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Revista Cubana de Investigaciones Biomédicas

ISSN 1561-3011 (Electronic)
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2019, Number 2

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Rev Cubana Invest Bioméd 2019; 38 (2)

Restoration of the biomechanical pattern of walking in Cuban children

Taboada DJE, Díaz MLJ, Hernández RM
Full text How to cite this article

Language: Spanish
References: 11
Page: 85-102
PDF size: 650.41 Kb.


Key words:

hip joint, bipedal gait, cerebral palsy, biomechanical pattern of the march.

ABSTRACT

Introduction: Biomechanics in Cuba is not alien to international reality. Despite the technological difficulties, advances in the field of research on the biomechanics of human walking generate greater contribution to medicine, a fact that reports research of valuable impact applicable to physical medicine and rehabilitation.
Objective: To propose the application of a mathematical model that contributes to the recovery of the biomechanical pattern of gait, in the hip joint in children with cerebral palsy, spastic diparesia.
Methods: A functional and mechanical exploration of the joint was performed under normal conditions, which included the bones, muscles and ligaments, as well as the movements that it undergoes, and make up the cycle of normal bipedal gait. A review of cerebral palsy (type of spastic diparesia) was made from its concept and generalities that describe the behavior of this pathology and its way of affecting the normal gait cycle.
Results: The approach of the equation that describes the movement had its bases in the Lagrangian dynamics, that is, in the Euler-Lagrange expression, and to give functionality to said model. A videographic study was conducted, which provided the necessary kinematic parameters.
Conclusions: Kinetic and anthropometric parameters, resulted in obtaining angular acceleration curves against time for patients, establishing a comparative framework of great importance for decision making in the field of physical medicine and rehabilitation, achieving greater efficiency in the recovery of these patients or for the development of new technologies.


REFERENCES

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  2. Díaz J. Informe Anual del Sistema Nacional de Salud; 2016. p. 5.

  3. Lasso Mera IL. Exoesqueleto para reeducción muscular en pacientes con iIMOC tipo diplejía espástica moderada. Departamento de Electrónica, Instrumentación y Control: Universidad del Cauca; 2010.

  4. Padilla Liendo UR. Deducción de indicadores que permiten clasificar objetivamente la marcha hemipléjica espástica. Interciencia. 2014;39(2):91-100.

  5. Hernández Barrios D. Biomecánica de la articulación de la cadera. Musculatura responsable de los movimientos y acciones asociadas. Medicina de Rehabilitación Biomecánica; 2015.

  6. Gómez Martínez LE. Soporte de cadera y tórax para órtesis de miembro inferior. Universidad Autónoma de México; 2002.

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  8. Bravo Vidales AP. Modelo Euler-Lagrange de marcha humana: Simulaciones numéricas y experimentos. Instituto Potosino de Investigación Científica y Tecnológica, A.C; marzo 2016.

  9. Martos Silván C. Diparesia Espástica: Síntomas, Causas y Tratamiento. Lifeder. 2018. Disponible en: https://www.lifeder.com/diparesia-espastica/

  10. Contreras LE. Análisis biomecánico de marcha humana a través de técnicas de modelaje. Entre Ciencia e Ingeniería. 2012;6(12):29-35.

  11. Contreras Bravo LE. Generación de modelos de caminata bípeda a través de diversas técnicas de modelamiento. Red de Revistas Científicas de América Latina y el Caribe; 2015.




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Rev Cubana Invest Bioméd. 2019;38