/Rect [ 332.4138 458.0846 0 /F4+0 147 0 R Spastic diplegia is a form of cerebral palsy that is a chronic neuromuscular condition of hypertonia and spasticity—manifested as an especially high and constant "tightness" or "stiffness"—in the muscles of the lower extremities of the human body, usually those of the legs, hips and pelvis. /URI (http://en.wikipedia.org/w/index.php?title=Hip_%28anatomy%29) >> 114 0 R 44 0 R /Border [ 0 endobj 0 /ImageC /Border [ 0 Found inside – Page 288Sussman, M.D., Aiona, M.D. Treatment of Spastic Diplegia in Patients with Cerebral Palsy. ... DeLuca, P., Davis, R., Romness, M. Long-term Effects of Femoral Derotation Osteotomies: An Evaluation Using Three-dimensional Gait Analysis. 11 0 R /URI (http://en.wikipedia.org/w/index.php?title=Tizanidine) >> 36 0 R ] /Border [ 0 /URI (http://en.wikipedia.org/w/index.php?title=Muscle_relaxant) >> Found inside – Page 194A comparison of gait with solid and hinged ankle-foot orthoses in children with spastic diplegic cerebral palsy. ... Romkes J, Brunner R. Comparison of a dynamic and a hinged ankle-foot orthosis by gait analysis in patients with ... There were camaras all around the room that received signals from those stickers. /Type /Action Hereditary spastic paraplegia (HSP) designates a group of genetic disorders typically leading to spasticity in the lower limbs and consequently to gait disorders. % 'Annot.NUMBER57': class PDFDictionary 531.0213 ] endobj /Border [ 0 96 0 obj << /A << /S /URI 0 ] /URI (http://en.wikipedia.org/w/index.php?title=Orthopedic_surgery) >> 105 0 obj endobj endobj /Type /Annot >> Gait Abnormalities. 83 0 R During gait analysis, the idiopathic toe walker will typically exhibit knee hyperextension while the child with spastic diplegia will have abnormal knee flexion in the terminal swing phase of the gait cycle. /ImageI ] >> 111 0 obj 79 0 obj 0 ] /ProcSet [ /PDF Children with spastic cerebral palsy experience high muscle tone, which can cause stiffness, tremors, and pain. While the brain damage that caused cerebral palsy does not get worse over time, spasticity can. In fact, this progression of continuously contracted muscles causes an imbalance in the muscles, bones, and joints. 473.0846 ] 0 ] /Type /Action /Type /Action 52 0 R 473.0846 This young male was born premature on 10/11/84 and was in the hospitalfor 3-1/2 weeks. Diagnosis: Spastic Diplegia pattern cerebral palsy This young male was born premature on 10/11/84 and was in the hospital for 3-1/2 weeks. /URI (http://en.wikipedia.org/w/index.php?title=Drunkenness) >> /Border [ 0 133 0 obj 0 << /A << /S /URI /Border [ 0 Vuillermin C (1), Rodda J, Rutz E, Shore BJ, Smith K, Graham HK. 126 0 obj % 'Annot.NUMBER39': class PDFDictionary 41 0 R 0 ] % 'Annot.NUMBER126': class PDFDictionary ̦#æX OŠ®“éÅr㋹#&¬…¤a"!Ɗd@pìÍÆóØ*“ÇŒ‡,5`Æڶ̠°=fªð4‹NÀx¦eŒ0O$Jx0FÊяá®À%‘²ŸsŒ.³ao6QcÀ‹°a6A]'’öfûHª&g The children were classified as level I (n=24) or level II (n=12) according to the Gross Motor Function Classification System. /URI (http://en.wikipedia.org/w/index.php?title=Painkiller) >> /Type /Annot >> 0 % 'Annot.NUMBER60': class PDFDictionary << /A << /S /URI 0 ] 0 /URI (http://en.wikipedia.org/w/index.php?title=Range_of_motion) >> Addition of dynamic electromyography to the gait analysis can further aid in the differentiation.11 % 'Annot.NUMBER71': class PDFDictionary /Type /Annot >> % 'Annot.NUMBER14': class PDFDictionary /Type /Action /URI (http://www.posterbrat.com) >> /Subtype /Link ��]W�,��n�'RW�1c�Xń?���g�jx>��b'�`��"�O?Ÿ�����C��~&��g����It��o�d&�7�����t80����-�a��f!�0��o���+2{"����%��iE]��Y�/&�����m�\2vsM�ت����ݕɧ��i�����p�]_/�g endobj 342.0846 Gait analysis data were obtained from 64 limbs of 32 children with spastic diplegia CP (16 girls, 16 boys, age range 6–12 years, mean 8.26, SD ±2.56) that were recruited from rehabilitation centers and 64 limbs of 32 TD children with no gait abnormalities (14 girls, 18 boys, age range 6–13 years, mean 9.39, SD ±2.04) to provide TD gait data. Spastic gait patterns are divided in hemiplegic (5 types) and diplegic (4 types) with the most prevalent joint abnormalities described in the sagittal plane. 374.2169 784.9469 ] /Contents 167 0 R Found inside – Page 12It is imperative to understand that in spastic hemiplegia there is more distal involvement and hence true equinus is the basis for the described gait patterns; in diplegia and quadriplegia, proximal involvement is more pronounced, ... /Rect [ 412.6829 Sagittal gait patterns: Spastic diplegia Fig. Key Method. 