Cerebral Palsy

ESMAC 2019: Award Finalists

Dr. Steele Abstract, Awards, MotorControl , , , , , , , , ,

Congratulations to Nicole Zaino and our colleague Mike Schwartz at Gillette Children’s Specialty Healthcare for both being nominated as finalists for the Best Presentation Award at the upcoming ESMAC Conference in Amsterdam. Their abstracts are among the top 16 submissions to the conference and the final award will be determined based upon their presentations.

Logo for the 2019 ESMAC meeting overlaid on a classic Amsterdam scene, bikes lined up on a bridge over a canal with historic buildings in the background.

Nicole will be presenting her research:

Spasticity reduction in children with cerebral palsy is not associated with reduced energy during walking 

Selective dorsal rhizotomy reduces spasticity, but does it also reduce energy consumption during walking? In an analysis of over 300 children with cerebral palsy, Nicole demonstrated that although rhiztomy does reduce spasticity, it does not reduce energy consumption. These results provide further evidence that spasticity is not a main contributor to elevated energy among people with cerebral palsy. You can also learn more about this study from our recent submitted manuscript, available on bioRxiv.

Mike will be presenting his research:

The effects of walking speed and age on energy consumption in children with cerebral palsy and their typically developing peers

We know that walking energy is high among people with cerebral palsy, and that energy varies with speed and age. Using retrospective data of over 300 kids with cerebral palsy and 150 typically-developing peers, Mike used a statistical model to evaluate these speed and age effects. He found that energy decreases until 8-10 years of age for kids with CP, while it remains stable beyond age 5 for typically-developing peers. Kids with CP also have a greater elevation in energy with greater walking speeds. These results are important to help quantify and understand impacts of interventions, like surgery or assistive devices, which are often done during this time period when kids are still growing and developing.

They will both be presenting in the Optimizing Energy Cost session from 11:40-12:30 on Thursday, September 26th.

Best of luck to Nicole & Mike!

ISB 2019 Recap

Nicole MotorControl, Orthoses, Presentation, UbiquitousRehabilitation, Uncategorized , , , ,

Five members of our lab – Kat, Michael, Alyssa, Megan, & Nicole – attended ISB 2019 in Calgary, Canada. The International Society of Biomechanics promotes and supports international contacts amongst scientists, the dissemination of knowledge, and the activities of national organizations in the field of biomechanics.

Four individuals stand in hallway smiling at conference.

Our work at the conference included:

Kat Steele: ISB presentation on in-clinic EMG monitoring for muscle activity and movement in acute care in the initial days after stroke.
Michael Rosenberg: ISB poster showcasing how individuals’ kinematics and muscle activity change in response to ankle exoskeleton stiffness during acceleration from standing. ISB presentation on open-loop modeling of response to ankle exoskeleton torque during walking.
Alyssa Spomer: ISB poster highlighting how motor control is impacted when typically developing individuals emulate cerebral palsy gait patterns. ISB poster on understanding how individuals can alter motor control expression using visual biofeedback.
Megan Auger: ISB presentation on how muscle coordination strategies in typically developing children and children with cerebral palsy are not accurately captured using standard musculoskeletal modeling optimization algorithms in computer simulation.
Nicole Zaino: ISB presentation on spasticity reduction via rhizotomy in children with cerebral palsy and how there was no significant difference in the change in energy consumption when compared to a control group of children with cerebral palsy who had no rhizotomy.

  • Megan stands in blue dress at podium giving a presentation.
  • Nicole stands in a white dress at podium giving a presentation.
  • Michael stands in blue shirt behind a podium presenting.

TGCS 2019

Additionally, two members of our lab – Michael & Megan – attended TGCS 2019 in Canmore, Canada prior to ISB 2019. The Technical Group on Computer Simulation (TGCS) is a scientific and technical meeting for investigators and students in all areas of computer simulation in biomechanics. This group was a highly-focused subset of the ISB community, primarily focusing on forward simulation of unimpaired and pathological gait patterns, but also touching on multi-scale simulation, diving, cycling, and wheelchair use. 

