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Previous gait studies on hemiplegic cerebral palsy (HCP) have focused mainly on deviations of the affected side. The current study aimed to quantify and compare the joint and leg stiffness, the contributions of skeletal and muscular components, and the associated joint angles and moments of the affected and nonaffected lower limbs during level walking in children with spastic HCP. A total of 12 children with spastic HCP and 12 healthy controls walked at a self\u2010selected speed in a gait laboratory while their kinematic and forceplate data were measured and analyzed during loading response, midstance, terminal stance, and preswing. The altered joint kinematics and kinetics in the nonaffected limb in the HCP group appeared to be mainly a compensatory strategy to minimize the bilateral asymmetry in leg stiffness during the double\u2010limb support phase and joint stiffness during the entire stance phase. The current results suggest that therapeutic planning and decision\u2010making for children with HCP should consider not only the mechanics of the affected side but also the control of the nonaffected side.<\/jats:p>","DOI":"10.1002\/jor.24635","type":"journal-article","created":{"date-parts":[[2020,2,22]],"date-time":"2020-02-22T08:50:27Z","timestamp":1582361427000},"page":"2006-2014","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Bilateral symmetry in leg and joint stiffness in children with spastic hemiplegic cerebral palsy during gait"],"prefix":"10.1002","volume":"38","author":[{"given":"Hsing\u2010Po","family":"Huang","sequence":"first","affiliation":[{"name":"Department of Biomedical Engineering National Taiwan University  Taipei Taiwan, R.O.C."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chien\u2010Chung","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Orthopedics China Medical University Hospital  Taichung Taiwan, R.O.C."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tung\u2010Wu","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering National Taiwan University  Taipei Taiwan, R.O.C."},{"name":"Department of Orthopaedic Surgery, School of Medicine National Taiwan University  Taipei Taiwan, R.O.C."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kuan\u2010Wen","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Biomedical Engineering National Taiwan University  Taipei Taiwan, R.O.C."},{"name":"Department of Orthopaedic Surgery, School of Medicine National Taiwan University  Taipei Taiwan, R.O.C."},{"name":"Department of Orthopaedic Surgery National Taiwan University Hospital  Taipei Taiwan, R.O.C."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken N.","family":"Kuo","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery National Taiwan University Hospital  Taipei Taiwan, R.O.C."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2263-5993","authenticated-orcid":false,"given":"Ting\u2010Ming","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, School of Medicine National Taiwan University  Taipei Taiwan, R.O.C."},{"name":"Department of Orthopaedic Surgery National Taiwan University Hospital  Taipei Taiwan, R.O.C."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,3,3]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-200209000-00020"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2004.03.005"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2004.05.021"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF00238781"},{"key":"e_1_2_8_6_1","first-page":"23","article-title":"Are patients with hereditary spastic paraplegia different from patients with spastic diplegia during walking? 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