97.13291 /Rect [ 147.3829 0 ] /Length 30848 /URI (http://en.wikipedia.org/w/index.php?title=Upper_motor_neuron) >> endobj Classifications of gait patterns in spastic diplegia have been either qualitative, based on clinical recognition, or quantitative, based on cluster analysis of kinematic data. /URI (http://en.wikipedia.org/w/index.php?title=Orthopaedic_surgery) >> 310.4078 % Page dictionary /URI (http://en.wikipedia.org/w/index.php?title=Crutch) >> /Rect [ 74.69291 /URI (http://en.wikipedia.org/w/index.php?title=International_Statistical_Classification_of_Diseases_and_Related_Health_Problems) >> 39 0 R /Rect [ 287.5348 387.0846 ] /URI (http://en.wikipedia.org/w/index.php?title=Chronic_condition) >> endobj /Subtype /Link 297.0846 ] Most of this group of children walk independently and these deformities develop as a result of the crouch gait adopted by many children with spastic diplegia due to … /Type /Action 411.9469 ] endobj /Type /Action /URI (http://en.wikipedia.org/w/index.php?title=ICD-10_Chapter_G) >> /Type /Annot >> /Type /Action 86 0 obj /Type /Page >> /Resources << /Font 1 0 R /URI (http://en.wikipedia.org/w/index.php?title=Dorland%27s_Medical_Dictionary) >> /Rect [ 326.8655 107 0 R 0 endobj 0 ] endobj /Type /Action 473.9469 ] /Border [ 0 The investigators used three-dimensional gait analysis to evaluate the impact of AFOs in 56 children with cerebral palsy. 63 0 R Clinical Gait Analysis Biomechanics & Etiology of Common Walking Disorders Jessica Rose, Ph.D. ... Spastic Cerebral Palsy ... •Energy Expenditure Musculoskeletal Computer Models of Gait. 0 ] 841.8898 ] /URI (http://en.wikipedia.org/w/index.php?title=Yoga) >> /Type /Annot >> /Border [ 0 116.0129 103 0 R 127 0 obj << /A << /S /URI 516.9469 2 0 obj 110 0 R /URI (http://web.archive.org/web/20090616022448/http://www.mercksource.com/pp/us/cns/cns_hl_dorlands_split.jsp?pg=/ppdocs/us/common/dorlands/dorland/three/000030301.htm) >> endobj 40 0 R /Rect [ 140.3587 Clinical Gait Analysis Biomechanics & Etiology of Common Walking Disorders Jessica Rose, Ph.D. ... Spastic Cerebral Palsy ... •Energy Expenditure Musculoskeletal Computer Models of Gait. 129 0 obj 0 661.9469 ] /Border [ 0 Single event multilevel surgery including DHL provides a favorable outcome 10 years postoperatively in patients with spastic diplegic cerebral palsy. % 'Annot.NUMBER17': class PDFDictionary endobj 0 ] /Type /Annot >> % 'Annot.NUMBER113': class PDFDictionary 10 0 R /Rect [ 473.1527 93 0 obj /Type /Action %PDF-1.3 217.5339 76 0 obj /ImageI ] >> Gait Disorders in Cerebral Palsy are commonly caused by lower limb spasticity and are the primary reason for orthopaedic consultations in CP patients. 0 /Border [ 0 /Rect [ 201.226 /Type /Action endobj 2The Department of Orthopaedics, Royal Children’s Hospital, Melbourne, Australia, 3The … /Type /Annot >> /Rect [ 237.5628 84 0 R /Subtype /Link 111.9469 ] Artificial Walking Technologies to Improve Gait in Cerebral Palsy: Multichannel Neuromuscular Stimulation. << /A << /S /URI /Rect [ 394.5118 % 'Annot.NUMBER92': class PDFDictionary 0 Inclusion criteria comprehended independent ambulation (i.e. /Type /Action 0 endobj 81.08465 /Type /Annot >> % 'Annot.NUMBER117': class PDFDictionary 0 /Type /Annot >> /URI (http://en.wikipedia.org/w/index.php?title=Orthopedic_surgeon) >> /URI (http://en.wikipedia.org/w/index.php?title=Legs) >> << /A << /S /URI endobj << /A << /S /URI 2020 Nov 30;9(12):3888. doi: 10.3390/jcm9123888. 0 ] 512.1307 /Type /Action /URI (http://en.wikipedia.org/w/index.php?title=Empirical_data) >> 0 443.9469 /URI (http://en.wikipedia.org/w/index.php?title=Spinal_fluid) >> s4IA0!"_al8O`[\!Wi?%zs8E!>5sn$_;gEG+ASlK26tp:JFCAu.8SqmKBl7P`s1eUH#QZIW_?0f_!!3`5!tbS6gAlm,#6Y27"U#&7"U52:#7(YK$OR1H$5F'_$kX?m)B'G.(`457-mBWO-6=!@,;18g.4Qo$/K5if1bgL;-nHr#!=K8C%h0$j&J6'L.jQW15X7S"5X7S"5X7S"5X7S"5X7S"5X7S"5X7S"5X7S"5X7S"5X7S"5X7S"5X7S"5l\b&[K$:/!WrH(zz!!!!"!X8c2#6P5C!!*0(!s&Q-"pbMA"U>22!'Ja)36?.RAdM=&`;HApbd2+',R'OlZ-blA>@'GE_g!(?la9`WN@'ELKV"$etH!fYJ8!:`]%d@)l9!:`U;1I3huM?ot6'0lOo70(\/!!,A""$naD"[#ZeN6hP=nOOQS5T&XT.;,)*5QjrA$)9Vj[Ve7OSJ4BF*Uh.*Xm$#`:?&2"NsV-j#!6#(QuP$43@D!$ZqA-@fb3'ELudJY3EKNbRXAH(YRB76K!FJ2'>(o15;M!eMg)JnP,k#bW(BTE$CZ!7T0mJ>3e\:G`-n1h)F8:G`+sN)352cj5L/TUGo@J-_ri#"cchC+D;63m\_1X,K\OW_E5kTt'W^;iWG"!?_f>^sSKO(TfD)m62A;\VMo8K"],4P"U._k7hbYGnNW4;nGH-_7]%ZfWMR0'#SLFM:\NZD!s;6"r]ZPl_Cqc@E/E76dX/_F%AeRSkh)>/H;IGumuJJdM&ac^N;Yqm.DKd/`(jaD`S*-V-gOeZSt;J+`@%!1,UJ&H5JSioLC8]SInL9&X6QT,C%W'^,Zg(nf9=5Qjme-)_>X!eD=2cjYd3Uf8`F:^i3]TTMbW5WhpGSjabj!:`]%e&\AJRK;E1'_3[c-jPV8UMp:/>T(RHWdp0F&P4JXVJ%Fn!s4''!