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Praveen Kumar - One of the best experts on this subject based on the ideXlab platform.
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Is Lycra sleeve effective for the management of glenohumeral subluxation in people with stroke – A feasibility study?
2020Co-Authors: Praveen Kumar, Jennifer Greet, Mckenna Mills, Faye Rossall, Rebecca Gibson, Rhiannon WhalesAbstract:Introduction: Glenohumeral subluxation (GHS) is reported to occur in 81% of patients post stroke. Current management approaches for GHS are varied and unsatisfactory. Functional Electrical Stimulation (FES) has been recommended in the National Clinical Guidelines for Stroke. However, due to cost and training involved, FES is not routinely used in the clinical practice. Clinically, a cost-effective and patient-friendly approach for GHS is required. Lycra sleeve has been used in the past, but the evidence to support its use on people with stroke suffering from GHS is limited. The primary aim of this feasibility study was to assess 1) the effectiveness of Lycra sleeves on GHS, 2) to explore patients’ perceptions and experiences of using the Lycra sleeve. A secondary aim was to assess the effectiveness on shoulder pain and upper limb function. Method: Mixed-method design was used. Patients with chronic post-stroke hemiplegia, able to consent and with a clinical palpable gap (1 or more fingerbreadths) were recruited from the community. Primary outcome (GHS) was assessed by ultrasound method (acromion-greater tuberosity distance measured in cm), secondary outcomes (pain, upper limb function) were assessed by the numerical rating scale and the Modified motor assessment (MMAS) scale respectively. A questionnaire was completed by patients to gather their perceptions and experiences. Timeframes for the assessments were as follows: pre-application of sleeve, immediately after application on day 1 and day 8. Patients were instructed to wear the Lycra sleeve for 7 consecutive days, 7 hours a day and to record any observations. Results: Five patients (mean age/SD 51±8 years) participated in this study. GHS reduced immediately after wearing the Lycra sleeve on both day 1 and day 8 with the mean AGT distance showing a reduction of 0.21 cm and 0.28 cm respectively. The mean time the Lycra sleeve was worn each day was 6.7 hours. Three patients experienced decreased pain, 1 patient showed improvement in MMAS score. Three patients found donning and doffing the sleeve easy. Four patients found the sleeve beneficial as they were more aware of the affected limb and were able to incorporate upper limb more in ADL. Discussion: Reduction in AGT distance may be in part due to increased sensory feedback/awareness, re-alignment of shoulder girdle, and/or activation of certain muscles around the shoulder region. These presumptions are currently under investigation. Conclusion: Reduction in mean AGT distance suggests Lycra sleeves may be beneficial in the management of GHS. Further research is required to establish the effectiveness in acute and chronic settings using a well-designed randomised controlled trial.
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Effectiveness of Lycra sleeve for the management of glenohumeral subluxation in people with stroke – A feasibility study
2020Co-Authors: Praveen Kumar, Jennifer Greet, Mckenna Mills, Faye Rossall, Rebecca Gibson, Rhiannon WhalesAbstract:Introduction: Glenohumeral subluxation (GHS) is reported to occur in 81% of patients post stroke. The aims of the study were to assess the effectiveness of Lycra sleeves on GHS and explore patients’ perceptions regarding the practicality of applying the Lycra sleeve. Method: Patients with chronic post-stroke hemiplegia (n=5, 51±8 years), provided consent, and were recruited from the community. Primary outcome (GHS) was assessed by ultrasound method (acromion-greater tuberosity distance measured in cm), secondary outcomes (pain, upper limb function) were assessed by the numerical rating scale and the Modified motor assessment (MMAS) scale respectively and a questionnaire was completed to gather patients’ perceptions. Outcomes measured as follows: pre-application of sleeve, immediately after application on day 1 and day 8. Patients were instructed to wear the Lycra sleeve for 7 consecutive days, 7 hours a day and record any observations. Results: GHS reduced immediately after wearing the Lycra sleeve on both day 1 and day 8 with the mean AGT distance showing a reduction of 0.21 cm and 0.28 cm respectively. The mean time the Lycra sleeve was worn each day was 6.7 hours. Three patients experienced decreased pain, 1 patient showed improvement in MMAS score, three patients found the sleeve easy to wear and 4 patients found the sleeve beneficial. Conclusion: Reduction in mean AGT distance suggests Lycra sleeves may be beneficial in the management of GHS. Further research is required to establish the effectiveness in acute and chronic settings using a well-designed randomised controlled trial.
