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Reliability of upper and lower limb three-dimensional kinematics in children with hemiplegia

MACKEY A; WALT SE; LOBB GA; STOTT NS
GAIT POSTURE , 2005, vol. 22, n° 1, p. 1-9
Doc n°: 119978
Localisation : Documentation IRR
Descripteurs : AJ2 - PATHOLOGIE CONGENITALE ET PERINATALE - NEUROLOGIE INFANTILE, DD12 - EXPLORATION EXAMENS BILANS - MEMBRE SUPERIEUR

The repeatability of both 3D kinematic measurements of arm movement during
simple upper limb tasks and lower limb movement during gait analysis was
evaluated in 10 children with hemiplegic cerebral palsy. All tasks were completed on two separate occasions, 1 week apart. The 3D lower limb gait
analysis showed high levels of repeatability in the sagittal plan measures, with mean coefficient of multiple correlations (CMCs) greate than 0.92 between sessions. Transverse and frontal plane measures had mea CMCs greater than 0.7 between sessions. A 3D analysis of shoulder and
elbow flexion/extension during the two functional tasks (hand to head and
hand to mouth) was highly repeatable between sessions (mean CMCs, 0.87 to
0.95). Rotational measures at the shoulder and the elbow during the same
tasks demonstrated moderate levels of inter-sessional repeatability (mean
CMCs shoulder 0.49 to 0.63; elbow 0.63 to 0.74). Overall, the lower limb
3D kinematic analysis had similar levels of repeatability in both the
hemiplegic limb and the limb with normal tone. The 3D kinematic analysis
of movement of the hemiplegic upper limb during simple upper limb tasks
also had moderate to good repeatability, suggesting it may be able to be
used as an outcome measure in the hemiplegic upper limb.

Langue : ANGLAIS

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