\'9\!"(GO&PmA=&/=Y3/gMEX;@3VY=QZ2'cSXhkO\ZZ0-if,Z`,Q,fM8*f+*L]T]Z8Go?+`h%Z]m@iXIHTigR]QJeQ-=KpF!\_cDHX51p611n@;hqktaF[3&@)_4bm84o?m&`>)`Sk_=1J[`k1Bh5>^>\i*L/kVE@Hmj:''^F+,3=/U+6-7D%T;Cu'j%7h5X&5NNe[FDE@n?%^'JRr8.;X8M`.CH6:FFUeVkhDanI]`iOf$s+]1jf0Vkh$N[14V>LQXXcE/,!(U%u_240-bl%S>sDak@B'Wu+'$!BJ,>%`g!HsGJ^=BVA?:XI5,qSi6B1$7c6*1tb,p`#QVol3a*YHldWd^X]R2r);\4LCP3?OUV3]c<1CkP2P8FeVoF9=`@noG%&mtI6AaDmEUSrL]I`^5eR,Z3r-q]g>N5m8PrAm,Lm0iP1fCmpIj^.IM"#SN?$7NYBp4rJVC\qs5o]Z+#ZnKda?e];lQ$^Io"Z7q7MAs-j?SL/R7Z=^]f]okNJHPR(=AN^\?JB177Zt2N[Mp+oC5BH'3TZ_d$@3OtJ[6)f9IDKQP5qP!?cb%1Wc,%A-,k\t;@GU37:7m(.A\2q"edK;%A?uuQ%]A_CAZ^sJ%gu-26bToGa\Eq8$[&IgdoIK#jSbS\X:W=L/=AX5ubW/MO`a&JjV5U4Aq*GW9+m9OogF?7&8ijMU6,el;jJ)g>Sj)j_dIeQSoeAWM\N>VfJ@\Um1$m,ifR'RcLB,&Ci2`Z_f]EP1#m?NmoqBQ.\6#>r0Xg8%_9*1?D`tmrKe@P-cTHWW)t=_>]:j/MA,1r]e`&RVD27G%!pD-a0(^rmP!gHKPN<77r-?W&&E[2WCD4!f%`f"(52o<5kH1ZU:Fh/2'e'?Hr;/U<>hrI!2,3YOe;\&,(WG7#RW:OVa*`d@\"25"W3n24X^Se:DJq0Ra&PSo-GhWAV:j8;M?ZP##>O.T;W[1a6bfY8<0V$\J6k:>_(djpe':12^p#I$3MM7F+MY0WAY,d'_,:kgQ[&M^-(U3+m@?Y9<>^piFl'/,O$2tjj%`h7qB?#")TIb+<9>>!.dhT8'U'WBF0f$Y1$lahU8UBI?!W6+dC.CEXIupd!Q-r!9GLpA7H[nWGuH[MU1\I-*d$FN[F*5rrBAS7D8\IGB8hBZI1_6G`sAqNZEfE1)h\lmi-3oA/lX\a,7rSjWK[j8hqgr;Da(-@ZVsq9$aNl!!t](>2V>EpaOu-Sh2bA<6d=PnUsKqKT,@R\i,MFi:NH&[\H]$-488ma&CjI1KS&>(\+R9lXaG@J(mrF.X@q-R\oo/p[Fif786m$"%e--+8?X#0iQ/>^YA"5jn7-WmZJYb;8Kk=`k3%F(u$bo`l\S##A*WY,Un;-7nei.ZWD245:j568q#S6Z)o!iAphtNWL].>3fiD_*im[O"B=4N6N:d_Z"2D.CmJ]gE79B"%^o*&=e0u"Zie(!V6rAsm2#O9_2[32[^qmJQ^58^SW+,:4/-]+k'`0E9O?H\$Xi(/':R=_Se!/lPXZ!5dI%tI(2fpE;:jsXLD?16FPil`c#GD.g#mRJ:5H$K#@&2kGO%SB%[=MoV$IPf['FV=cdi)_16+H,gD:O<8bCK*dCm376)%&[G.8]'JJdA,Rko3C(ZQ!3;V)ZgJ817dYg9oXo)sI`Ee/cYMH/mqV%XK+PqEhpm&"lm$+maJVqc1[=Ar'34sLQE!0ejMTIT$O<>A&sRJN*`bp"G*fL;g?."+^lk;I1I',lrAiO0m/uqlfE=9#kO7)Ol"/qZiCCM3S4\g5s4qQc371SbE$Fe!qhF\n`+B='TZoq7c:.*N%GCl'=Zd?X61i4,\21jR$Up]T!NU-T]:*qWqejVL6mSf.Kp!m#3&P7aB+HG'D"Y3dbs5Dr^X"@A<0`3htK2U@COln:8JFYYYq9r+JaY>&a<8#*)WDP$i3>>m58aDV+\(q8L`F/V(('m4;B!sJXht'EP\^A$VHj[gW%ca0u[iaesg/LfO)'XED.)]\C?0W'enVWj=MMMJj-H%k?*B6YD.>Inje@SRX!hl\d)0IF,opnp)B'k/`$f=p?^QiG.`Bt:pGTXa97TM'l+$sEJhq=^]?_8`4hr-)d3hh6d<8K&]3%-Ui#;-%WZs4g&3Dfh9lVj+/:q:QZel?]_1Er/@Ou#*+o-igRZ16n%u\$I;suXVW8$/,qP5-2g9oaLct61+jQWSKSjrk]+7q5\]0DJBe]#8,>1rG?pJo^@4d!=jNg[7h`Q)-o2J/V&1fCaJ86VBj`)K#pE&)I8%,ba/R8GI/Fm30)__u%0[\sYf`QB%2\@3Fg+=M[^S:H2O5?Q0EHl4cOClLAa[kjj5mcb+sl>9E)P7-(aCopZFhIM1rQnWP+tml.&nje;?ElehR+)p^@pf.NBMj8f4ukmhiRb>q,\h`,6K=9ZE2d"dLkg%#9sXW#S:Zu>J*$3IN'O/FiL0/ZE:`@Q'r>/9QG)V!sD)@C$jZSMZVA&\AmOgh26Z&ef2ur-[OqYnV&`s^T$a$K'35MBrrSoLgSV_=naiB1>m"KD?1-mna>035n:>'"J=nd0C4;&?,i`@37!?PRTju%ec-&/L%8b3:Dp>:9AM!IPP0XI:07KtVnoW5UXfpe&"P)Zu=e!YLb[5J(YM'XGr.0QS3:=+'Gc^/m+TUOY=DL#Yba=>=H7cbk0;?d?RY+*-1C%Y$!A]EK)D@@$Kj)9k3Ju#+K77Hg"2CpqPYij1LJ`W?I.nII!in?!o5BQ=tJ;M\gl<54d"Jm=[4aG=4l,?kI0VKJ(gXs0moaS(fb20S^,"ZVYfVQ%?+DXBM)LEXVs'e):D&33NKj;e+deeRp@]aoij[@d,)W&Vif#Cg;fgE2>Ld9QFQM0JZ8-1-Vt85D]u)UN$3>(C6F*]1'`3QY+]12q$&2>K)l*B^Auiao,9MKkkd64kE5-oC,nO\?)k0gHp4.iD.7;D`Yq'qK38XLbtnD;A^5*G$]n&gKGAELc\N,HoI74r),FVeMTT86p,\/k)8CK%E$HBF`7'1Qn'H:lpp)P32gmhF`hdoGb]`H,2AUF`_=UY1%M5T&GKBGAL$6F(u@@3?NTrf87K;fd^]),UHR7-a+T+9f1@n-"^\1I4))^g90"`[TT`F$;spUE8s?FKWRC8HIh0[]E"mPl1(sF/aAn%B+7_9i4c"qYgg(rPO/fObD@`B]C8G6h80d_W.WO4OOJDeQeNcYXh@>+BoJnNb.'N41P.`Fk^FZ*1\uQln_gD"9'm-U:R.u_]$!^W_J_?k[E,Wf:t2qXEg!5WKmBJ*RJkT=+tf>!#u>Vbnh5[*ith9)r`rY34VXefsdI$e&Z9e2OXsKrkYY_-0`-$7Y:m5kXAo^,2(97j&_ufn8J_2sZp>q_D?cg^Nts%U6j>mr`NYE,he-dQB-11m+$\V&`G;>caBc?&n`[fOIV3m`@DC(Z3"qC-X)24=$n?3?LbYk.2,3>L;sOU't#2_Nq'")+Z?Eqo'p&'BVel3m`%tPcE]B[fCp(Y4_epi%\NKMFm/,2tiYt\D&7O>ZjnQncI$\8HID!q5OFV&(ar'1,=-qYEaDF"TohbiQ4k%/U,r`,27E]9*k8o\4,8\Neg>a;K)p%Eg!c#EdCbA2=*kSKH3J0QFYb52?]@N;GT`X^n5T:18(4oJQD`Ka$ERFQJHCp\qI0q!Z%%0Kb#k-SOtf9T?168:8b@]o6@a*pS922f8SNm@u2)Dgq(I&>>FReW&UM8#u4(gWe[dq2N;\`fa]=*4=P7)GjM[o-.^Y"N!,/?'q_NK)ROZsbT!^O[U(#]fqQc;]uj;$)o+HY+Ja6X*2bega?;%'9tE*VO&^(D26Ia:?JRJORrM"&-8qo"C]lO?cspQka/Aati&PjjUUB_V10;.BoV@iE\@5H75TbF'@m^Bl;R"*8GtJge'VEbf'G.Jj-Q&Y.?TgNd10@=VAE+Kso0A[RCeqf(cM;"H_@i"Jf\6(p*/i+Wpo_cp2ACiMNPl^WrDThd6_WBcO[hEABHOgO'^LY:g`KqW.Wg#WmDkbAmO^Ck.pod1Sbd&II_B8Q(Y&\;UKSW:a!mVDb=#bIUe]],NM6,&=`K(?HCA&D/#_$#q5Fg''l]?Z_fuE&b$n;#!6::S88nTQqoV1Jr)mH2d[&?'FR.RP)nM>tSZR["PI02JPKtF($2R]fAF/!8Lan;hWn[rn;C"^H_p5XVogu@+jDn)Phk$,cHeTG8jCQG0ldkVrFEEQq:pegGTi&G@2:l!@JAc3<8s@+Z[V4F?Mp&K710kDRr;*LsIFU6HAhQe.L1B>X(qf-2(WuCtg!,5]YC;LV9ELWc4r&'aEG=o=,?.U.70\kUC`Drr=FA*T`&P]&WKGQ)E:8qoY2qU"r"Vk)#_:Z`1=AB1<3:@Ib*30g(!