Abstract

Normal gait patterns allow the identification of the normal movement pattern, such as the gait of people with cerebral palsy. Paralympic classification systems aim to include the participation in sports of people with cerebral palsy, minimizing the impact of the injury on the result of the competition. In this context, this study aims to investigate, functionally, the linear and angular kinetic parameters of gait in individuals with cerebral palsy. 15 participants with cerebral palsy were classified into three groups according to the classification of the International Paralympic Committee: 1) T35- diplegic; 2) T36- athetoid ataxic; 3) T37- hemiplegic. For data acquisition, we used a motion capture system in 3 dimensions. The results showed significant differences between the three groups in some linear and angular gait variables, corroborating the qualitative classification process already used by the International Paralympics Committee. In addition, we identified the existence of people with different levels of cerebral palsy within a single functional class of International Paralympics Committee. We found significant differences in some linear and angular gait variables among the classes T35, T36 e T37, which suggest "subgroups" inside each category, and this would prevent a athlete from competing on equal terms with the other competitors.

Highlights

  • Human locomotion is performed in bipedal posture and the main motion function is to promote body displacement by advancing a lower limb, while the other acts in support of body weight (Anderson & Williams, 2022; G.Feldman et al, 2021; Sutherland & Valencia, 1992)

  • This study aims to quantify and compare the linear and angular kinetic alterations of human gait of groups of people belonging to cerebral palsy (CP) classes (T35, T36 and T37), according to the International Paralympic Committee (IPC) guide

  • This study aimed to identify changes in kinematic parameters of gait in people with CP who are classified as T35, T36 and T37, according to IPC classification manual

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Summary

Introduction

Human locomotion is performed in bipedal posture and the main motion function is to promote body displacement by advancing a lower limb, while the other acts in support of body weight (Anderson & Williams, 2022; G.Feldman et al, 2021; Sutherland & Valencia, 1992). In order to identify pathological gait, it is essential to have a good knowledge of the biomechanics of normal human gait. For this type of evaluation, the analysis of linear and angular kinetic parameters of gait is used (Dorofeev et al, 2021; Mundt et al, 2021; Sorsdahl et al, 2008; Stolze et al, 1998). There are different types of injuries and levels that determine gait patterns. To analyze the gait of people with CP, it is necessary to perform a functional classification to group them according to the levels and types of injuries

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