A mountain view in Canmore, Canada with sharp jagged peaks and a bright blue lake.
Michael standing in the front of a room in between two screens giving a presentation.
Michael Rosenberg: TGCS presentation on Dynamic Mode Decomposition for modeling response to ankle exoskeletons during gait.

SB3C Masters Student Paper Competition

Dr. Steele Abstract, Awards, Presentation, UbiquitousRehabilitation , , , , , ,
Brianna Goodwing holding her award certificate at the conference.

Congratulations to Brianna Goodwin! She placed third in the Masters Student Paper Competition at the 2019 Summer Biomechanics, Bioengineering, & Biotransport Conference. Brianna presented her MS research using accelerometers to track arm movement for kids with cerebral palsy who were receiving constraint induced movement therapy at Seattle Children’s Hospital.

Brianna Goodwing stands in front of her poster in a black jacket at the conference.

Brianna completed her MS in June 2018. She is currently working at the Mayo Clinic in Minnesota. Congrats Brianna!

RehabWeek/ISPO Canada Best Student Poster: Brandon Nguyen!

Dr. Steele Abstract, Awards, HuskySTEPS, Orthoses, Presentation , , , , ,
Brandon Nguyen standing in front of his poster at RehabWeek wearing a dark blue shirt. His poster features images of the smartphone app and graphs.

Congrats to Brandon Nguyen who was awarded the Best Student Poster award by the International Society of Prosthetics & Orthotics Canada at RehabWeek in Toronto this past week! Brandon presented his work, “Accuracy and repeatability of using smartphone sensors for orthotic tuning.”

Check out his abstract and poster.

You can also download the HuskySTEPS app to try it out yourself.

The ISPO student award winners for 2019 rehab week, including four students with Brandon in the middle, and the two main conference award organizers.

This work, in collaboration with Nick Baicoianu and Darrin Howell, examined the accuracy of measuring shank-to-vertical angle during walking with a smartphone compared to traditional motion capture systems. Shank-to-vertical angle is a measure used by orthotists and therapists for AFO tuning and gait training. The short story – placing the smartphone on the front of the shank can measure shank-vertical-angle with errors less than two degrees compared to traditional motion capture systems, with high intra-rater and inter-rater repeatability across days.

Brandon dressed in his purple graduation regalia in front of the UW fountain

Brandon also recently finished his Doctorate of Physical Therapy (DPT) degree at the University of Washington – making him one of the rare engineer-therapists. In recognition of his efforts to combine academic scholarship with social awareness and concern, he was awarded the 2019 UW Graduate Medal.

Congratulations Brandon! We are so excited to see what you do next.

Spasticity Research Award Nominations

Dr. Steele Awards, MotorControl, News, OtherPublication , , , ,
Nicole Zaino (wearing glasses) poses on campus

Walking takes energy – but for kids with cerebral palsy, walking can be exhausting. The average child with cerebral palsy consumes two times the amount of energy during walking compared to typically-developing peers – that is the equivalent of jogging or climbing stairs!

The reasons for why walking takes so much energy for children with cerebral palsy remains largely unknown. The extra muscle activity caused by spasticity has often been theorized as a large contributing factor. If this was true, we would expect that treatments that reduce spasticity, like selective dorsal rhizotomy, could dramatically reduce energy during walking.

Led by Nicole Zaino, a new PhD student in the lab, and our collaborator Mike Schwartz at Gillette Children’s Specialty we have been investigating this question. By analyzing energy consumption for children with cerebral palsy who underwent rhizotomy and matched peers with cerebral palsy, we were determined that reducing spasticity does not lead to dramatic decreases in energy consumption.

This research has been nominated as a finalist for two awards at the International Society of Biomechanics Conference. This work was selected as one of 5 finalist for the Clinical Biomechanics Award. Nicole will also present as one of the finalists for the David Winter Young Investigator Award. The final awards will be announced at the conference in Calgary the first week of August. Good luck Nicole!

You can learn more about the study and read the preprint on BioRxiv:

Spasticity reduction in children with cerebral palsy is not associated with reduced energy consumption during walking