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<italic>Study aim</italic>: To study the effect of additional load over ankle and knee joints on angular parameters during gait and balance in children with hemiparesis.
<italic>Material and methods</italic>: 10 children with hemiparesis were recruited and stratified into 2 chronological age groups: group A (4–8 years) and group B (9–12 years). Additional loads of 0.7 kg and 1.1 kg were placed on the affected and non-affected lower limb at the ankle and knee joint for group A and group B respectively. Angular parameters during gait were assessed using Kinovea software (version 0.8.15) and balance using the Pediatric Balance Scale.
<italic>Results</italic>: Application of additional load of 0.7 kg over the non-affected leg knee joint is able to produce significant changes in ankle joint angles (p &lt; 0.05) at initial contact and knee joint angles at heel-off (p &lt; 0.05), toe-off (p &lt; 0.001), acceleration (p &lt; 0.05) and deceleration (p &lt; 0.05) phases of gait and balance in group A, whereas on application of additional load of 1.1 kg over the affected leg at the ankle joint significant improvement in knee joint angles at initial contact (p &lt; 0.001) and the deceleration (p &lt; 0.05) phase of gait in group B was observed. There was significant improvement in the Pediatric Balance Scale score in both groups (p &lt; 0.05).
<italic>Conclusions</italic>: Additional load over knee and ankle joints of the affected and non-affected leg showed more improvement in angular parameters during gait and balance in younger children with hemiparesis than older children, as they present an immature form of gait that can be modified, corrected and brought back to a normal angle.
</abstract>

Study aim: To study the effect of additional load over ankle and knee joints on angular parameters during gait and balance in children with hemiparesis.
Material and methods: 10 children with hemiparesis were recruited and stratified into 2 chronological age groups: group A (4–8 years) and group B (9–12 years). Additional loads of 0.7 kg and 1.1 kg were placed on the affected and non-affected lower limb at the ankle and knee joint for group A and group B respectively. Angular parameters during gait were assessed using Kinovea software (version 0.8.15) and balance using the Pediatric Balance Scale.
Results: Application of additional load of 0.7 kg over the non-affected leg knee joint is able to produce significant changes in ankle joint angles (p < 0.05) at initial contact and knee joint angles at heel-off (p < 0.05), toe-off (p < 0.001), acceleration (p < 0.05) and deceleration (p < 0.05) phases of gait and balance in group A, whereas on application of additional load of 1.1 kg over the affected leg at the ankle joint significant improvement in knee joint angles at initial contact (p < 0.001) and the deceleration (p < 0.05) phase of gait in group B was observed. There was significant improvement in the Pediatric Balance Scale score in both groups (p < 0.05).
Conclusions: Additional load over knee and ankle joints of the affected and non-affected leg showed more improvement in angular parameters during gait and balance in younger children with hemiparesis than older children, as they present an immature form of gait that can be modified, corrected and brought back to a normal angle.

Effect of additional load on angular parameters during gait and balance in children with hemiparesis – Cross sectional study

MGM Hospital Department of Neuro-Physiotherapy and College of Physiotherapy Navi

Maharashtra University of Health Sciences (MUHS)

Biomedical Human Kinetics

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Study aim: To study the effect of additional load over ankle and knee joints on angular parameters during gait and balance in children with...

Effect of additional load on angular parameters during gait and balance in children with hemiparesis – Cross sectional study

Published Online: Apr 27, 2021

Page range: 128 - 138

Received: Apr 03, 2019

Accepted: Dec 10, 2020

DOI: https://doi.org/10.2478/bhk-2021-0016

Keywords
Balance, Angular Parameter, Joint Angles, Hemiparesis, Children, Additional load

© 2021 Siddharth S. Mishra et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Effect of additional load on angular parameters during gait and balance in children with hemiparesis – Cross sectional study

Published Online: Apr 27, 2021

Page range: 128 - 138

Received: Apr 03, 2019

Accepted: Dec 10, 2020

DOI: https://doi.org/10.2478/bhk-2021-0016

KeywordsBalance, Angular Parameter, Joint Angles, Hemiparesis, Children, Additional load

© 2021 Siddharth S. Mishra et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Keywords
Balance, Angular Parameter, Joint Angles, Hemiparesis, Children, Additional load