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| Motion & Gait Analysis Laboratory Research |
Motion & Gait Analysis Laboratory research focuses on the neuromuscular (nerve and muscle) mechanisms that cause gait deficits in cerebral palsy (CP) and other musculoskeletal conditions. The mechanisms we investigate include:
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Muscle pathology – the study of muscle fiber changes in spastic (stiff) muscle
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Selective motor control – involuntary muscle activation patterns
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Postural balance –how much the body sways while standing still
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Neuromuscular activation and motor-unit firing in cerebral palsy
Our research also looks at:
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The relationship between neonatal brain development and gait deficits in children born prematurely. We use a magnetic resonance imaging (MRI) technique called diffusion-tensor imaging (DTI) to look at the neonatal brain.
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Postural balance abnormalities and cerebellar abnormalities in adults
Research on Elite Performance
This research examines the range of human movement capabilities. We are trying to understand how highly trained professionals move in certain ways. We have studied professional golfers, dancers, musicians and tai chi masters. This work is also part of the Anatomy of Movement (Ortho 222) course taught at Stanford University.
Merce Cunningham Modern Dance
Our research showed these dancers:
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Move the torso as if it were a limb
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Make frequent and unexpected changes in direction
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Have an extraordinary sense of balance
Tai Chi Master
We are currently investigating a Tai Chi master’s movements.
Violinist
Professional Golfer
We measured the hip and shoulder angles of ten Stanford alumni professional golfers as they swung a golf club. The rotation between the hip and shoulders during the golf swing is commonly referred to as the “x-factor”.
Our research showed:
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Results were highly consistent among the golfers
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The professional golfers’ peak x-factor occurs before their peak torque.
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Peak torque correlated most highly to power generation
Selected Publications
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Rose J, Mirmiran M, Butler EE, Lin CY, Barnes PD, Kermoian R, Stevenson DK. "Neonatal microstructural development of the internal capsule on diffusion tensor imaging correlates with severity of gait and motor deficits." Developmental Medicine & Child Neurology 2007; 49: 10: 745-50.
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Rose J, McGill KC. “Neuromuscular activation and motor-unit firing characteristics in cerebral palsy.” Developmental Medicine & Child Neurology 2005; 47: 329-336.
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Rose J, Gamble J, eds. Human Walking, 3rd edition. Philadelphia: Lippincott, Williams and Wilkins. 2005.
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Rose J, Martin JF, Torburn L, Rinsky, Gamble JG. “Electromyographic differentiation of diplegic cerebral palsy from idiopathic toe walking: involuntary coactivation of the quadriceps and gastrocnemius”. Journal of Pediatric Orthopaedics 1999;19:677-82.
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Policy JF, Torburn L, Rinsky LA and Rose J. “Electromyographic test to differentiate mild diplegic cerebral palsy and idiopathic toe-walking. Journal of Pediatric Orthopaedics 2001;21:784-789.
Lucile Packard Children's Hospital is located in Palo Alto, adjacent to Stanford University Hospital, approximately 20 miles north of San Jose, CA and 40 miles south of San Francisco.
Lucile Packard Children's Hospital
725 Welch Road
Palo Alto, California 94304
(650) 497-8000
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