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Mean EEI values based on oxygen uptake and heart rate for normal children were significantly reduce and occurred at more rapidly walking speeds than values for young children with cerebral palsy. EEI primarily based on either oxygen uptake or heart rate can be applied clinically to give objective data to help evaluate the influence on gait function of surgical intervention, ambulatory aids or orthotics. Energy expended although walking is enhanced for young children with cerebral palsy compared to nondisabled young children. This study compared oxygen uptake, oxygen pulse, and the respiratory exchange ratio in children with cerebral palsy and nondisabled children walking on a treadmill. Resting oxygen uptake and oxygen pulse values were not distinctive in the two groups. At a given walking speed, oxygen uptake, oxygen pulse, and RER were greater for subjects with cerebral palsy.

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At larger speeds the EEI values decreased until a range of maximum economy was reached. For normal kids who had been capable of walking beyond this range at greater speeds, the EEI increased again. This pattern was noted for each oxygen-uptake and heart-price indices.


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