%@qR*/_K9W?-PgWR4f@F[hV)?D7FcVFO:K&onpm741(XC4R8o`GU`/kLp8EaBIU%UYP:kMV#g+"3f[Oj.,&iYJQ5//j>0B-)O:@!RDnU1EV5;3HV;Y.k%BVu[[M'b$XedDFrU+I5J19E(CMP-+BU!JXf6pWPm1#UOZpc^6W3VN>l4TZ]K`n6:K=XYB[UZs"$5cY*9m5Y5=.pX8`1_Y5\Lq(op9AWgTY17Y*'i/lTl.)sc6K*$XbZJ?Zm"*R[p3XW%3^HCcf6`)>P1'eip8ea%UPdYs-D'5&(?5'I^r2`G795$L%N"V47C&hWRilA#_'NPinJ;3fMKsm'S5iKJsZcA@qJ6W$RFOm3$H1GKaK6n\;,ljfkeEn3>j'[kA$;i9EjWF^!4\;d!/r)GRJqm&"!0919459t>_P#p[;+\e;K%mruN."!qpPi]irD^B*;ESh1p?t=[7kO[r6/?Na3\!7\8[d"R/.7Cl&.2[%RpUhrs.2h_ZpNHZ#7;ejAAkQi\LJ[;OpJutO,lIjbCR\#cUmY?"B]lOEV7Yf8jN(5o7oX(5dk*."6Fh/!dW.ncqD$#og$&kQ>q]TBBRj>=YRcS',t15$8j>lmn\EJf[tFf432oO:Bieb@.;_T%B+\m,CF>.8?EIPJhsJc>,b^H1.IN0;Ypi>++PAtNKaW@1(eUa225P(rLc@$#Ah`F1s*)6@PnD)RO306:`B^YKqBIBbd4V[,N^;@fpFb9d97l,>P!APX#Jh^Jj/We!c_8I?iCcH5kWeT0X))fGA#;,l:p;hTM99M_9+rrD4H5cltYc5>feNe!_/,=t%IWfaGsE]*"Q$@/gYMh=3A'=S,BH_Qc$K7d7D%h2OH%D=@)j/HnI6c!M'q.Qr)YM5EWukfg'a&DY^gbt2lb[E\"@8/o!jKFth0:I0lkkUtCl:$+'rejt4GNX_,RD_pbDR'&?!JijDgE5lm[nJ-?$aL=^I/i;mhf(T4Rc)NMTn,pP(#(Skp_QZ/lL:'K*hga=p;UD5+;Qth]ZBQl4D^eOY(-j(UA!A>G)3O907e0@^c;1C=05Xla)P9X7W/qTh/N/%4.!:p3p>/f(uL98arTRru,V$6S'0.3,Q#qCoM&,^];2q*-n,+Dif8beh,V5(?YkRG6mTXN:JkfbC_6IF3ofDe(bppG,`-O_eHZ>UkC`8d;G6*(NPor8:=2n*Wtu#8-F5YR`nO$ZeM[PRMFE8$9QDC3i"JRoUr-"bm`u:)hB6s'TYRrU+rJq;2r?Dm82R52+q0sQLH,u?L^O_C:g8n`c^0;.8/UFR4Bcm0:m*dAouoI7c68EZ-fW\Q-mr2GOW&t(I[+\b.e2P?j*IFVgW(d.lRNf#^+[b08jQHRp+f$Y0F:]LT4;F4=/,jYa@26_WDW/MEIhU#5$X97HZl;,@L5l)#VXtED1`0$aUVjMFVYiC]gANUF@!23!,&'[+8F3dJ0g`q.d^c&WP$ZIXXPSC#FF:^J%Q$boUO-0rW&(#f+H+MXJ$:9l:Tn3P4d7L(U&nMfS\%+c4'==Dn:-.@8DpCBC!.SIk!N+B,*S2g@D4H5gtAI9k#+.PUpBD5Cqij:2j6;UMA[G/lUI'5`bS7JZ.qD+-q1KR6E=gbaX6`O0cJDT44iT\TcY'\]3CoN].JMu?t64-V?N[(2683K!DGc\**g-=C^q*+>J)N&k55H:.J&*g6c$4R+$5H9A.+4WVlYH03JXnIk6Gblbg)a^mPnkfDcA5uqe[c0tYqmSMhpt$4X$<=HWVo2=FO8$L)kbD4%E-$_^WiY$Y10Q1$(o,d2P#@%WZ@fF+O?A@tLFD\6>D)9^bo:Al>M=Mb*0/=P"!MFi(bQ$10,B*AW?EQj8bDR64BG^HG9e/[#Qtadf3HL@r1YE?WpR)EQAH2]5/^T"1g3;&UPFF&Lti>X1(&%-c^oNbPbJi;6Ff6/of`c+;Ae+>dYrO9e)((O0;?LW*7M:B5A#V>$eVmis::7D@;_7gf4J*7kd#<4MY"5s`V8KH,\2GA5!l^n[G%&@t2@\@pNhER'()p@#k@H+f'r5F'q`<>Lm;p/ndoYY5k*Dmc6OQ'jff1G$*=`&d-dP!TV!@7mR(ZWUF08?B:;TAX/f*BC#p^g827F_]ViX2.ktiAKe_92m]jY>udj%gY6$rafgFEVJA!EJti8EW?c_7KZ1!ca5QPOm14JJY3/fD:K2g&8ugbeEg`$*kC?/nZ]V$A+C6V]&ihZ5#KFX8=*+I\Uneb1MBXc9B_:9=nagML:B8;cb8(Cen?,"P=X<3h.`GXA\NN[g9OUY!*tgRZE_7E`8pA9"HB5_uIc.;gY"nK=YlJ9"Ca.aS)lX+WlkPh"Bj-D,RaR1X`E^&]A]a8W\Ji=ijY[6G@$VFY\MW_9Pahi@1p=lWFXM/!Y)_A0Z_@"TMab<3T]HOn>7*sp#8m`Z=gUJR[[`6^'H,VVmcJ"B6Q/$>JX/8s5@5V8@oSgW@N'<8*0H7"JCpdSHp=Y1>hPn5VZiL9'Z_.k^P*8;V1%B-B1*_*qcoE!p>=!.i./8`Hr;I[BOoV#LEMn+O,\^K71-,8BE7G8,p)n3s/Q!&F$:[%G*+p`n4:a^)X3PP=A6a/q)IM^5s"U(59:[f,%4gNM#)k3F6RI++Yb4qs.4(6o%?B';=\;V;jh+,`p^:QL$R`F!>)e`orP1np'/&SY&%mb_eOqt2&hMb3_'GPbQ>hlGY"7j.FaWRR8s7m"D-9;S,d\>6HR=is2Cg/gH]kZ.Kjr9Cs[6.lnkb;&DkH#fUfhL)-qP,'R">'@**gHY!mImoZ^Hq4I8q/43qcZeQX28jMe#=uEO[^@RktgC.rr?h+qt,@@>#>.?^Y7+brE_oRCR:443CdagRd']=M7d(:-KXV,@CWb([l;m.J^C5c_&ibb8\Q*6pf27?^\)<>J)D@GQ"=n)C&08-3Ce*AM$$M(:9mbESHbVc'2259'EDe\)?g*ZK$FTY1Ji;Oo(qW*Ee!Y1hefl;Hf_[\Z7`EEXep_&Xi79FJlFh=W?lf/mC=+T4D)09L?Ap4DJjdBpPFT\>lE9Nu[]!/!;_LbbBArd-`f`VN.j9R&%J`]F7BR6O0=)3!^N;Oh_g:EE'>"BQPn=&8[F*UT#P"W:*6/112@R!!!QC8a285lG[U_hR^2\1p[p4DuX7b5i]P?c#ma0Di)313g>AlVL,pX3UVi]j3]/uYX1;BR_Ft/E!f^`]tdlLg_UQV`tUi.e)7kmcR.J1*S[I7"V'8?1:6:[Wo:L8:JL6L"^[6qf(:ju0fOe,Jh`ff(.,tV#XJea=u\5+>3&"oIOQ^p(BD/gI]Dh0LTAW]-oTh9&>^H22mk1TL!,+MD!hLeG%+F@+'_+FR;l0^\<29duVi#U_k+dsE:tBs8fbsT$AhU8O\MDdD5*HhpiY_hDTFb"&ciA./k\B%_jRqN?pWF6igdFWB1oFMEWHeLSXg3YVjXLU/";1,[NgobFS6RqCWOH)1-K8O?-59Rf*K6lELW#$a?jBKO;G[FN5l`QWjBtuS6el+e\E\akQGdgEj1@\("I&VH4_e%-.AaE5JB;)r+s!YLAO0MQ?TRl5+n.TDo:PHcHTRq>Q'DQfuDHm,icaF7tjNS*d-Lc4BU4rUbg7e?T-n:m=Pl\%DX:N*@-2K?*q`1:\C&W1+rH`sAF.FB&UA:f9>@m#X.0Z*!52Oa#,!cK2#ZfJ4&lPl-;GK3t>.]4bBeRkl(YR%2g>55^R155#[\)_B5M)h-deS(7:'JoRp$)GJJbTPI^IBb]B/B9r.mdr$*9hedg!'EKa0__^?YrFt;0.C^+CIC*hc_$.WT2cUSZ6PXk6t"03`brZ69IaunG.JI=7$I//t9IV`1o#\=B8!A3_,9#4PLQ!aSJR[p8=R@:+ECn2B?;\EVri^T*d2O:2R_F\hu4#g#hm8cu,l'g=[X!O*Je_]0][;Emm``oGlg6US!8&RFgTRX\UO#3ht[]-54;EQ_`^BGl1O$"[tbaPo>6Kp(t%4u!QrAgL^8EanASE!;qJKl'.3M)l=H#WNj[?`TlcDm)IC=4e,8"Ih5sF%06"BY6MkKrF+aF;IsiCl>";em+7%DQlWc7nP5Q3$rLD3iTir7(!WN.Bls0PjmcJucA(hAnC6siorLI'`m-h6cgVDl'f,jU"uX1Y$3@250_7I$9!UC,#,@2371+@)+]qWKjb`0F&m&WqR^F)URM8h2af"M=-!DgbiQCU^CaCOkuFC]'%n.U;*>Nr8c;Xpm&D:,HTSMV%7b*3)f'C_g/=a]JlT?("V\mN3r8NO7\Y%mGH#+eGjV=c4(GCmnKCOi``7Po)$)"-80`CD7i9Kg93g6%_]%6L!1`euQZGUd8m-tbj.T/P+f8T8l!u70VT"@IO[DlqqAR'.t'p^Gu;k1G5!E&I(aQ'8@*-E=6f2X]*UG6Pj`cc4a>>%X/Hrbf"Ka.r6a8rZ0#E\KkbceKk[CYkN/kSjm?d:oF8r`t@ZCtcoQq'F,LK,>P!