CHRONIC
DISEASE AND PHYSICAL ACTIVITYMOVEMENT
ANALYSIS
SYSTEMS APPLYED IN REHABILITATION OF
WALKING
FOR PATIENTS WITH NEUROLOGICAL DISORSERS
Elena-Taina
Avramescu1,
Nicolae Sebastian Ionescu2, Mirela Vasilescu1
Ciobanu Constantin3
1University
of Craiova, Faculty of Physical Education and Sports,
Craiova,
2University
of Medicine and Pharmacy Carol Davila, Bucharest,
3Emergency
Clinical Hospital for Children Marie Curie,
Bucharest , Romania
INTRODUCTION.
Many scientific organization from different area pointed that in the
following 10 years the scientific research will be focalized on
osteoarticular pathology ‘’ The bone and Joint
Decade 2000-2010’’. In fact problems related to
growth and aging process, osteoarticular and neurological pathology are
of most interest on the health care impact in an economical and social
point of view. Therefore one should note that the initial clinical
problems are the same but different approaches are investigated due to
the different disciplines to which researchers are belonging
to. This approaching and evaluation modalities had been
choose individualized without existing a commune tendency based on
indisciplinary research which would lead to the obtaining of more
rapidly consolidated results. That is why the proposed
research associates clinical functional data of the patient with
neuromuscular pathology with computational analyzing movement
programs for walking.
MATERIALS AND METHOD The
present
research is based on utilization of the newest computerized
technologies, more accurate and efficient
for data collection, that included
dynamic measurements of specific cinematic parameters in walking by
using image aquisition and movement analysis system
3D “Simi Motion”; dynamic measurements of specific
cinematic parameters in walking by using the scanning
and equilibrium system “RSSCAN and force
platform Kistler “AMTI”; computerized
modelling of the walking by using the
“AnyBody” system. Measurements were performed on a
study group formed by 20 patients aged 5-10 years with different
neurological pathologies that were spitalised in Emergency Clinical
Hospital M.S. Curie and on a control group formed by 10 healthy
subjects of the same age. The research was carried out within
the project CEEX -M-C2-2358/2006- “ Individualized
management of mobility recovery of patients with neurological
and orthopedic pathology with the help of some methodology for
interdisciplinary research – MANMOBREC”.
RESULTS.
The date initially obtained by SIMI, RSSCAN and AMTI were
used as in-put data for the Anybody system. Due to this
software we calculated the muscular forces, reactional and joint
moments, reconstructing the movement for the implemented models by
using the markers coordinates and the values of the contact presure and
forces for the weight center. Based on recorded data
biomechanical models of walking, individualised for each patient, were
elaborated.
CONCLUSION. The
present study offers a dynamic
approach of the biosystems involved in human movement, arguing the
importance of the accuracy in using computerized
non-invasive techniques for analyzing the walking
mechanism and elaboration of individualised biomechanical
models. The creation of this models based on the objective results from
the computational analysis of movement
will help in choosing the most appropriate
therapeutically intervention. Elaboration of methods of
optimisation in neurological rehabilitation and /or treatment
by image acquisition and analysis before and after treatment
and of individualized rehabilitation programs
in order to regain mobility with pursuit
and computational correction will lead to better management of the
disease. Extension of the research results can be made by
elaboration a data base available for all potential users.
Key
words:
walking rehabilitation, neurological disorders,
RSscan
footscan systems, force plate AMTI, ANYBODY software.
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