Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 12 , Pages 2302-2308 , December 2008

The Effect of Simulating Weight Gain on the Energy Cost of Walking in Unimpaired Children and Children With Cerebral Palsy

Presented to the European Society for Movement Analysis in Adults and Children, September 27–29, 2007, Athens, Greece.

  • Frank Plasschaert, MD

      Affiliations

    • Movement Analysis Laboratory, University Hospital, Ghent, Belgium
    • Corresponding Author InformationCorrespondence to Frank Plasschaert, MD, Department of Orthopedics & Traumatology, University Hospital Ghent, De Pintelaan 185, 9000 Gent, Belgium
  • ,
  • Kim Jones, PhD, MCSP

      Affiliations

    • Movement Analysis Laboratory, University Hospital, Ghent, Belgium
  • ,
  • Malcolm Forward, PhD, CEng

      Affiliations

    • Movement Analysis Laboratory, University Hospital, Ghent, Belgium
    • Faculty of Engineering, Institute of Biomedical Technology, University of Ghent, Ghent, Belgium

References 

  1. Odding E, Roebroeck ME, Stam HJ. The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disabil Rehabil. 2006;28:183–191
  2. Keen M. Early development and attainment of normal mature gait. J Prosthet Orthot. 1993;5:35
  3. Gage JR. Gait analysis in cerebral palsy. New York: Cambridge Univ Pr; 1991;
  4. Winter DA. Biomechanics of human movement. Toronto: John Wiley and Sons; 1979;
  5. Mian OS, Thom JM, Ardigò LP, Narici MV, Minetti AE. Metabolic cost, mechanical work, and efficiency during walking in young and older men. Acta Physiol (Oxf). 2006;186:127–139
  6. Irsigler K, Veitl V, Sigmund A, Tschegg E, Kunz K. Calorimetric results in man: energy output in normal and overweight subjects. Metabolism. 1979;28:1127–1132
  7. MacGregor J. The objective measurement of physical performance with long term ambulatory physiological surveillance equipment (LAPSE). In:  Stott FD,  Raferty EB,  Goulding L editor. Proceedings of 3rd International Symposium on Ambulatory Monitoring. London: Academic Pr; 1979;p. 29–39
  8. Bowen T, Cooley SR, Castagno P, Miller F, Richards J. A method for normalisation of oxygen cost and consumption in normal children while walking. J Pediatr Orthop. 1998;18:589–593
  9. Baker R, Hausch A, McDowell B. Reducing the variability of oxygen consumption measurements. Gait Posture. 2001;13:202–209
  10. Schwartz MH, Koop SE, Bourke JL, Baker R. A nondimensional normalization scheme for oxygen utilization data. Gait Posture. 2006;24:14–22
  11. Hood VL, Granat MH, Maxwell DJ, Hasler JP. A new method of using heart rate to represent energy expenditure: the Total Heart Beat Index. Arch Phys Med Rehabil. 2002;83:1266–1273
  12. Maher CA, Williams MT, Olds T, Lane AE. Physical and sedentary activity in adolescents with cerebral palsy. Dev Med Child Neurol. 2007;49:450–457
  13. Andersen RE, Crespo CJ, Bartlett SJ, Cheskin LJ, Pratt M. Relationship of physical activity and television watching with body weight and level of fatness among children: results from the Third National Health and Nutrition Examination Survey. JAMA. 1998;279:938–942
  14. Holm K, Li S, Spector N, Hicks F, Carlson E, Lanuza D. Obesity in adults and children: a call for action. J Adv Nurs. 2001;36:266–269
  15. Agre JC. The role of exercise in the patient with post-polio syndrome. Ann N Y Acad Sci. 1995;753:321–334
  16. Gazzani F, Bernardi M, Macaluso A, et al. Ambulation training of neurological patients on the treadmill with a new Walking Assistance and Rehabilitation Device (WARD). Spinal Cord. 1999;37:336–344
  17. Brown JP. Orthopaedic care of children with spina bifida: you've come a long way, baby!. Orthop Nurs. 2001;20:51–58
  18. Palisano R, Rosenbaum P, Walter S, Russell D, Wood E, Galuppi B. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39:214–223
  19. Palisano R, Rosenbaum P, Bartlett D, Livingston M. GMFCS - E & R. http://www.canchild.ca/Portals/0/outcomes/pdf/GMFCS-ER.pdfAccessed August 26, 2008
  20. Corry IS, Duffy CM, Cosgrave AP, Graham HK. Measurement of oxygen consumption in disabled children by cosmed K2 portable telemetry system. Dev Med Child Neurol. 1996;38:585–593
  21. Waters RL, Hislop HJ, Thomas L, Campbell J. Energy cost of walking in normal children and teenagers. Dev Med Child Neurol. 1983;25:184–188
  22. Waters RL, Lunsford BR, Perry J, Byrd R. Energy-speed relationship of walking: standard tables. J Orthop Res. 1988;6:215–222
  23. Charteris J, Scott PA, Nottrodt JW. Metabolic and kinematic responses of African women headload carriers under controlled conditions of load and speed. Ergonomics. 1989;32:1539–1550
  24. Hanson JS. Exercise responses following production of experimental obesity. J Appl Physiol. 1973;5:587–591
  25. Unnithan VB, Dowling JJ, Frost G, Bar-Orr O. Role of mechanical power estimates in the O2 cost of walking in children with cerebral palsy. Med Sci Sports Exerc. 1999;31:1703–1709
  26. Unnithan VB, Dowling JJ, Frost G, Bar-Or O. Role of co-contraction in the O2 cost of walking in children with cerebral palsy. Med Sci Sports Exerc. 1996;28:1498–1504

 Supported by Research Fellowship Funding, Robert Jones & Agnes Hunt Orthopedic Hospital Oswestry, Shropshire, UK.

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the authors.

PII: S0003-9993(08)00841-1

doi: 10.1016/j.apmr.2008.05.023

Archives of Physical Medicine and Rehabilitation
Volume 89, Issue 12 , Pages 2302-2308 , December 2008