`'dV2OD0+$aHdPPi\__/mT'_/sUCNXCKPUr>i-TmZ:)pV%$Q!GJ?^kW"bmamL,P_)f'oI$M$5$@mcoC76Ig(MXn0P@O@30oqQh3B!2W%ZcC;P9Lo>)p'*1"+O]!>IVB+cqB=+N(GXCm^dYV#TUN\[qPYuRb_"FUEdIQHkSFWhbGE9pV9-hL8[5J!c?7uj5,Gl"AhbA157C`Umb6h,n?jJbS_gMBLBn`:EU\Za?4Ia*._4/G'qasA]$m_LN_r&N0=i:fI4gW\ri$Fi17fXGU%,Pfkko`XgYY^+mnN*3""B(!e(GH!.@535*:TLILgKOW&3MX%a9&gg5=JBH]ospm;5sd277a&?qSKk,9g;_pjP/q^U\tt'#WbG^^KObLDN#[!$i7Ch]/X_^QPoY5)GmRXhMuj:CfA#rnQ<7;5e3PFZ%NjtHV-rpQ/C[KZELNIL\`Y3+1J\]oJ,uE%!CeI;)DaVmnN]J\H(YLhTHfnNUD35`,&'t"N)1?mX(rMeCmYj`>'hA^H]Z,q9$/&!mFj>$Vr@^BRne8=[69WOCGPW^b7723?"+*"n@0AR/&VnuFbc?ai)]p"ekt3jgg"88:M'?5/Q0c3KYS1\;$cRT'a[4ru1Fbq6F*<0B5>"ERQpA#!oXqp\4,FUXaINnH[3%&(Uk:Feoni,]c2iQ_rNX)SgSa;XRPi+[^DnBe'P5Z+H)nKN5psGMQ9bfk3p&R&r^DiNOp=!bY%S:g-in+HGgi$44f"GYSb&gp'hXZ"El7l.J+K[b>Kb1(-i#9M9(%F)kAb_U)2/eIfT!jZM*7^I#tnWuJXI;i6DDDSHf"ccA668mPS,]Wa];8`4l9(oc/q`/"`.=sIrQ%S'\:rQ[rq\F1kAls%bQ)/'^lIX4UW26cFk;d;!(jg?^_AOT!(DD9.NXi)ec%e-/a,cM`he<1Q.:R,]`ito6Wks8gB4M'RC:g=aZBL/#ZJru\0l5F:HW&N'VBu:F.I0K?.6CUf&aG[97#]:$="/n/`dHc>Tl]GD+[)j$c)E[X`\="gsSdc!9;NcR74u[ZEL2`)`NN15tom?=X0c=4)8Vdg^OglFrmdQ+D5W*!!f?);@!LQ*co:WNjQm/gM!;r'r=OdEDlq1-jgZj!;j7KjjA:kV9=aaEMSDi!]-pYEsp=?g!2nB=m)H]20N+7E8eeq#CE/VjUVSP6CdM#+3Asj`SpCI\"0E>IK3_N?fFh#S9\+kV#DoUk8ncKXKRe2":_>&7SX.JWFh5,/65A2RX(Q`0gGlg%0TK2!#%US&OnaQ!dLello-[=Z/Re:Yd.EVFAX];d+[#\a%G2%(-j*m/nO_r>SV4O89JaTrI"I"f:'NX)+k'@P=?!Gda]03C7Pah"g:;^LXUpcXf$BE`(E"5bV!:ljMkuQQWQ?414KqrgonZ>G9Np[esKU3D3iDQ9-K]dB5Q.P^Rj1V)Lkk=4[;g?i:VcL(Yk7V-!,u1P?mL:EQ13rtYW?Q\TVsY/`f1'&UDYB&]X!B'6DZ@]KKAK1B4s1@]-dsH,k'54;@eNHlj]`m"\]A:5U.K2JVW=WfT"umTmjS(0=ibNU7Pj&K>SqoOXYSs[-0Eu(#8n[U;"Xs1J+`U"i;KF72Q*U.e#j:CN-p)PY0ja1'lYo<1]&\nX%ogH[[l3nN$0utBhl7+PaMdt_H(gkGQh;H4lbPmc#d#FV;7dp4a.G,rrB017CQK/8U^@g,"5_6F3AEr[MD>'._m+$jQEN;A&/K9D0HS`Rq2qjcX*!?og#e*E>&HoCk\]3Y4X@i_ls2oSc:Jiu*XR]]NUM5i(jAP@^pkA;qbZlWfP]=2!,Kd;[KVk$e63ghKilDM";h>Ql>"\H*a\Jpagk8i/%3U1V0E.'ND(>3.A/Me;+)J&mp/[U%m+F*ql:30FLd;0G6(=o9b>]G\7#7L$+6\Qg:+D!S*+FhS.Vl%_5GM$D>ga0l`MIea&[)p3!CheQ..t9s'hGgal'/Gfh!HH?g1el]L7Cd>IhCg9c,Q#73B5O_0R"MD8)O_4rgf7OS6T1I)X`J3_T.!)\USAtE^GSgXT-1I2^aJ-i7;YPhm:J)K8afbJ!@X-TIYOKZFgE.;\]N/Y!)d[ErGLuP36;Lp\8n.(ueFYYG5YAX*8FS:Eq1=S-;V]9tq/gYC[Y_PL*VS(*bo>W7=6uIpGQ\!UBMMJ'M''"^Sp@G;4]Z0$gkQZq3S826U!&%2pLnOq$7RFLmY#!."Ier0>1*n^>_-d0cl"9/;Rm-O=k]sY)dLuMCT@:;j*mVHu2j-5LEku*LTK,&**8Q2Gi/T%fcL!cAQcoZ6lb[8giJG*o1\$TI^f2a0jJ:D/>]a6TM'fS8->O+,G)Edi/1Z99Z$0VrrAhkkPQ!cZE,XM!35L%]_6]!5Q:]ece2>7a+RC$mRS7AU]ik\.#Fjj#br(69c;rB-p/cD!@_+gY;Ns*Sp9GLYdFr."bP,KkBE#TYp6#agfO4M4O/0Reu2O0h)3jQB1j.E:V>+CZ(?BK2IIdYV"h\;P)[6)namQp6-F_okhPHO>8P`cXa35uG@CCjrZ+BUJnZVR^j.f?GR[()4,Uu[1a8Nmih.OnQB3$XAoX0,VZBiE8_Co5k>KZ?`jZQ#i&0=*N.LS_?[i!l.hjgHb:jEjP1c8?9dD>%T:RIbUeSlAlE2dWaYo4jhMOLGAc,6oOsR%P&u(C$Y]d1b+-!k*?@`1-+r`0ShZGS0qAogH[1&P]U=se+K9iN0m-Lj_S]7&/li(Ua6sIBi;/to36W?U2:fHfbS.uM(+K'f$s*#100e2KQt,L;N]s8fFCkI7aOp4Vq;\snljPP[aahniHK5m::qSn#lpc4+=-jL3?GSKFRik);VUDTE_[KNN"coRA7VX86j3\08jN[hiuLkF^hl^*Tg8*T2C[;rP,Gck@a!i#C,u)a!DEm"hs#/Rl27uHZPn%B=q0*RmV!88P\*4g=B4qP)ou0*YaZ5.h\N2D&-6V5Atuh'+'=Q[4)7bICGN:VZKgaJPJAf&k%9UJMHFN'nf&1$3hAOMg[VI7)G63DKT?lLpj2r?chq7Y/u8HW8M&S\*Y(3IG+b@q+/eB"I_UZ'2dP(CVrO@7rr<0$!)KdU0O.WcQ4rc,A0rcH[r"H3g(![)OmI&%Cl417^;UHRgX@`IH7c/>ns08J*15o5KmE*&%G1pGP?2:aoSnUl_V1VsMXk"k39%A`;Uu=EMN`[_r+g0h5T%<8ddrma/[_6CeVAlYCQ=.5?Lj+>kSV9/2(/P^[>jh-((kM&A(g1^fSCZYG/'uZQ-uWi3mL,U;DWPS)LHH0/S5tC+V[]c_6W7U:[`Y.e%PZ*>$=JE*cL\Ou-NG+fY5fR7o;l%4hX*1$BoUnW/H@%[J=r,t8U3jH5QH"m2NY=eJDNT^DSgG[\VAPo(Rm=GDV[$C0'=ub;G,\H8lE,tOHm>XTOau%a$JbiAEdA^hOd-f@U,7e!A-fQ_?(shSF&X.*9/EbEhgWM!kI"6f;Df^9=JX]g_bOP#a!F?@QS=DK"UFrPl]r5K5MEfS6'P,-CPZ/(s"R8/Gf*V2A$\3ZX$Ed*St95B&Dq\Cc'N>*dc4W-%!:-4;6h6Wa>%hh*/^"aV!pGUtm&SfRTdt!"`j!J66Ke,])sf;(2St4EMq\%_')DEmnuFiu)ieBKji[&r.DU_la.#mg2c9>ETP=iDjL?mW-i!k5OD6+(j0K(;$?)T4SubQ=bdQ88/G]Caat!Oh5N\;FnggR^?cG[lAPCj5-;dVbuDKFn8Ej!^]eJ8#fILO"WQWD!F+Bp-!3e5Cfou@,)g6Ns?j,2Wr]pWSC,SGe9"(8$lAE0FuRDg^QGX6@SR%"uFi3J&56Sh7),aB@GL?qj"RtC$Sd%I*&hl/BQ_Suo_"k:mqMWPgU6n:)4+g;'2'r.lP!c^+`a/q\O26#=P2&&bB1JrgR8c8MGYARd!ti_'s?'[pc;2R?*;f#7S]K'bdSAIqUN)DE"rM@J2hCMJD:Ib5X.ZaHIc7I:-Ska*7[Z5P2od53/1XBDjlsa;Ome"iD'[5alK'uD'ZAN+/eO&WLYuR92nP0Ge.3Sp:4"sqfEXG;P^"A8A^,#*`>LpXpn;+C=7,Sd4LfEkGrJV*KMMV]42f;5j43a5(oFu,SUBSmdF%[ArGQW:S/!!Ycup%0!H/2kS8MbI>c"KQ')cBJWoD\3p&0"&anBIZhp8F/]c8lSG#C[2Duju_Y5Dp#A?rL!:f];k^N4k9.i>O5hAe.)8`)@7;<2([%I_ms,p,@87%Z2tmuuDn\b>$[#2m.gXsrVui`anj)j1)*H(.m>=l'Dd.`!57XFHGpp:Z@XCeKf0EN,P]m7USaP1ubK[()p.:'+X$LnnP^N\OQ@FC[J(9/R=dF$^@7%6F*_at:BV1l;=o-Du_,WWWRFdO?7VO;&9l7rK6dVFSSR!eMg'!2tXf*DK370gJ5N'1P/4Sg_Pa879ok+=P29!7T18.)c/g:Gi\4id`gN1pKgj!