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does the application of a Lycra arm sleeve change shoulder biomechanics in young healthy people a mechanistic study
Jpo Journal of Prosthetics and Orthotics, 2020Co-Authors: Praveen Kumar, Ashni Desai, Lottie ElliotAbstract:© Lippincott Williams & Wilkins. Introduction Glenohumeral subluxation (GHS) is commonly reported in people with stroke. Lycra sleeves provide a compressive and supportive effect, influencing the neuromuscular activity in the affected body segment. A recent study reported reduction in GHS (acromion-greater tuberosity [AGT] distance) after application of Lycra arm sleeve; however, its mechanism on the shoulder region as a whole is unclear. The aim of this study was to investigate if application of a Lycra sleeve changes the AGT distance, muscle activity around the shoulder region, and scapular position. Methods Healthy participants aged older than 18 years were recruited. Measurements were taken before and immediately after application of the sleeve. Portable diagnostic ultrasound, surface electromyography, and a tape measure were used to measure AGT distance, muscle activity (biceps, triceps, deltoid, and supraspinatus), and position of the scapula, respectively. Results Thirty-one participants (11 men, 20 women) with mean age 25 ± 10 years participated. Paired test showed significant mean reduction of 0.12 cm (95% confidence interval [CI], 0.07-0.16 cm) in AGT distance measurements (t = 5.112, df = 30, P = 0.003) and scapula measurements (0.3 cm; 95% CI, 0.04-0.4 cm; t = 2.501; df = 30, P < 0.01) when compared without and with sleeve application. Conclusions Future research should investigate the effects of the Lycra sleeve on people with GHS in the different phases of rehabilitation.
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the effects of Lycra arm sleeve on glenohumeral subluxation in poststroke hemiplegia a preliminary study
Jpo Journal of Prosthetics and Orthotics, 2019Co-Authors: Praveen KumarAbstract:© 2018 by the American Academy of Orthotists and Prosthetists. Introduction The primary aim of this preliminary prospective cross-sectional study was to assess the effects of Lycra arm sleeves on the glenohumeral subluxation (acromiongreater tuberosity distance) in people with poststroke hemiplegia. A secondary aim was to explore patients' perceptions regarding the practicality of applying the Lycra arm sleeve. The setting was community care in South West England. Participants were patients with chronic stroke (n = 5; 2 men, 3 women; mean ± SD age, 51 ± 8 years) with one-sided weakness. Materials and Methods Patients were instructed to wear the Lycra arm sleeve for 7 hrs a day for 7 consecutive days. Ultrasound measurements of acromion greater tuberosity (AGT) distance, numerical rating scale for pain, and upper-limb function using the Motor Assessment Scale were recorded before and immediately after application of the sleeve on day 1 and day 8. A questionnaire was completed by patients on day 8 to explore perceptions. Results Analysis of the data using an analysis of variance for a 2 × 2 fully repeated measure design suggests that 1) there is no significant mean difference in AGT distance between day 1 and day 8 (F(1,4) = 1.28, MSE = 0.014, P = 0.322) 2); there is a significant mean difference in AGT distance due to wearing of sleeve (F(1,4) = 19.258, MSE = 0.011, P = 0.012); and 3) the change in AGT distance on day 1 due to wearing of sleeve is not statistically different from the change on day 8 (F(1,4) = 0.537, MSE = 0.008, P = 0.504). Three patients experienced decreased pain, and one patient showed improvement in the upper-limb function score. The mean time the Lycra arm sleeve was worn each day was 6.7 hrs. Three patients found the sleeve easy to wear and 4 patients found the sleeve beneficial. Conclusions Trends toward reduction in mean AGT distance suggest Lycra arm sleeves may be beneficial in glenohumeral subluxation (GHS) management. Further research is required to establish their effectiveness in acute and chronic settings using a well-designed fully powered randomized controlled trial.
