Physical Strain: A New Perspective on Walking in Cerebral Palsy

Autor: Astrid C. J. Balemans, Annet J. Dallmeijer, Merel-Anne Brehm, Eline A. M. Bolster
Přispěvatelé: Amsterdam Movement Sciences - Restoration and Development, Rehabilitation medicine, AMS - Musculoskeletal Health, AMS - Mobility and Ageing, AMS - Physical Functioning in Major Disease, AMS - Activities and Participation, APH - Health Behaviors & Chronic Diseases, APH - Societal Participation & Health, ARD - Amsterdam Reproduction and Development, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Zdroj: Archives of Physical Medicine and Rehabilitation, 98(12), 2507-2513. W.B. Saunders Ltd
Balemans, A C, Bolster, E A, Brehm, M A & Dallmeijer, A J 2017, ' Physical Strain : A New Perspective on Walking in Cerebral Palsy ', Archives of Physical Medicine and Rehabilitation, vol. 98, no. 12, pp. 2507-2513 . https://doi.org/10.1016/j.apmr.2017.05.004
Archives of physical medicine and rehabilitation, 98(12), 2507-2513. W.B. Saunders Ltd
ISSN: 0003-9993
DOI: 10.1016/j.apmr.2017.05.004
Popis: Objectives: To describe (1) physical strain of walking, (2) the proportion of participants walking above the anaerobic threshold, and (3) 4 phenotypes of physical strain of walking on the basis of deviations in aerobic capacity and walking energy cost (EC) in children and adolescents with cerebral palsy (CP). Design: Cohort study. Setting: Academic medical center. Participants: A sample (N=57) of participants (n=37; mean age, 13.5 +/- 4.0y) with CP (Gross Motor Function Classification System [GMFCS] levels I [n=13], II [n=17], and BI [n=7]) and typically developing (TD) participants (n=20; mean age, 11.8 +/- 3.5y). Interventions: Not applicable. Main Outcome Measures: Oxygen consumption (Vo(2)walk), speed, and EC were determined during walking at a comfortable speed. Peak oxygen consumption (Vo(2)peak) and anaerobic threshold were measured during a maximal cycling exercise test. Aerobic capacity was reduced if lower than the 10th percentile, and EC was increased if higher than 3SD. Physical strain was defined as follows: (Vo(2)walk/dVo(2)peak)x100. Results: Participants with CP had a higher physical strain (GMFCS level I, 55%+/- 12% GMFCS level II, 62%+/- 17%; GMFCS level III, 78%+/- 14%) than did TD participants (40%+/- 11%) (P
Databáze: OpenAIRE