Download e-book for iPad: The Identification and Treatment of Gait Problems in by James R. Gage, Michael H. Schwartz, Steven E. Koop, Tom F.

By James R. Gage, Michael H. Schwartz, Steven E. Koop, Tom F. Novacheck

ISBN-10: 1898683654

ISBN-13: 9781898683650

The one e-book to deal in particular with the remedy of gait difficulties in cerebral palsy, this accomplished, multi-disciplinary quantity may be important for all these operating within the box of cerebral palsy and gait (neurologists, therapists, physiatrists, orthopaedic and neurosurgeons, and bioengineers). The booklet is split into elements. the 1st is designed to assist the reader review and comprehend a baby with cerebral palsy. It bargains with neurological keep watch over, musculoskeletal progress, and general gait, in addition to cerebral damage, development deformities and gait pathology in young ones with cerebral palsy. the second one part is a complete evaluate of administration. It emphasizes the main basic notion of remedy: deal with the kid's neurologic disorder first after which tackle the skeletal and muscular outcomes of that disorder.

The ebook has been completely up to date because the earlier version, with a better specialise in therapy and a number of other completely new issues coated, together with chapters at the operative therapy of orthopaedic deformities.

The ebook is observed by means of a DVD containing a instructing video on general gait and a CD-ROM containing the video clips and movement research info of all case examples utilized in the ebook, in addition to educating movies demonstrating the specifics of some of the strategies utilized in the correction of gait deformities and gait modelling examples from the dept of Bioengineering at Stanford University.

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Additional resources for The Identification and Treatment of Gait Problems in Cerebral Palsy

Sample text

Groups or bundles of muscle fibers make up muscle fascicles, each surrounded by perimysium. Multiple groups of muscle fascicles, enclosed by enveloping epimysium, constitute a whole muscle (Fig. 2). The geometric arrangement of muscle fascicles is key to the contractile (and thus functional) properties of a muscle. Muscles may be formed by fascicles grouped in parallel, oblique (pennate), or tapering (fusiform or spindle) architecture. One or more motor nerves control each skeletal muscle. Ultimately each muscle fiber receives innervation at a single point.

The first double-support period occurs immediately after initial contact and the second just prior to foot-off. Loading response is a period of deceleration when the shock of impact is absorbed. The initial doublesupport period is followed by a period of single support, comprising about 40% of the cycle. 42 IC LR MST (double support) TST PS (double support) Fig. 10 The stance phase of gait. Stance phase constitutes roughly 60% of the cycle and is divided into five subphases: initial contact (IC), loading response (LR), mid-stance (MST), terminal stance (TST), and pre-swing (PS).

12) (Vaughan 2003, Kuo 2007). Swing Swing phase constitutes about 40% of the gait cycle. The purpose of swing is to (1) advance the limb, (2) provide foot clearance, (3) allow variation in cadence, and (4) conserve energy. During swing phase, the limb behaves like a compound pendulum. As a result, our speed and cadence depend largely on the mass distribution of the shank (Hicks et al. 1985, Tashman et al. 1985) (Fig. 13). That is, we tend to select a walking speed at which our limb swings with only a small amount of extraneous muscle action.

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The Identification and Treatment of Gait Problems in Cerebral Palsy by James R. Gage, Michael H. Schwartz, Steven E. Koop, Tom F. Novacheck


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