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does Lycra sleeve alter biomechanics of shoulder in people with post stroke hemiplegia a mechanistic study
2018Co-Authors: Praveen Kumar, L Macleod, P Mohan, W WheelerAbstract:Abstract Introduction Glenohumeral subluxation (GHS) is reported in up to 81% of patients with stroke. Our previous studies found that a Lycra sleeve can reduce acromion-greater tuberosity distance (used for assessment of GHS) in people with chronic stroke (n=5). In a recent study on healthy people (n=31), we report reduction in AGT, change in scapula measurements and change in muscle activity after the application of Lycra sleeve. The aim of this study was to investigate the effect of Lycra sleeves on the acromion-greater tuberosity (AGT) distance, muscle activity around the shoulder region and scapular position in people with stroke. Abstract Method People with stroke who gave informed consent were recruited. Measurements were taken before and immediately after application of the sleeve. Portable diagnostic ultrasound, electromyography and a tape measure were used to measure AGT distance, muscle activity (biceps, triceps, deltoid, and supraspinatus) and position of the scapula respectively. Abstract Results Six participants with mean age 53±8 years were recruited. Mean±SD and 95% confidence intervals for AGT distances on the affected side before and after the application of sleeve were 2.1±0.3 (1.8-2.5cm) and 2.0±0.4 (1.6-2.4cm) respectively. There was a very slight increase in muscle activity after the application of Lycra sleeve in all muscles tested. Likewise there was reduction in scapula position (posterior tilt) (Mean difference 0.75±0.2cm after the application of sleeve. Abstract Discussion Findings from this study are in agreement with the previous research. Further research is required to establish the effectiveness of the Lycra sleeve using a well-designed randomised controlled trial.
Sujit Kumar Sinha - One of the best experts on this subject based on the ideXlab platform.
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elastic recovery and performance of denim fabric prepared by cotton Lycra core spun yarns
Journal of Natural Fibers, 2020Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:Elastic performance coefficient (EPC) and recovery behavior of denim fabrics prepared with cotton/Lycra core spun stretch yarns have been presented in this article. The denim fabrics are woven as b...
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Effects of Process Parameters on Tensile and Recovery Behavior of Ring-Spun Cotton/Lycra Denim Yarn
Journal of The Institution of Engineers (India): Series E, 2019Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:Effects of yarn count, twist multiplier, stretch percentage and extension percentage on tensile and recovery behavior of cotton/Lycra core-spun yarn had been investigated. Core-spun yarns were prepared in a modified ring frame. A 70 dtex Lycra filament was inserted in core and sheath consisted of cotton fibers. It had been observed that yarn count, Lycra stretch ratio, extension and twist multiplier had significant effect on tensile and recovery properties of the yarn. A 3^3 Box–Behnken response surface design was employed to investigate their influence on recovery behavior of the yarn. The immediate elastic recovery and delayed elastic recovery of the yarn were found to be increased with a decrease in stretch percentage. The immediate elastic recovery was observed to be increased with an increase in both yarn count and extension, whereas delayed elastic recovery was found to be increased with a decrease in extension. Total elastic recovery was found to be up to 67% and up to 45% in case of finer yarn (12 Ne) and coarser yarn (8 Ne), respectively.
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effects of process parameters on tensile and recovery behavior of ring spun cotton Lycra denim yarn
Journal of The Institution of Engineers : Series E, 2019Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:Effects of yarn count, twist multiplier, stretch percentage and extension percentage on tensile and recovery behavior of cotton/Lycra core-spun yarn had been investigated. Core-spun yarns were prepared in a modified ring frame. A 70 dtex Lycra filament was inserted in core and sheath consisted of cotton fibers. It had been observed that yarn count, Lycra stretch ratio, extension and twist multiplier had significant effect on tensile and recovery properties of the yarn. A 33 Box–Behnken response surface design was employed to investigate their influence on recovery behavior of the yarn. The immediate elastic recovery and delayed elastic recovery of the yarn were found to be increased with a decrease in stretch percentage. The immediate elastic recovery was observed to be increased with an increase in both yarn count and extension, whereas delayed elastic recovery was found to be increased with a decrease in extension. Total elastic recovery was found to be up to 67% and up to 45% in case of finer yarn (12 Ne) and coarser yarn (8 Ne), respectively.
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Elastic Recovery and Performance of Denim Fabric Prepared by Cotton/Lycra Core Spun Yarns
Journal of Natural Fibers, 2018Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:ABSTRACTElastic performance coefficient (EPC) and recovery behavior of denim fabrics prepared with cotton/Lycra core spun stretch yarns have been presented in this article. The denim fabrics are woven as broken twill weaves in an air-jet weaving machine by the insertion of core spun yarns (Lycra filament in core, cotton fiber on sheath) as weft and using 100% cotton yarns as warp. The effect of linear density and stretch percentage of the core spun weft yarns on tensile and recovery behavior of denim fabric have been investigated by employing full factorial design of experiments. It has been observed that the tensile strength and EPC of fabric increase with decrease in linear density and stretch percentage of the core spun stretch yarn. The immediate elastic recovery and delayed elastic recovery increase with decrease in linear density and stretch percentage of the yarns.
