Fatigue‐related gait adaptations in children with cerebral palsy

Aim To obtain insights into the effects of fatigue on the kinematics, kinetics, and energy cost of walking (ECoW) in children with cerebral palsy (CP). Method In this prospective observational study, 12 children with CP (mean age 12 years 9 months, SD 2 years 7 months; four females, eight males) and...

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Bibliographic Details
Published in:Developmental medicine and child neurology 2023-12, Vol.65 (12), p.1629-1638
Main Authors: Oudenhoven, Laura M., Van Der Krogt, Marjolein M., Ettema, Sanne, Roeleveld, Karin, Brehm, Merel A., Buizer, Annemieke I.
Format: Article
Language:English
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Summary:Aim To obtain insights into the effects of fatigue on the kinematics, kinetics, and energy cost of walking (ECoW) in children with cerebral palsy (CP). Method In this prospective observational study, 12 children with CP (mean age 12 years 9 months, SD 2 years 7 months; four females, eight males) and 15 typically developing children (mean age 10 years 8 months, SD 2 years 4 months; seven females, eight males) followed a prolonged intensity‐based walking protocol on an instrumented treadmill, combined with gas analysis measurements. The protocol consisted of consecutive stages, including a 6‐minute walking exercise (6MW) at comfortable speed, 2 minutes of moderate‐intensity walking (MIW) (with a heart rate > 70% of its predicted maximal), and 4 minutes walking after MIW. If necessary, the speed and slope were incremented to reach MIW. Outcomes were evaluated at the beginning and end of the 6MW and after MIW. Results With prolonged walking, Gait Profile Scores deteriorated slightly for both groups (p
ISSN:0012-1622
1469-8749
DOI:10.1111/dmcn.15660