{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T07:45:10Z","timestamp":1792136710404,"version":"4.4.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: We evaluated the relationships between upper extremity (UE) kinetics and the energy expenditure index during anterior and posterior walker-assisted gait in children with spastic diplegic cerebral palsy (CP). \\r\\nMethods: Ten children (3 boys, 7 girls; mean age 12.1 years; range 8 to 18 years) with spastic diplegic CP, who ambulated with a walker underwent gait analyses that included UE kinematics and kinetics. Upper extremity kinetics were obtained using instrumented walker handles. Energy expenditure index was obtained using the heart rate method (EEIHR) by subtracting resting heart rate from walking heart rate, and dividing by the walking speed. Correlations were sought between the kinetic variables and the EEIHR and temporal and stride parameters.\\r\\nResults: In general, anterior walker use was associated with a higher EEIHR. Several kinetic variables correlated well with temporal and stride parameters, as well as the EEIHR. All of the significant correlations (r&gt;0.80; p&lt;0.005) occurred during anterior walker use and involved joint reaction forces (JRF) rather than moments. Some variables showed multiple strong correlations during anterior walker use, including the medial JRF in the wrist, the posterior JRF in the elbow, and the inferior and superior JRFs in the shoulder. \\r\\nConclusion: The observed correlations may indicate a relationship between the force used to advance the body forward within the walker frame and an increased EEIHR. More work is needed to refine the correlations, and to explore relationships with other variables, including the joint kinematics.\n\n\n\u00d6zet\n\nAma\u00e7: \u00c7al\u0131\u015fmada, spastik diplejik beyin fel\u00e7li \u00e7ocuklarda, \u00f6n ve arka y\u00fcr\u00fcte\u00e7 kullan\u0131m\u0131 s\u0131ras\u0131nda \u00fcst ekstremite (\u00dcE) kinetik verileri ile enerji t\u00fcketim indeksi aras\u0131ndaki ili\u015fkiler ara\u015ft\u0131r\u0131ld\u0131.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Y\u00fcr\u00fcte\u00e7le y\u00fcr\u00fcyebilen, spastik diplejik beyin fel\u00e7li 10 \u00e7ocukta (3 erkek, 7 k\u0131z; ort. ya\u015f 12.1; da\u011f\u0131l\u0131m 8-18) \u00dcE kinemati\u011fi ve kineti\u011fi ile ilgili y\u00fcr\u00fcme analizleri yap\u0131ld\u0131. \u00dcst ekstremite kineti\u011fi ile ilgili veriler y\u00fcr\u00fcte\u00e7 tutacaklar\u0131na yerle\u015ftirilen donan\u0131m ile elde edildi. Enerji t\u00fcketim indeksi, kalp h\u0131z\u0131 y\u00f6ntemiyle (ET\u0130KH), y\u00fcr\u00fcme s\u0131ras\u0131ndaki kalp h\u0131z\u0131ndan dinlenme an\u0131ndaki kalp h\u0131z\u0131n\u0131n \u00e7\u0131kar\u0131lmas\u0131 ve sonucun y\u00fcr\u00fcy\u00fc\u015f h\u0131z\u0131na b\u00f6l\u00fcnmesiyle hesapland\u0131. Kinetik de\u011fi\u015fkenler ile ET\u0130KH ve y\u00fcr\u00fcmenin zamansal ve ad\u0131m parametreleri aras\u0131ndaki korelasyonlar ara\u015ft\u0131r\u0131ld\u0131.\\r\\nSonu\u00e7lar: Genel olarak, \u00f6n y\u00fcr\u00fcte\u00e7 kullanmada ET\u0130KH\u2019nin daha y\u00fcksek oldu\u011fu g\u00f6r\u00fcld\u00fc. Bir\u00e7ok kinetik de\u011fi\u015fken, y\u00fcr\u00fcmenin zamansal ve ad\u0131m parametreleri ve ET\u0130KH ile korelasyon g\u00f6sterdi. Anlaml\u0131 korelasyonlar\u0131n t\u00fcm\u00fc (r&gt;0.80; p&lt;0.005) \u00f6n y\u00fcr\u00fcte\u00e7 kullan\u0131m\u0131 s\u0131ras\u0131nda g\u00f6r\u00fcld\u00fc ve eklem reaksiyon momentlerinden \u00e7ok kuvvetleri ile ilgiliydi. Baz\u0131 kinetik de\u011fi\u015fkenlerin \u00f6n y\u00fcr\u00fcte\u00e7 kullan\u0131m\u0131 s\u0131ras\u0131nda g\u00fc\u00e7l\u00fc ve \u00e7oklu korelasyon g\u00f6sterdi\u011fi g\u00f6zlendi: Bunlar el bile\u011fi medial eklem reaksiyon kuvveti (ERK), dirsek eklemi posterior ERK ve omuz eklemi inferior ve superior ERK\u2019leri idi.\\r\\n\u00c7\u0131kar\u0131mlar: G\u00f6zlenen korelasyonlar, y\u00fcr\u00fcte\u00e7 i\u00e7inde \u00f6ne hareket i\u00e7in harcanan g\u00fc\u00e7 ile artm\u0131\u015f ET\u0130KH aras\u0131nda ili\u015fki olabilece\u011fini g\u00f6stermektedir. Bu ili\u015fkinin daha a\u00e7\u0131k hale getirilmesi ve eklem kinemati\u011fi de dahil di\u011fer de\u011fi\u015fkenlerle ili\u015fkilerin ara\u015ft\u0131r\u0131lmas\u0131 i\u00e7in yeni \u00e7al\u0131\u015fmalara ihtiya\u00e7 vard\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2009.156","type":"journal-article","created":{"date-parts":[[2009,5,14]],"date-time":"2009-05-14T04:27:59Z","timestamp":1242275279000},"page":"156-164","source":"Crossref","is-referenced-by-count":13,"title":["Upper extremity kinetics and energy expenditure during walkerassisted gait in children with cerebral palsy"],"prefix":"10.5152","volume":"43","author":[{"given":"Katherine","family":"A. Konop","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly","family":"M. B. Strifling","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mei","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Cao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Eastwood","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott","family":"Jackson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Ackman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haluk","family":"Altiok","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeffrey","family":"Schwab","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerald","family":"F. Harris","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2257\/2214","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:00:26Z","timestamp":1763463626000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2257"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2009,1,2]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.156","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}