Kinematics pattern of knees in the gait of children with Down Syndrome according to age
DOI:
https://doi.org/10.1590/1809-2950/12940824032017Keywords:
Down syndrome, Gait, KneeAbstract
Disabilities in the gait motor pattern have been commonly found in individuals with Down Syndrome. This study evaluated the knee angle behavior of children with Down Syndrome for 24 months. The sample comprised 20 male and female children aged between 24 and 83 months. Participants had to walk straight in a speed of preference. We represented the biomechanical model by the external positioning of retroreflective markers in the greater trochanter of the femur, in the knee joint center, and the lateral ankle joint of the right hemibody. For registration and biomechanical analysis, we used two-dimensional kinematics. For data analysis, we used descriptive and comparative analysis of One-Way ANOVA and Kruskal-Wallis tests. There were no significant differences in the knee angle values between different ages. The examined children showed regular values for knee maximum flexion at initial contact and knee maximum flexion at the swing phase, and excessive flexion over time.Downloads
References
Thabet NS, Kamal HM. Modulation of balance and gait in
children with Down syndrome via gravity force stimulation
program training. Bull Fac Ph Th. [Internet]. 2011 [acesso em 9
ago. 2017];16(2):87-98. Disponível em: https://goo.gl/DY2nJe
Cimolin V, Galli M, Grugni G, Vismara L, Albertini G, Rigoldi C, et
al. Gait patterns in Prader-Willi and Down syndrome patients.
J Neuroeng Rehabil. 2010;7:28. doi:10.1186/1743-0003-7-28.
Pietraszewski B, Winiarski S, Jaroszczuk S. Three-dimensional
human gait pattern: reference data for normal men. Acta
Bioeng Biomech. 2012;14(3):9-16. doi: 10.5277/abb120302.
Perry J. Análise de marcha: marcha normal. Vol. 1. São Paulo:
Manole; 2005.
Valentin-Gudiol M, Bagur-Calafat C, Girabent-Farrés M,
Hadders-Algra M, Mattern-Baxter K, Angulo-Barroso R.
Treadmill interventions with partial body weight support in
children under six years of age at risk of neuromotor delay:
a report of a Cochrane systematic review and meta-analysis.
Eur J Phys Rehabil Med. 2013;49(1):67-91.
Wu J, Looper J, Ulrich DA, Angulo-Barroso RM. Effects
of various treadmill interventions on the development of
joint kinematics in infants with Down syndrome. Phys Ther.
;90(9):1265-76. doi: 10.2522/ptj.20090281.
Galli M, Rigoldi C, Brunner R, Virji-Babul N, Giorgio A. Joint
stiffness and gait pattern evaluation in children with Down
syndrome. Gait Posture. 2008;28(3):502-6. doi: 10.1016/j.
gaitpost.2008.03.001.
Rodenbusch TL, Ribeiro TS, Simão CR, Britto HM, Tudella
E, Lindquist AR. Effects of treadmill inclination on the
gait of children with Down syndrome. Res Dev Disabil.
;34(7):2185-90. doi: 10.1016/j.ridd.2013.02.014.
Guffey K, Regier M, Mancinelli C, Pergami P. Gait parameters
associated with balance in healthy 2-4 year-old children. Gait
Posture. 2016;43:165-9. doi: 10.1016/j.gaitpost.2015.09.017.
Figueroa PJ, Leite NJ, Barros RML. A flexible software for
tracking of markers used in human motion analysis. Comput
methods programs biomed. 2003;72(2):155-65. doi: 10.1016/
S0169-2607(02)00122-0.
Whittle MW. Gait analysis: an introduction. 4. ed. Edinburgh:
Butterworth-Heinemann; 2007.
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