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tensile and elastic performance of cotton Lycra core spun denim yarn
Journal of The Institution of Engineers : Series E, 2017Co-Authors: Sujit Kumar Sinha, Payal Bansal, Subhankar MaityAbstract:Various cotton/Lycra core spun yarns are prepared in modified ring frame. The core of the yarn consists of a 70 dtex Lycra filament and sheath consists of staple cotton fibers. The cotton/Lycra core spun yarns are explored for the suitable application of stretch denim fabric. The tensile and elastic performance properties of the prepared stretch yarns are evaluated. The influence of various parameters viz. pre-load, linear density, stretch percentage, twist multiplier and applied load during tensile testing, on the properties of the stretch yarns are investigated by employing a full factorial design and statistical analysis.
Payal Bansal - One of the best experts on this subject based on the ideXlab platform.
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elastic recovery and performance of denim fabric prepared by cotton Lycra core spun yarns
Journal of Natural Fibers, 2020Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:Elastic performance coefficient (EPC) and recovery behavior of denim fabrics prepared with cotton/Lycra core spun stretch yarns have been presented in this article. The denim fabrics are woven as b...
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Effects of Process Parameters on Tensile and Recovery Behavior of Ring-Spun Cotton/Lycra Denim Yarn
Journal of The Institution of Engineers (India): Series E, 2019Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:Effects of yarn count, twist multiplier, stretch percentage and extension percentage on tensile and recovery behavior of cotton/Lycra core-spun yarn had been investigated. Core-spun yarns were prepared in a modified ring frame. A 70 dtex Lycra filament was inserted in core and sheath consisted of cotton fibers. It had been observed that yarn count, Lycra stretch ratio, extension and twist multiplier had significant effect on tensile and recovery properties of the yarn. A 3^3 Box–Behnken response surface design was employed to investigate their influence on recovery behavior of the yarn. The immediate elastic recovery and delayed elastic recovery of the yarn were found to be increased with a decrease in stretch percentage. The immediate elastic recovery was observed to be increased with an increase in both yarn count and extension, whereas delayed elastic recovery was found to be increased with a decrease in extension. Total elastic recovery was found to be up to 67% and up to 45% in case of finer yarn (12 Ne) and coarser yarn (8 Ne), respectively.
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effects of process parameters on tensile and recovery behavior of ring spun cotton Lycra denim yarn
Journal of The Institution of Engineers : Series E, 2019Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:Effects of yarn count, twist multiplier, stretch percentage and extension percentage on tensile and recovery behavior of cotton/Lycra core-spun yarn had been investigated. Core-spun yarns were prepared in a modified ring frame. A 70 dtex Lycra filament was inserted in core and sheath consisted of cotton fibers. It had been observed that yarn count, Lycra stretch ratio, extension and twist multiplier had significant effect on tensile and recovery properties of the yarn. A 33 Box–Behnken response surface design was employed to investigate their influence on recovery behavior of the yarn. The immediate elastic recovery and delayed elastic recovery of the yarn were found to be increased with a decrease in stretch percentage. The immediate elastic recovery was observed to be increased with an increase in both yarn count and extension, whereas delayed elastic recovery was found to be increased with a decrease in extension. Total elastic recovery was found to be up to 67% and up to 45% in case of finer yarn (12 Ne) and coarser yarn (8 Ne), respectively.
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Elastic Recovery and Performance of Denim Fabric Prepared by Cotton/Lycra Core Spun Yarns
Journal of Natural Fibers, 2018Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:ABSTRACTElastic performance coefficient (EPC) and recovery behavior of denim fabrics prepared with cotton/Lycra core spun stretch yarns have been presented in this article. The denim fabrics are woven as broken twill weaves in an air-jet weaving machine by the insertion of core spun yarns (Lycra filament in core, cotton fiber on sheath) as weft and using 100% cotton yarns as warp. The effect of linear density and stretch percentage of the core spun weft yarns on tensile and recovery behavior of denim fabric have been investigated by employing full factorial design of experiments. It has been observed that the tensile strength and EPC of fabric increase with decrease in linear density and stretch percentage of the core spun stretch yarn. The immediate elastic recovery and delayed elastic recovery increase with decrease in linear density and stretch percentage of the yarns.
