Quantitative Effects of Repeated Muscle Vibrations on Gait Pattern in a 5-Year-Old Child with Cerebral Palsy

Objective. To investigate quantitatively and objectively the effects of repeated muscle vibration (rMV) of triceps surae on the gait pattern in a 5-year-old patient with Cerebral Palsy with equinus foot deformity due to calf spasticity. Methods. The patient was assessed before and one month after th...

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Main Authors: Filippo Camerota, Manuela Galli, Claudia Celletti, Sara Vimercati, Veronica Cimolin, Nunzio Tenore, Guido M. Filippi, Giorgio Albertini
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/359126
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author Filippo Camerota
Manuela Galli
Claudia Celletti
Sara Vimercati
Veronica Cimolin
Nunzio Tenore
Guido M. Filippi
Giorgio Albertini
author_facet Filippo Camerota
Manuela Galli
Claudia Celletti
Sara Vimercati
Veronica Cimolin
Nunzio Tenore
Guido M. Filippi
Giorgio Albertini
author_sort Filippo Camerota
collection DOAJ
description Objective. To investigate quantitatively and objectively the effects of repeated muscle vibration (rMV) of triceps surae on the gait pattern in a 5-year-old patient with Cerebral Palsy with equinus foot deformity due to calf spasticity. Methods. The patient was assessed before and one month after the rMV treatment using Gait Analysis. Results. rMV had positive effects on the patient's gait pattern, as for spatio-temporal parameters (the stance duration and the step length increased their values after the treatment) and kinematics. The pelvic tilt reduced its anteversion and the hip reduced the high flexion evidenced at baseline; the knee and the ankle gained a more physiological pattern bilaterally. The Gillette Gait Index showed a significant reduction of its value bilaterally, representing a global improvement of the child's gait pattern. Conclusions. The rMV technique seems to be an effective option for the gait pattern improvement in CP, which can be used also in very young patient. Significant improvements were displayed in terms of kinematics at all lower limb joints, not only at the joint directly involved by the treatment (i.e., ankle and knee joints) but also at proximal joints (i.e., pelvis and hip joint).
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spelling doaj-art-2c89b1697ab149d7960d680ac54c8bbf2025-02-03T06:01:12ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/359126359126Quantitative Effects of Repeated Muscle Vibrations on Gait Pattern in a 5-Year-Old Child with Cerebral PalsyFilippo Camerota0Manuela Galli1Claudia Celletti2Sara Vimercati3Veronica Cimolin4Nunzio Tenore5Guido M. Filippi6Giorgio Albertini7Physical Medicine and Rehabilitation Division, Umberto I Hospital, Sapienza University of Rome, 00185 Rome, ItalyDipartimento di Bioingegneria, Politecnico di Milano, P.za Leonardo da Vinci 32, 20133 Milano, ItalyPhysical Medicine and Rehabilitation Division, Umberto I Hospital, Sapienza University of Rome, 00185 Rome, ItalyDipartimento di Bioingegneria, Politecnico di Milano, P.za Leonardo da Vinci 32, 20133 Milano, ItalyDipartimento di Bioingegneria, Politecnico di Milano, P.za Leonardo da Vinci 32, 20133 Milano, ItalyIRCCS San Raffaele Pisana, Tosinvest Sanità, Via della Pisana 235, 00163 Roma, ItalyInstitute of Human Physiology, Catholic University of Rome, 00168 Rome, ItalyIRCCS San Raffaele Pisana, Tosinvest Sanità, Via della Pisana 235, 00163 Roma, ItalyObjective. To investigate quantitatively and objectively the effects of repeated muscle vibration (rMV) of triceps surae on the gait pattern in a 5-year-old patient with Cerebral Palsy with equinus foot deformity due to calf spasticity. Methods. The patient was assessed before and one month after the rMV treatment using Gait Analysis. Results. rMV had positive effects on the patient's gait pattern, as for spatio-temporal parameters (the stance duration and the step length increased their values after the treatment) and kinematics. The pelvic tilt reduced its anteversion and the hip reduced the high flexion evidenced at baseline; the knee and the ankle gained a more physiological pattern bilaterally. The Gillette Gait Index showed a significant reduction of its value bilaterally, representing a global improvement of the child's gait pattern. Conclusions. The rMV technique seems to be an effective option for the gait pattern improvement in CP, which can be used also in very young patient. Significant improvements were displayed in terms of kinematics at all lower limb joints, not only at the joint directly involved by the treatment (i.e., ankle and knee joints) but also at proximal joints (i.e., pelvis and hip joint).http://dx.doi.org/10.1155/2011/359126
spellingShingle Filippo Camerota
Manuela Galli
Claudia Celletti
Sara Vimercati
Veronica Cimolin
Nunzio Tenore
Guido M. Filippi
Giorgio Albertini
Quantitative Effects of Repeated Muscle Vibrations on Gait Pattern in a 5-Year-Old Child with Cerebral Palsy
Case Reports in Medicine
title Quantitative Effects of Repeated Muscle Vibrations on Gait Pattern in a 5-Year-Old Child with Cerebral Palsy
title_full Quantitative Effects of Repeated Muscle Vibrations on Gait Pattern in a 5-Year-Old Child with Cerebral Palsy
title_fullStr Quantitative Effects of Repeated Muscle Vibrations on Gait Pattern in a 5-Year-Old Child with Cerebral Palsy
title_full_unstemmed Quantitative Effects of Repeated Muscle Vibrations on Gait Pattern in a 5-Year-Old Child with Cerebral Palsy
title_short Quantitative Effects of Repeated Muscle Vibrations on Gait Pattern in a 5-Year-Old Child with Cerebral Palsy
title_sort quantitative effects of repeated muscle vibrations on gait pattern in a 5 year old child with cerebral palsy
url http://dx.doi.org/10.1155/2011/359126
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