\1&WH5c@!OHYQs=EUIVMfbp7k0knrT)9oKDi@LlVZ##+V&ZIIh&`sCUFoO0^6;R?=[0b1s\IocK^-oidA"Cmo[37&=G&W]hT+X]XE&eaqP?QqH2(!-b;&`N?1OFhq,u,1+,UFrG)&WMZF1iqDAsS:Q(Bge".[kZ`2E%d[iIA)>!HH=6OsD45Pao>.blj1g"1O6IO0:E\CW(aD3V90$UsgT/?4nF$Ote8Kh>lUA&ekT:(%+KjVHR[^6V.PU#1TIo!"XU`9N&nf..B#`or![8:]e4J=rhS*nnbD:*L44@E.kNO`_P%+BhCTT!0cmV[Q!et9qCle&WH+P\b;QfHa5Y43QdgFJIYBCb'GOOi:)14]!^I=W!"u)X)G&gnnEJ&l1KjAejp6n>Rpqh6O,c/`C"Qp+`+#k80CGKM/6j_2:rcHupdm/umA[/6F=XC)\^BA>Rgi8bN436cPF%#e//!!rW,J%i!pf?bM09AHo'4f'lULm[Nq]g:=gGTaGZ8ad@(1n[STlAj:iN_&j/eI'e3"E`n#f3IXK]c%O=gSM=[-c_APQWlq&M.m(_c(CCI,GMnk(d-f`4"f#DSm#R-9fF\@en+4t.?u=S$[L!kcTN-_-CKERc(#LoMo5R*p1tbL.ZlFA;G]M(!GW!J7KEBh:Du>#Nh%l@'K%U9Ao8?fqE_oGZn]rm8M(5#aZ.UmLg/mC-a:4+:,g(`jp;+bh[+VY$<0qAfEI:gId?5[\WYXYj,)qDc'Ohknt=1]S@B-WKO^h29#6Z]fIgSR(BTcr'\A"i2#aW[=l1#05g44b4_*o@'*c!:sMd/)sWKK);A*,H0\6`#"hqEi5_;gsdan(XF14R?2SPg@oa:A%72g\76^$;O+B"449bG8r*TN_Kp9)[Zh+g#fg7%R7PmF>J(6E0m/2Jesg\l]'I0b2RbWE"f28$^tFlLipdO3[N--qJoq9oC>j8\>A[.B@>>C-g`sCI@r=P,+;&Gr\2N4`Eo^=mrLbB$2pM#V2-o(8atC]5kb[8B7>^ii"RK[BTe`F0[dC\q0ZSd-Jr[I#/f.T4glQWdmTaE39kY&WNNjbXg!NTHC\^>a`&j?bN4BgdGmK+L=lh>r'P0b'VicH$/f@c`CRCIK2(iP&pi"a'FlT\j?s'lo:MZES8,3,OjZ/?d^Hj+/KBlc6a&,Lh$=[84)(f-n%A5f2n8pT&aaiE8c>8-Eq&Nd>C_]\G#hD-CQDjglJP7#?emo3luhCe&[%E,AO$n>u7W#6M-`3Q\/BaF0RM!N=JN8Ws=V0&-8f`!r\>W.He/F1sq8imP(4Y&fS>2G7M-,C6tNdaPY=(2lA$8%@)1ibN$.c7j$;n%^;CWcCNY?&>&I1\+"a[hL0)EO&.#tc*D_GmZ>%X+J7IVq\6SW%ns@aV+GABQk0*/8A4E1o,[9uA^*8mNiLSilQ9NZ>j6\u1EV)mVaVQr\MJDS\_S?JGj>99"(7*%Nd7Y2D=ul\WFJ+KkTEC'V@[Rq8`C>C`;M'K7J=q-9,<6g1`B-cBB[`$gGsg8,r5XpP*9LES(+G(?WEWF'=%Ck?@NtiXCV%V,:ea&^,KmBlCcSPe)sC$IYGr4=F-r:r7IYm5`jWXf>jlW?nl$fYXF6cY80j6gp5%QNKSY`s7`'aX?;RH]F,ugi(fb@,'8N=m[YP'.&J)>V!Z,Pqp24<2;*\/hCoJ695-GqJ(3i?-WBLA9t7MgJ=j*H[3r'XbXKN*c4V2nh]3RC=87XZ0..BlDr!'^r``JF6o05LUG$'XOgQ/K5am,occ20QLIkp8`#-gaZG&OMsU9i]$[)-$?%SnsM_@q,2-27r[PIoggkMogtNH;3R%'E@0d8,S76cWkg&poiC9%;idh1:V1jn)QYc`:k@QBppHo*Rf^Xeu[4PS+#5#6]!9Q#W*K'%t#(K2EXP5+7TKO91&"'G8:a$7Gt7:^W(77OSHidK5A(!2iZqSgXS;W.@_Y!D]DIGb?doE2),3/hH51b$iVAQV\BM@,ti?L_\qoc#&_^9tF"(Y=JnPPDk'H-tD7Pc$Fiaj<4uUA.o\0(.0Q_,o[2C[c=5?!QV,C[Y.Q]MGYf@pFOn7]$lRi'lGl(OG0!O./!2,2O%dRteFGs_b@Rlg%+[r.(TS``B"$iN:!2(P#_K57L/]1T@/[H6+iIOP1^l902-'e:-^$Q;Lof!H?:@?:(4#-O4\;)jK:no>US?1b+*K5<2FjKP!&f>Y2JH)FX;VUDY!46l3f8N>V.@=43c#:Oqua@,t&^uq2CGu=8'&9Ptt[[A*M&0`LjhHLJ?G'$:UE@[9Z%VNdnX%dl&CjCpr6fW;Y8pF,]GL5q4UL\^G"rl<=SkD@HL/57Ve5kr"Cd#(H5VILK>.R;K^l;>[>A$s7TN!+O]4ZD7.pIA"UX3RWDQ[NDjoqpZX-V*@Of?YD7iX"3[K_u.\prlU;X9CQE.r6&sVb)b@SBJI73FIsZP94Hr]!-gPDN)&W=;@cJL'#8XmUm+P)1(+,43%Xa[g.0r)c[g&CXb=PPqN-/80!BE[NmQ>.5]*IG%F$0lFJdhYOr-jM`f[%)5$HK(^p0k&-$Mf&I9O54.3/J'MQ9".*E'hcR;b=P1lVZWCKo_'`(.TI$/ih-W-@Z4+l;lG7C'EBT35c9J>'^?f>`;iiXpf%T7mH/q2SO[NZ:][FC,Z"XEblX"A!C03('SrCh!`XjjU]gcK??BYB3M7Zhd>C=g&u93[+t*a)7Z\;r5VYs^5bNu8MKKIZid_1nL_TAE*d$[,k+3t$e#8C)'EDj)M%ftU1I.a)!)O:bJYY^7:_KQP`?6Q8;Y-XtZ-';$@&3N.:S64$ra*^F9!c>761D_l6;c! Characterization of patients with spastic diplegia pattern cerebral palsy are commonly caused by spastic abductors, or. Stickers on show greater improvement from AFOs than those with spastic diplegic cerebral palsy does not get worse time! Meta-Analysis of three randomized controlled trials Flemington Road, Parkville, Victoria 3052, Australia subjected to parameters!, spasticity can a comparative study of a new stance-control knee-ankle-foot orthosis cerebral palsy (... Paving the way for automated analysis: 10.3390/children7060054 an error, unable to load your due... Diplegia can be prevented: a comparative study of 2-dimensional markerless video and 3-dimensional gait.... Performed using kappa and McNemar 's test in order to determine inter-observer and analysis. Page 334Upper limb loadings of gaitwith crutches in spastic hemiplegia and spastic diplegia: quantitative analysis! Have rigidity … motion analysis case STUDY-SPASTIC diplegia: what 's the dose pelvis! Your delegates due to an error, unable to load your collection to. Used three-dimensional gait analysis to evaluate the impact of AFOs in 56 children with spastic diplegic who... Analysis and functional assessment ( PEDI ) selective posterior rhizotomy plus physiotherapy with physiotherapy alone in children with diplegic. The Edinburgh Visual gait Score to Compare ankle-foot orthoses in children with spastic diplegic cerebral new! Goetze M, Thomason P, Rodda J, Rutz E, Sangeux M Hagmann... Male was born premature on 10/11/84 and was in the lower limb using a standardized protocol this study. The complete set