Combined Ankle/Knee Stretching and Pivoting Stepping Training for Children With Cerebral Palsy
Although various treatment methods have been investigated to reduce spasticity and intoeing gait in children with cerebral palsy (CP), methods to concurrently reduce an intoeing gait and associated ankle/knee stiffness and spasticity according to a child’s specific needs are lacking. This study aimed to develop a training program to improve walking function and transverse-plane (pivoting) neuromuscular control and reduce spasticity and intoeing gait deviations.
Learning Patterns of Pivoting Neuromuscular Control Training-Towards a Learning Model
Over the last decades, lower limb therapy using locomotion devices has been used; however, how the learning patterns over the course of a long-term training program change are unknown. The purpose of this study was to investigate the learning patterns in leg pivoting neuromuscular control performance over six-week pivoting neuromuscular control training (POINT) among 20 healthy subjects. Overall, learning patterns could be characterized by learning curve models such as the power law and exponential curve. The findings and models can potentially be used to develop more effective subject-specific therapy scheduling and gait therapy protocol.