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Research of the spatial-temporal gait parameters and pressure characteristic in spastic diplegia children

Pauk J., Ihnatouski M., Daunoraviciene K., Laskhousky U., Griskevicius J.

Acta of Bioengineering and Biomechanics

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2016

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Vol. 18, no. 2

121--129

EN

Purpose: Spastic diplegia is the most common form of cerebral palsy. It presents with symmetric involvement of the lower limbs and upper limbs. Children with spastic diplegia frequently experience problems with motor control, spasticity, and balance which lead to gait abnormalities. The aim of this study is twofold. Firstly, to determine the differences in spatial-temporal gait parameters and magnitude of plantar pressure distribution between children with spastic diplegia (CP) and typical children. Secondly, to compare and evaluate main changes of plantar pressure and spatial-temporal gait parameters instead of data between spastic diplegia children with prescribed ankle – solid foot orthosis (AFOs) and without using AFOs. Methods: The evaluation was carried out on 20 spastic diplegia children and 10 agematched children as a control group aged 6–15 years. Twenty children with spastic diplegia CP were divided into two groups: ten subjects with prescribed AFOs and ten subjects without use of assistive device. Patients used the AFOs orthosis for one year. Measurements included in-shoe plantar pressure distribution and spatial-temporal gait parameters. Results: Spatial-temporal gait parameters showed meaningful difference between study groups in velocity, stride length, step length and cadence ( p < 0.05). However no significant differences between patients with and without AFOs were found ( p > 0.05). Significant differences between typical and spastic diplegia children with AFOs were observed in the magnitude of plantar pressure under the toes, the metatarsal heads, the medial arch, and the heel ( p < 0.05). For typical subjects, the highest pressure amplitudes were found under the heel and the metatarsal heads, while the lowest pressure distribution was under the medial arch. In CP patients the lateral arch was strongly unloaded. The peak pressure under heel was shifted inside. Conclusions: Collected data and calculated scores present a state of the gait in test groups, showed the difference and could be valuable for physicians in decision making by choosing qualitative therapy. Furthermore, it allows predicting probability of further possible changes in gait of spastic diplegia patients with AFOs and without it. In conclusion, our current results showed that the use of AFOs, prescribed on a clinical basis by doctors improves gait patterns and gait stability in children with spastic cerebral palsy.

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Investigation of mutual aerobic and lower limb muscular activity during cycling

Griskevicius J., Daunoraviciene K., Pauk J., Troskovas V.

Acta of Bioengineering and Biomechanics

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2015

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Vol. 17, no. 3

109--118

EN

The evaluation of physical activity is a complex task that requires performing an analysis of muscular activity and aerobic/anaerobic threshold and it is often difficult to observe and propose a single method. The purpose of the article is to evaluate a relation between aerobic capacity and activity of lower limb muscles via changes of muscle’s EMG signal during physical, sub-maximal veloergometric loading. The activity parameters of 5 lower limb muscles such as semitendinosus, rectus femoris, biceps femoris, gastrocnemius medialis, and tibialis anterior were measured and analyzed during the veloergometric exercise tests and the heart rate and the aerobic capacity were estimated from registered data. The obtained aerobic parameters allow setting an individual and overall voluntary physical capacity. The regression oxygen function presented allows analyzing and predicting the ability of subjects to generate energy while maintaining muscle activity during the exercise. The correlation between the consumption of oxygen and constant physical loading time is determined. It was found that comparing VO2max capabilities the physical effort in the male group was 16% higher than in women. Oxygen consumption and maximum muscle effort dependency on the load time was established. It was observed that the maximal muscular effort appeared before VO2max reached maximal limit in both groups. The maximal oxygen consumption is achieved in the middle or sometimes at the beginning (depending on load) of exercise while maximal muscular effort was found in several phases of cycling: at the beginning and at the end of loading time.

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Research of cyclist’s spine dynamical model

Griskevicius J., Linkel A., Pauk J

Acta of Bioengineering and Biomechanics

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2014

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Vol. 16, no. 1

37--44

EN

The purpose of the paper is to present a dynamic model of bicyclist’s lumbar spine for the evaluation of linear and angular variation of intervertebral distance in sagittal plane. Ten degrees of freedom biomechanical model of the spine was solved numerically. Larger loads acting on a cyclist spine occur mostly while sitting in a sport position in comparison with recreation or middle sitting. The load on lumbar spine region is influenced by cycle’s tire pressure, road bumps and wheeling speed. The biggest linear and angular displacements were found between L4–L5 vertebras. The biggest load protractile spine muscle experiences in the sport sitting position. Maximum vertebrae rotation and linear variation values in wheeling regime with 1.5 Bar tyres pressure and at a speed of 10 km/h are 0.46° and 0.46 mm. Maximum vertebrae rotation and linear variation values for a 23 year old, 1.74 m high and 73 kg of mass (bicycle mass ~ 7 kg) man in wheeling regime with 3.5 Bar tyres pressure and at a speed of 30 km/h are 3.9° and 1.23 mm. The biggest variation of rotation in sagittal plane between two nearest lumbar spines is about 1°. Because of this displacement the frontal part of last mentioned disc is compressed with 530 N more and dorsal disc part as much less.

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Analysis of the plantar pressure distribution in children with foot deformities

Pauk J., Daunoraviciene K., Ihnatouski M., Griskevicius J., Raso J. V.

Acta of Bioengineering and Biomechanics

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2010

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Vol. 12, no. 1

29-34

EN

This paper describes the method of measuring and assessing the pressure distribution under typical feet and the feet of patients with deformities such as: planovalgus, clubfoot, and pes planus using a pedobarograph. Foot pressure distribution was measured during static and walking at individual normal walking speed. Time-series pressure measurements for all sensors were grouped into five anatomical areas of human foot. In typical subjects, the heel was the first part of the foot receiving the loading of the body. Then it moved to the toe through the midfoot and the metatarsal area. The highest mean pressure in typical subjects was found under the heel and the metatarsal heads. The lowest pressure distribution was under the cuboid bone. In the planovalgus subjects, a higher pressure distribution was found under cuboid bone compared to typical one. In the pes cavus subjects, the pressure distribution was lower under all parts of foot. In the clubfoot subjects, the pressure distribution, the contact area of each mask, and the time of foot contact area in left and right foot are respectively different.