0000000000676327
AUTHOR
Tuula Niemelä
showing 2 related works from this author
The impact of multilevel surgery on functional abilities and participation in adolescents with cerebral palsy (CP)
2013
but not significant decrease in RT group. Timing of pKFSw, range of knee flexion and knee flexion velocity improved after surgery but tended to deteriorate over the years in either group. Discussionandconclusions:The results of thepresent study for the first time suggest that the influences of proximal RF release on DRFT effects on the knee joint are negligible. Two possible explanations shouldbe considered. First, thefindingsmaybe explainedby a permanent eliminationofRF functionon thekneeafterDRFT,which would be unaffected by proximal release and would underline the efficiency of DRFT. Secondly, surgery in the proximal part does not influence the distal part. This would represent a new imp…
A test of the effort equalization hypothesis in children with cerebral palsy who have an asymmetric gait.
2022
Healthy people can walk nearly effortlessly thanks to their instinctively adaptive gait patterns that tend to minimize metabolic energy consumption. However, the economy of gait is severely impaired in many neurological disorders such as stroke or cerebral palsy (CP). Moreover, self-selected asymmetry of impaired gait does not seem to unequivocally coincide with the minimal energy cost, suggesting the presence of other adaptive origins. Here, we used hemiparetic CP gait as a model to test the hypothesis that pathological asymmetric gait patterns are chosen to equalize the relative muscle efforts between the affected and unaffected limbs. We determined the relative muscle efforts for the ank…