172 Cerebral palsy (CP) is the most common cause of children's disability in Western Europe. Children with the spastic type of CP, which is the most common type of motor disorders, show impairments such as spasticity, muscle weakness, and a decreased selective motor control. These impairments lead to decreased motor function, and accordingly, these children experience gait-related problems. The...

Current computational methods for simulating locomotion have primarily used muscle-driven multibody dynamics, in which neuromuscular control is optimized. Such simulations generally represent joints and soft tissue as simple kinematic or elastic elements for computational efficiency. These assumptions limit application in studies such as ligament injury or osteoarthritis, where local tissue loa...

A three-dimensional, neuromusculoskeletal model of the body was combined with dynamic optimization theory to simulate normal walking on level ground. The body was modeled as a 23 degree-of-freedom mechanical linkage, actuated by 54 muscles. The dynamic optimization problem was to calculate the muscle excitation histories, muscle forces, and limb motions subject to minimum metabolic energy expen...

objectives: deterioration in postural control mechanisms is termed postural instability and results increased postural sway and many laboratory techniques and instruments are characterized by a wide range of neurological signs and symptoms to the medical management. thus the current study designed to assess the reliability of commonly used clinical measures of balance and determined normal valu...