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tensile and elastic performance of cotton Lycra core spun denim yarn
Journal of The Institution of Engineers : Series E, 2017Co-Authors: Sujit Kumar Sinha, Payal Bansal, Subhankar MaityAbstract:Various cotton/Lycra core spun yarns are prepared in modified ring frame. The core of the yarn consists of a 70 dtex Lycra filament and sheath consists of staple cotton fibers. The cotton/Lycra core spun yarns are explored for the suitable application of stretch denim fabric. The tensile and elastic performance properties of the prepared stretch yarns are evaluated. The influence of various parameters viz. pre-load, linear density, stretch percentage, twist multiplier and applied load during tensile testing, on the properties of the stretch yarns are investigated by employing a full factorial design and statistical analysis.
Subhankar Maity - One of the best experts on this subject based on the ideXlab platform.
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elastic recovery and performance of denim fabric prepared by cotton Lycra core spun yarns
Journal of Natural Fibers, 2020Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:Elastic performance coefficient (EPC) and recovery behavior of denim fabrics prepared with cotton/Lycra core spun stretch yarns have been presented in this article. The denim fabrics are woven as b...
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Effects of Process Parameters on Tensile and Recovery Behavior of Ring-Spun Cotton/Lycra Denim Yarn
Journal of The Institution of Engineers (India): Series E, 2019Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:Effects of yarn count, twist multiplier, stretch percentage and extension percentage on tensile and recovery behavior of cotton/Lycra core-spun yarn had been investigated. Core-spun yarns were prepared in a modified ring frame. A 70 dtex Lycra filament was inserted in core and sheath consisted of cotton fibers. It had been observed that yarn count, Lycra stretch ratio, extension and twist multiplier had significant effect on tensile and recovery properties of the yarn. A 3^3 Box–Behnken response surface design was employed to investigate their influence on recovery behavior of the yarn. The immediate elastic recovery and delayed elastic recovery of the yarn were found to be increased with a decrease in stretch percentage. The immediate elastic recovery was observed to be increased with an increase in both yarn count and extension, whereas delayed elastic recovery was found to be increased with a decrease in extension. Total elastic recovery was found to be up to 67% and up to 45% in case of finer yarn (12 Ne) and coarser yarn (8 Ne), respectively.
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effects of process parameters on tensile and recovery behavior of ring spun cotton Lycra denim yarn
Journal of The Institution of Engineers : Series E, 2019Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:Effects of yarn count, twist multiplier, stretch percentage and extension percentage on tensile and recovery behavior of cotton/Lycra core-spun yarn had been investigated. Core-spun yarns were prepared in a modified ring frame. A 70 dtex Lycra filament was inserted in core and sheath consisted of cotton fibers. It had been observed that yarn count, Lycra stretch ratio, extension and twist multiplier had significant effect on tensile and recovery properties of the yarn. A 33 Box–Behnken response surface design was employed to investigate their influence on recovery behavior of the yarn. The immediate elastic recovery and delayed elastic recovery of the yarn were found to be increased with a decrease in stretch percentage. The immediate elastic recovery was observed to be increased with an increase in both yarn count and extension, whereas delayed elastic recovery was found to be increased with a decrease in extension. Total elastic recovery was found to be up to 67% and up to 45% in case of finer yarn (12 Ne) and coarser yarn (8 Ne), respectively.
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Elastic Recovery and Performance of Denim Fabric Prepared by Cotton/Lycra Core Spun Yarns
Journal of Natural Fibers, 2018Co-Authors: Payal Bansal, Subhankar Maity, Sujit Kumar SinhaAbstract:ABSTRACTElastic performance coefficient (EPC) and recovery behavior of denim fabrics prepared with cotton/Lycra core spun stretch yarns have been presented in this article. The denim fabrics are woven as broken twill weaves in an air-jet weaving machine by the insertion of core spun yarns (Lycra filament in core, cotton fiber on sheath) as weft and using 100% cotton yarns as warp. The effect of linear density and stretch percentage of the core spun weft yarns on tensile and recovery behavior of denim fabric have been investigated by employing full factorial design of experiments. It has been observed that the tensile strength and EPC of fabric increase with decrease in linear density and stretch percentage of the core spun stretch yarn. The immediate elastic recovery and delayed elastic recovery increase with decrease in linear density and stretch percentage of the yarns.
