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Muscle Nerve. 2011 Oct;44(4):509-17. doi: 10.1002/mus.22098. Epub 2011 Jul 13.

Tibialis anterior architecture, strength, and gait in individuals with cerebral palsy.

Author information

1
School of Medicine, Duke University, Durham, North Carolina, USA.

Abstract

INTRODUCTION:

The relationship of tibialis anterior (TA) muscle architecture, including muscle thickness (MT), cross-sectional area (CSA), pennation angle (PA), and fascicle length (FL), to strength and ankle function was examined in ambulatory individuals with CP and unilateral foot drop.

METHODS:

Twenty individuals with CP participated in muscle ultrasound imaging, unilateral strength testing, and three-dimensional gait analysis.

RESULTS:

Muscle size (MT and CSA) was positively related to strength, fast gait velocity, and ankle kinematics during walking. Higher PA was related to a more dorsiflexed ankle position at initial contact and inversely with fast gait velocity. FL was related to strength, fast velocity, and step length at a self-selected speed.

CONCLUSIONS:

Muscle architecture partially explains the degree of impairment in strength and ankle function in CP. Treatments to increase TA size and strength may produce some gait improvement, but other factors that may contribute to ankle performance deficits must be considered.

PMID:
21755515
PMCID:
PMC3175274
DOI:
10.1002/mus.22098
[Indexed for MEDLINE]
Free PMC Article

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