Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The effect of Lower Extremity Selective Voluntary Motor Control for joint motion during Gait in Children with Spastic Diplegia

경직성 양하지 마비아의 하지의 선택적 운동 조절 능력이 보행 시 관절 움직임에 미치는 영향

  • Seo, Hye-Jung (Department of Physical Therapy, Bobath Children Hopital) ;
  • Seo, Mu-Jung (Department of Physical Therapy, Bobath Children Hopital) ;
  • Shin, Hyun-Hee (Department of Physical Therapy, Bobath Children Hopital) ;
  • Oh, Tae-Young (Department of Physical Therapy, Silla University)
  • Received : 2012.01.22
  • Accepted : 2012.07.20
  • Published : 2012.08.31
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Abstract

Background & Purpose : The purpose of this study is to evaluate the impairment of SVMC(selective voluntary motor control) of the lower extremity by assessing each joints of lower limb and to analyze the motional relationship between each joints of lower limb using SCALE(Selective Control Assessment of the Lower Extremity) during the swing phase of gait cycle in children with spastic diplegia. Method : 11 children with spastic diplegia CP who could walk independently and 10 normal developing children were participated. SCALE(Selective Control Assessment of the Lower Extremity) assessments were conducted for 11 children with CP. Gait analysis were accomplished in all participants. Qualisys motion analysis was used as a statistical tool to assess the motional relationship between hip joint, knee joint and ankle joint in each limb. We used descriptive statistics, cross-tabulation, independent t-test, linear regression to analysis motional relationship between each joints of lower limb using by SPSS ver.17.0. Result : Firstly, there were significant differences in SCALE scores between the cerebal palsy group and the control group in knee joint(p<0.05), but no significant difference in hip and ankle joints during the swing phase of gait cycle. Secondly, the difference of SCALE scores showed no statistical motional difference in knee and ankle joints during the swing phase, and showed significant motional difference in hip joints during the swing phase(p<0.05). Thirdly, there was a liner relationship between the motion of hip and ankle joints during the swing phase. Conclusion : The nature of SVMC(selective voluntary motor control) in each joints of the lower limb may reflect the ability of gait, thus SCALE may be used for assessing and for treating the cerebal palsy patients who are able to walk independently. Also we knew that the impairment of SVMC(selective voluntary motor control) increases from the proximal to the distal joints.

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References

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