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Nonetheless, an involuntary extensor pattern could be a distinguishing sign. The hypothesis was that EMG testing for selective handle of the quadriceps and gastrocnemius could differentiate patients with diplegic CP from typical controls and from patients with ITW. Measurements included walking speed, energy expenditure index , ankle position through stance, and EMG of the quadriceps, gastrocnemius, and tibialis anterior during gait and for the duration of knee extension though sitting. Dynamic EMG timing for the duration of gait showed substantial differences in the imply onset of the gastrocnemius among subjects with CP and ITW, but there was considerable overlap.


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