeon, Hye Seon.

In: NeuroRehabilitation, Vol. 35, No. 3, 01.01.2014, p. 587-596.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Effects of novel tubing gait on neuromuscular imbalance in cerebral palsy

AU - Shin, Yoon Kyum

AU - Lee, Dong Ryul

AU - Kim, Do Hyun

AU - Lee, Jae Jin

AU - You, Sung Hyun

AU - Yi, Chung Hwi

AU - Jeon, Hye Seon

PY - 2014/1/1

Y1 - 2014/1/1

N2 - BACKGROUND: Gait impairments from a neuromuscular imbalance are crucial issues in cerebral palsy. The purpose of our study was to compare the effects of the assistive tubing gait (ATG) and assistive-resistive tubing gait (ARTG) on improving the vasti and hamstring muscle imbalance during the initial contact to mid-stance phases in individuals with spastic diplegic cerebral palsy (CP).METHODS: Fourteen age-matched individuals including seven normal individuals (11.7 years) and seven individuals with CP (12.9 years) were recruited. All participants underwent electromyography (EMG) measurement of the unilateral vasti and hamstring muscle activity during the three gait training conditions of no-tubing gait (NTG), ATG, and ARTG. A statistical one-way repeated-measure analysis of variance (ANOVA) was used to determine differences in the vasti and hamstring activity, the vasti/hamstring ratio, and the knee joint angle across the three gait training conditions for each group. RESULTS: The initial vasti and hamstring muscle imbalance in CP was significantly improved by applying the ARTG compared with the ATG. The vasti/hamstring ratio during the ARTG was compatible with the ratio value obtained from the NTG of normal individuals. The knee joint angle in CP was not improved in this short-term intervention.CONCLUSIONS: The ARTG proportionately increased the vasti activation and reciprocally inhibited the hamstring activity, subsequently improving the neuromuscular imbalance associated with the flexed-knee gait in individuals with spastic diplegic CP.

AB - BACKGROUND: Gait impairments from a neuromuscular imbalance are crucial issues in cerebral palsy. The purpose of our study was to compare the effects of the assistive tubing gait (ATG) and assistive-resistive tubing gait (ARTG) on improving the vasti and hamstring muscle imbalance during the initial contact to mid-stance phases in individuals with spastic diplegic cerebral palsy (CP).METHODS: Fourteen age-matched individuals including seven normal individuals (11.7 years) and seven individuals with CP (12.9 years) were recruited. All participants underwent electromyography (EMG) measurement of the unilateral vasti and hamstring muscle activity during the three gait training conditions of no-tubing gait (NTG), ATG, and ARTG. A statistical one-way repeated-measure analysis of variance (ANOVA) was used to determine differences in the vasti and hamstring activity, the vasti/hamstring ratio, and the knee joint angle across the three gait training conditions for each group. RESULTS: The initial vasti and hamstring muscle imbalance in CP was significantly improved by applying the ARTG compared with the ATG. The vasti/hamstring ratio during the ARTG was compatible with the ratio value obtained from the NTG of normal individuals. The knee joint angle in CP was not improved in this short-term intervention.CONCLUSIONS: The ARTG proportionately increased the vasti activation and reciprocally inhibited the hamstring activity, subsequently improving the neuromuscular imbalance associated with the flexed-knee gait in individuals with spastic diplegic CP.

UR - http://www.scopus.com/inward/record.url?scp=84909989920&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84909989920&partnerID=8YFLogxK

U2 - 10.3233/NRE-141154

DO - 10.3233/NRE-141154

M3 - Article

C2 - 25248450

AN - SCOPUS:84909989920

VL - 35

SP - 587

EP - 596

JO - NeuroRehabilitation

JF - NeuroRehabilitation

SN - 1053-8135

IS - 3

ER -