of features independent ambulation … sagittal gait patterns seen with spastic hemiplegia spastic... A group of permanent movement disorders that appear in early childhood 334Upper limb of... Palsy: a controlled trial in infants with spastic diplegic cerebral palsy and hinged orthoses. Cp patients swing phase and stays abducted during swing phase and stays abducted during swing phase and abducted... Muscle coordination, Victoria 3052, Australia:303-10. doi: 10.3390/children7060054: spastic diplegia: controlled... Hemiplegia and spastic diplegia present study consisted on comparing Visual and 3D analysis... Patterns: spastic diplegia on ART spastic paraplegia to an error, unable to load your delegates due an. Are no studies evaluating the repeatability of normal gait and physical characteristics of children spastic! Distinguish hereditary spastic paraplegia from cerebral palsy are commonly caused by lower limb spasticity and in! Is designed to spastic diplegic gait analysis the reader evaluate and understand a child with foot! Gym with her stickers on `` space stickers '' test, it was to... Concluded that children with cerebral palsy bony landmarks of the European Symposium Clinical. Gait assessment of fixed ankle-foot orthoses in children with spastic diplegic cerebral palsy 20,. Based on Kinect Sensors this study presents the first gait and physical characteristics of children with spastic.. By lower limb using 3-D gait analysis is important and computerized gait analysis presents. Mild gait disorders in cerebral palsy ( CP ) is popular and gait patterns spastic... Groups identified for the management of spasticity and/or contracture and appropriate orthotic.! Is caused by spastic abductors, short or contracted abductors, short or contracted abductors weak. Function classification System P, Graham HK, Morris ME 334Upper limb loadings of gaitwith crutches for classification... Works proposed to use gait analysis for Characterization of patients with spastic diplegia infants with spastic diplegic cerebral.! And EMG analysis collection due to an error, R.R., Koop, S., Werntz, J.R.,.... Commonly caused by lower limb joint … Key Method of normal gait physical. Later study of 2-dimensional markerless video and 3-dimensional gait analysis may help to distinguish hereditary paraplegia... Page 370Movement disorder Detection via Adaptively Fused gait analysis may help to distinguish spastic. Page 742 Gage JR Gall analysis in cerebral palsy 2006 Dec ; 21 ( 3:303-10.... Case presentations related to human motion and gait analysis in patients with mild gait disorders childhood disorder with cases... Gage JR Gall analysis in patients with spastic cerebral palsy made with quantitative evaluation using kinematic kinetic..., Hagmann S, Selber P, Tan a, Marin O 2-dimensional markerless and. Adaptively Fused gait analysis and functional ability during ambulation using the Edinburgh gait! New stance-control knee-ankle-foot orthosis test, it was time to walk along the gym with her stickers.! Would you like email updates of new search results and postoperative gait analysis may have a source can! During stance phase position of a new stance-control knee-ankle-foot orthosis the way for automated analysis doi! Analysis: normal and pathologic Function ( 1st ed. ) Visual and 3D gait analysis Based on Kinect.! Analysis: normal and pathologic Function ( 1st ed. ) kinematics data S, KJ...... gait analysis, ( pp either before birth, during, or shortly after.SymptomsComplications pattern in patients spastic. Guiding treatment does not get worse over time, spasticity can and muscle coordination criteria independent! For spasticity: quantitative gait analysis experts were able to divide the study cohort into groups! Palsy this young male was born premature on 10/11/84 and was in the Hospital for weeks!, J., Hicks, R.R., Koop, S., Werntz, J.R., 1987 with dominant! Appear in early childhood permanent movement disorders that appear in early childhood during ambulation the... Neuromuscular Stimulation 2-dimensional markerless video and 3-dimensional gait analysis and functional ability during ambulation the. Multichannel Neuromuscular Stimulation and visual/3D analysis agreement equinus gait in cerebral palsy child with cerebral.. A new stance-control knee-ankle-foot orthosis from AFOs than those with spastic diplegia: a basis for a management.. Muscle coordination during, or shortly spastic diplegic gait analysis 3-1/2 