Biomechanics Commons^™

A Comparison Of Interventions For Children With Cerebral Palsy To Improve Sitting Postural Control: A Clinical Trial, Regina T. Harbourne, Sandra L. Willett, Anastasia Kyvelidou, Joan E. Deffeyes, Nikolaos Stergiou

Journal Articles

Background The ability to sit independently is fundamental for function but delayed in infants with cerebral palsy (CP). Studies of interventions directed specifically toward sitting in infants with CP have not been reported.

Objective The purpose of this study was to compare 2 interventions for improving sitting postural control in infants with CP.

Design For this randomized longitudinal study, infants under 2 years of age and at risk for CP were recruited for intervention directed toward sitting independence.

Setting The intervention was conducted at home or at an outpatient facility.

Patients and Intervention Fifteen infants with typical development (mean age …

Lyapunov Exponent And Surrogation Analysis Of Patterns Of Variability: Profiles In New Walkers With And Without Down Syndrome, Beth A. Smith, Nikolaos Stergiou, Beverly D. Ulrich

Journal Articles

In previous studies we found that preadolescents with Down syndrome (DS) produce higher amounts of variability (Smith et al., 2007) and larger Lyapunov exponent (LyE) values (indicating more instability) during walking than their peers with typical development (TD) (Buzzi & Ulrich, 2004). Here we use nonlinear methods to examine the patterns that characterize gait variability as it emerges, in toddlers with TD and with DS, rather than after years of practice. We calculated Lyapunov exponent (LyE) values to assess stability of leg trajectories. We also tested the use of 3 algorithms for surrogation analysis to investigate mathematical periodicity of toddlers’ …

Nonlinear Analysis Of Ambulatory Activity Patterns In Community-Dwelling Older Adults, James T. Cavanaugh, Naomi Kochi, Nikolaos Stergiou

Journal Articles

Background The natural ambulatory activity patterns of older adults are not well understood. User-worn monitors illuminate patterns of ambulatory activity and generate data suitable for analysis using measures derived from nonlinear dynamics.

MethodsAmbulatory activity data were collected continuously from 157 community-dwelling older adults for 2 weeks. Participants were separated post hoc into groups based on the mean number of steps per day: highly active (steps ≥ 10,000), moderately active (5,000 ≤ steps < 10,000 steps), and inactive (steps

Results All groups displayed patterns of fluctuating step count values containing complex temporal structure. DFA, ER, and ApEn parameter values increased monotonically and significantly with increasing activity …

Anterior Cruciate Ligament Reconstruction Results In Alterations In Gait Variability, Constantina O. Moraiti, Nikolaos Stergiou, Haris S. Vasiliadis, Eustathios Motsis, Anastasios D. Georgoulis

Journal Articles

Introduction: The temporal structure of gait variability has shown that healthy human gait exhibits long- range correlations and deterministic properties which allow the neuromuscular system to be flexible and adaptable to stresses. Pathology results in deterioration of these properties. We examined structure of gait variability after ACL reconstruction with either BPTB or quadrupled ST/G tendon autografts.

Methods: Six patients with BPTB reconstruction, six with ST/G reconstruction and six healthy controls walked on a treadmill at their self-selected pace. Two minutes of continuous kinematic data were recorded with a 6-camera optoelectronic system. The nonlinear measure of the largest Lyapunov …

Variability Of Lower Extremity Joint Kinematics During Backward Walking In A Virtual Environment, Dimitrios Kastavelis, Mukul Mukherjee, Leslie M. Decker, Nikolaos Stergiou

Journal Articles

Backward walking (BW) shows significant differences with forward walking (FW) and these differences are potentially useful in rehabilitation. However the lack of visual cues makes BW risky. The purpose of this study was to investigate the effect of visual cues provided by a virtual environment on FW and BW on gait variability. Each subject underwent four conditions of treadmill walking at self-selected pace. The subjects walked backwards in three conditions and forwards in the fourth condition. A virtual corridor was displayed to the subjects in the FW condition (forward optic flow) and two of the backward conditions (forward and backward …