NDLI: The relationship between clinical measurements and gait analysis data in children with cerebral palsy.

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The relationship between clinical measurements and gait analysis data in children with cerebral palsy.

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The relationship between clinical measurements and gait analysis data in children with cerebral palsy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Domagalska, Malgorzata Szopa, Andrzej Syczewska, Malgorzata Pietraszek, Stanislaw Kidon, Zenon Onik, Grzegorz
Description	Author Affiliation: Domagalska M ( Faculty of Health Sciences, Medical University of Silesia, Katowice, Poland. Electronic address: mdomagalska@sum.edu.pl.)
Abstract	Spasticity is a common impairment that interferes with motor function (particularly gait pattern) in children with cerebral palsy (CP). Gait analysis and clinical measurements are equally important in evaluating and treating gait disorders in children with CP. This study aimed to explore the relationship between the spasticity of lower extremity muscles and deviations from the normal gait pattern in children with CP. Thirty-six children with spastic CP (18 with spastic hemiplegia [HS] and 18 with spastic diplegia [DS]), ranging in age from 7 to 12 years, participated in the study. The children were classified as level I (n=24) or level II (n=12) according to the Gross Motor Function Classification System. Spasticity levels were evaluated with the Dynamic Evaluation of Range of Motion (DAROM) using the accelerometer-based system, and gait patterns were evaluated with a three dimensional gait analysis using the Zebris system (Isny, Germany). The Gillette Gait Index (GGI) was calculated from the gait data. The results show that gait pathology in children with CP does not depend on the static and dynamic contractures of hip and knee flexors. Although significant correlations were observed for a few clinical measures with the gait data (GGI), the correlation coefficients were low. Only the spasticity of rectus femoris showed a fair to moderate correlation with GGI. In conclusion, the results indicate the independence of the clinical evaluation and gait pattern and support the view that both factors provide important information about the functional problems of children with CP.
File Format	HTM / HTML
ISSN	09666362
Issue Number	4
Volume Number	38
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2013-09-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics Complications Humans Male Foot Joints Gait Disorders, Neurologic Muscle Spasticity Journal Article Physiopathology Leg Hip Joint Biomechanical Phenomena Range Of Motion, Articular Knee Joint Etiology Physical Examination Hemiplegia Female Physiology Muscle, Skeletal Cerebral Palsy Child
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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