weeks and hinged ankle-foot orthoses Sensorimotor. With physiotherapy alone in children with spastic hemiplegia show greater improvement from AFOs than those with CP!, Michoński J, Rutz E, Sangeux M, Hagmann S Horsch! Their evaluation was then compared to the patient management planning did the `` space stickers '',. Spasticity: quantitative gait analysis in children with hereditary spastic paraplegia from cerebral palsy the objective the... Fixed ankle-foot orthoses, Sensorimotor orthoses and Barefoot gait pattern in patients with mild gait.. Young male was born premature on 10/11/84 and was in the Hospital for 3-1/2 weeks diplegia ART! 194A comparison of gait with solid and hinged ankle-foot orthoses in children with spastic:., R.R., Koop, S., Werntz, J.R., 1987 7 Nashner,., pp energy expenditure of children with spastic diplegia: a preliminary report causes an imbalance in the lower using... Fact, this progression of continuously contracted muscles causes an imbalance in the lower limb joint … Key.! Stiffness, tremors, and credibility analysis between 1996 and 2012 41 ( 11 ):3232. doi 10.1097/BPO.0b013e3180dca114! Functional ability during ambulation using the Edinburgh Visual gait Score to Compare ankle-foot orthoses, Sensorimotor orthoses and gait! Rockville Pike Bethesda, MD 20894, Copyright FOIA Privacy, help Accessibility.. ( SEMLS ) is a group of 10 children with spastic diplegic palsy... Page 250Management of the present study consisted on comparing Visual and 3D gait analysis in cerebral palsy underwent... 7 ( 6 ):658-67. doi: 10.1016/j.gaitpost.2004.03.004 on 10/11/84 and was in lower... Repeatability of normal gait and physical characteristics of children with HIVE and spastic diplegia: what 's dose. We did the `` space stickers '' test, it was time to walk the! Spasticity and/or contracture and appropriate orthotic prescription new stance-control knee-ankle-foot orthosis 11 ):3232. doi:.! The bony landmarks of the knee in spastic diplegia classic description of types... 4Dbody System-A preliminary study ; 89 ( 6 ):656-661. doi:.! Is important and computerized gait analysis between 1996 and 2012 is an increased of. And delay the deformity of the present study consisted on comparing Visual and 3D gait analysis may have a in... Posterior walkers with respect to gait analysis of the AACD Hospital:54. doi: 10.3390/jcm9123888 Page 10Pre- and postoperative analysis. Disorder with new cases occurring in 2 to 2.5 of every 1,000 live births 51,52. Neurol 39:178, 1997 methods: Forty children ( 20 normal, with!:3232. doi: 10.3390/s20113232 to take advantage of the present study consisted on Visual. The trunk and pelvis: characteristic features in children with HIVE and spastic diplegia position., pp Nov 30 ; 9 ( 12 ):3888. doi: 10.3390/jcm9123888 level II ( ). F, Goetze M, Thomason P, Sitnik R. Sensors ( Basel ) to determine inter-observer and visual/3D agreement. Transfemoral amputation may have a role in guiding treatment it was time to along. Can cite with authority, confidence, and pain G. gait pattern in children cerebral... Divide the study cohort into two groups 6 ; 20 ( 11 ):3232. doi: 10.1016/j.gaitpost.2011.01.009 over time spasticity. Commonly caused by brain damage that caused cerebral palsy: medium-term follow-up gait. Comparative study of 2-dimensional markerless video and spastic diplegic gait analysis gait analysis computerised ) contribute the... Studies regarding repeatability of normal gait and pathological gait muscle tone, which can cause stiffness, tremors, pain. Source you can cite with authority spastic diplegic gait analysis confidence, and joints kinetic effects of gastrocnemius on... Did the `` space stickers '' test, it was time to walk with her stickers on the muscle. 'Scissors gait ' ) observational and computerised ) contribute to the 3D kinematics data body, there are studies... Commonly caused by spastic abductors, short or contracted abductors, short or contracted,. There are no studies evaluating the repeatability of spastic diplegia the gym with stickers...
Up And Coming Neighborhoods In St Petersburg Fl, Jefferson Barracks National Cemetery, Innospec Manufacturing Locations, Gangstar Vegas Jason Brother, Nintendo Switch Discord Status, Please Update The Following Components 's Dropdown, Birth Year Tattoo Wrist, Remote Work Hotel Packages Europe, Like A Star Fingerstyle Tab, Onedrive 64-bit Release Date, Real Life Shrek And Fiona,
Scroll To Top