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Master Thesis

Intérêt de la stimulation rythmique auditive dans la rééducation de la marche de l’enfant paralysé cérébral

Abstract : Rhythmic auditory stimulation (RAS) has proven its worth in gait rehabilitation for patients with acquired neurological disorders. Although studies are in favour of its use in cerebral palsy (CP), the lack of evidence do not allow to draw conclusion. Method : clinical gait analysis (CGA) was performed on 12 children with CP to investigate the immediate effect of RAS by using three pacing rates, equal to and 5% greater and less than spontaneous cadence. PCI was used to rate energy expenditure. Results : although insignificant, results show improvements in cadence, velocity, step length and stride width. These effects are all the more important as the pacing rate is high and they vary according to the impairment topography, the functional level and the age. They are related to an increase in ankle plantar flexion for propulsion. Energy expenditure and step symmetry were not affected. Discussion : this pilot study recommend the use of RAS for cerebral palsied children’s gait rehabilitation. However, other studies are necessary to ascertain whether the results remains the same with a larger sample and to specify how to use this non-invasive, affordable, simple and playful tool.
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Master Thesis
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Submitted on : Monday, August 26, 2019 - 4:13:12 PM
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Cécile Rivet. Intérêt de la stimulation rythmique auditive dans la rééducation de la marche de l’enfant paralysé cérébral. Sciences du Vivant [q-bio]. 2019. ⟨dumas-02271234⟩



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