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tensile and elastic performance of cotton Lycra core spun denim yarn
Journal of The Institution of Engineers : Series E, 2017Co-Authors: Sujit Kumar Sinha, Payal Bansal, Subhankar MaityAbstract:Various cotton/Lycra core spun yarns are prepared in modified ring frame. The core of the yarn consists of a 70 dtex Lycra filament and sheath consists of staple cotton fibers. The cotton/Lycra core spun yarns are explored for the suitable application of stretch denim fabric. The tensile and elastic performance properties of the prepared stretch yarns are evaluated. The influence of various parameters viz. pre-load, linear density, stretch percentage, twist multiplier and applied load during tensile testing, on the properties of the stretch yarns are investigated by employing a full factorial design and statistical analysis.
D.j Rennie - One of the best experts on this subject based on the ideXlab platform.
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Assessment of upper-limb function and movement in children with cerebral palsy wearing Lycra garments.
Developmental Medicine & Child Neurology, 2001Co-Authors: J Nicholson, R E Morton, S.f Attfield, D.j RennieAbstract:: It has recently been suggested that Lycra garments are helpful for children with cerebral palsy (CP). Twelve children, with athetosis, ataxia, and spasticity, were fitted with Lycra garments (Kendall-Camp UK Ltd). Scores on the Paediatric Evaluation of Disability Inventory (PEDI) scales were determined before and after wearing the garment for at least 6 hours a day for 6 weeks. Five children with motor problems representative of the whole group were investigated during a reach-and-grasp task by kinematic motion analysis; reflective markers were used with and without the garment. Carers were given a questionnaire concerning the practicalities of using the garments. All 12 children made improvements in at least one of the functional scales of the PEDI, and scores for the whole group showed significant gains (Wilcoxon chi2 test, self-help p
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assessment of upper limb function and movement in children with cerebral palsy wearing Lycra garments
Developmental Medicine & Child Neurology, 2001Co-Authors: J Nicholson, R E Morton, S.f Attfield, D.j RennieAbstract:: It has recently been suggested that Lycra garments are helpful for children with cerebral palsy (CP). Twelve children, with athetosis, ataxia, and spasticity, were fitted with Lycra garments (Kendall-Camp UK Ltd). Scores on the Paediatric Evaluation of Disability Inventory (PEDI) scales were determined before and after wearing the garment for at least 6 hours a day for 6 weeks. Five children with motor problems representative of the whole group were investigated during a reach-and-grasp task by kinematic motion analysis; reflective markers were used with and without the garment. Carers were given a questionnaire concerning the practicalities of using the garments. All 12 children made improvements in at least one of the functional scales of the PEDI, and scores for the whole group showed significant gains (Wilcoxon chi2 test, self-help p<0.01; mobility p<0.5; social p<0.1). These changes were usually slight, although noticed by carers. Six children made gains of at least one scale of the caregiver assistance scores, two of the children showed losses (due to difficulties removing the garment for toileting), and four showed no change. Motion analysis indicated that (1) two children with athetosis had improved proximal stability in sitting and in smoothness of arm movements, (2) one child with ataxia had improved in proximal and distal stability, and (3) two children with spasticity had more jerky movements, although one improved in proximal stability. All children had problems in wearing the garments, including problems with toileting and incontinence of urine; the parents of only one child wanted to continue using it. Results suggest that the functional benefit of Lycra garments for children with CP is mainly due to improvements in proximal stability but this should be weighed against the inconvenience and loss of independence.
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an evaluation of Lycra garments in the lower limb using 3 d gait analysis and functional assessment pedi
Gait & Posture, 2000Co-Authors: D.j Rennie, S.f Attfield, R E Morton, F J Polak, J NicholsonAbstract:Abstract Whole body Lycra garments were assessed in eight children using gait analysis, the paediatric evaluation of disability index (PEDI), and a questionnaire of parental acceptance. Seven of the children had cerebral palsy and one Duchennes muscular dystrophy. After initial assessment and fitting of the garment, there was a 2-week introduction period followed by 6 weeks of wearing the garment for at least 6 h everyday, following which they were re-assessed. The root mean square error (RMSE) was used as a measure of variability over three separate passes through the gait laboratory and was a reference figure for gait stability. Proximal stability around the pelvis improved for five children and distal stability improved for three. Five children improved in at least one aspect of the PEDI scale. Although the parents and children detected these improvements, they did not outweigh the disadvantages of wearing the suit and as a consequence only one out of eight families considered continuing with the Lycra garment.
