Neuromuscular Control before and after Independent Walking Onset in Children with Cerebral Palsy

Autor: Coen S. Zandvoort, Laura A. van de Pol, R. Jeroen Vermeulen, Annike Bekius, Nadia Dominici, Jaap Harlaar, Jennifer N. Kerkman, A.I. Buizer, Andreas Daffertshofer
Přispěvatelé: Klinische Neurowetenschappen, MUMC+: MA Med Staf Spec Neurologie (9), RS: MHeNs - R1 - Cognitive Neuropsychiatry and Clinical Neuroscience, Pediatric surgery, Rehabilitation medicine, AMS - Rehabilitation & Development, Coordination Dynamics, Knowledge, Information and Innovation, Amsterdam Movement Sciences, IBBA
Jazyk: angličtina
Rok vydání: 2021
Předmět:
030506 rehabilitation
electromyography
Electromyography
Walking
lcsh:Chemical technology
Biochemistry
Analytical Chemistry
Leg muscle
0302 clinical medicine
Medicine
motor development
lcsh:TP1-1185
Muscle synergy
Child
Instrumentation
Gait
Motor skill
medicine.diagnostic_test
TYPICALLY DEVELOPING-CHILDREN
Skeletal
Atomic and Molecular Physics
and Optics

Biomechanical Phenomena
CP
Child
Preschool

Muscle
Neuromuscular control
0305 other medical science
REPEATABILITY
INTERVENTION
medicine.medical_specialty
SYNERGIES
MOTOR CONTROL
gait
Article
CLASSIFICATION
Cerebral palsy
Independent walking
03 medical and health sciences
Physical medicine and rehabilitation
muscle synergies
Humans
Electrical and Electronic Engineering
Preschool
Muscle
Skeletal

early brain lesions
COMPLEXITY
Cerebral Palsy/diagnosis
business.industry
Cerebral Palsy
Infant
MUSCLE ACTIVATION PATTERNS
medicine.disease
HIGH-RISK
business
human activities
030217 neurology & neurosurgery
Zdroj: Sensors, 21(8):2714. MDPI AG
Bekius, A, Zandvoort, C S, Kerkman, J N, van de Pol, L A, Vermeulen, R J, Harlaar, J, Daffertshofer, A, Buizer, A I & Dominici, N 2021, ' Neuromuscular Control before and after Independent Walking Onset in Children with Cerebral Palsy ', Sensors (Basel, Switzerland), vol. 21, no. 8, 2714 . https://doi.org/10.3390/s21082714
Sensors (Basel, Switzerland)
Sensors, 21(8):2714. Multidisciplinary Digital Publishing Institute (MDPI)
Sensors, 21(8)
Sensors
Volume 21
Issue 8
Bekius, A, Zandvoort, C S, Kerkman, J N, van de Pol, L A, Jeroen Vermeulen, R, Harlaar, J, Daffertshofer, A, Buizer, A I & Dominici, N 2021, ' Neuromuscular control before and after independent walking onset in children with cerebral palsy ', Sensors, vol. 21, no. 8, 2714 . https://doi.org/10.3390/s21082714
Sensors (Basel, Switzerland), 21(8):2714. Multidisciplinary Digital Publishing Institute (MDPI)
Sensors, Vol 21, Iss 2714, p 2714 (2021)
ISSN: 1424-8220
DOI: 10.3390/s21082714
Popis: Early brain lesions which produce cerebral palsy (CP) may affect the development of walking. It is unclear whether or how neuromuscular control, as evaluated by muscle synergy analysis, differs in young children with CP compared to typically developing (TD) children with the same walking ability, before and after the onset of independent walking. Here we grouped twenty children with (high risk of) CP and twenty TD children (age 6.5–52.4 months) based on their walking ability, supported or independent walking. Muscle synergies were extracted from electromyography data of bilateral leg muscles using non-negative matrix factorization. Number, synergies’ structure and variability accounted for when extracting one (VAF1 ) or two (VAF2 ) synergies were compared between CP and TD. Children in the CP group recruited fewer synergies with higher VAF1 and VAF2 compared to TD children in the supported and independent walking group. The most affected side in children with asymmetric CP walking independently recruited fewer synergies with higher VAF1 compared to the least affected side. Our findings suggest that early brain lesions result in early alterations of neuromuscular control, specific for the most affected side in asymmetric CP.
Databáze: OpenAIRE