Relationship between spatiotemporal parameters and clinical outcomes in children with bilateral spastic cerebral palsy: Clinical interpretation proposal
Por:
Gómez-Pérez C, Vidal Samsó J, Puig Diví A, Medina Casanovas J, Font-Llagunes JM and Martori JC
Publicada:
1 sep 2023
Ahead of Print:
1 sep 2023
Resumen:
Background: Understanding the links between gait disorders, impairments, and activity limitations is essential for correctly interpreting the instrumented gait analysis. We aimed to evaluate the relationships between spatiotemporal parameters and clinical outcomes in children with bilateral spastic cerebral palsy, and find out whether spatiotemporal parameters provide clinical information regarding gait pattern and walking.
Methods: Data from 19 children with bilateral spastic cerebral palsy (nine males, ten females, 9.6 +/- 2.8 years old) were collected retrospectively. All children underwent an instrumented gait analysis and a standardized clinical assessment. Seven spatiotemporal parameters were calculated: non-dimensional cadence, stride length, step width, gait speed, first double support, single support, and time of toe off. Clinical outcomes included measures of two different components of the International Classification of Functioning, Disability and Health - Children and Youth version: body functions and structures (spasticity, contractures and range of motion, and deformities), and activities and participation (gross motor function, and walking capacity). Pearson correlation, ANOVA, Student's t, Mann-Whitney U, and Kruskal eWallis tests were used to analyze relationships. Spatiotemporal parameters related to clinical outcomes of body functions and structures were interpreted as outcome measures of gait pattern, while those related to clinical outcomes of activities and participation were interpreted as outcome measures of walking.
Results: Non-dimensional cadence, stride length, and gait speed showed relationships (p < 0.05) with hip flexors spasticity and hindfoot deformity, ankle plantar flexors spasticity, and hindfoot deformity, respectively. All spatiotemporal parameters except non-dimensional cadence showed correlation (p < 0.05) with gross motor function and walking capacity. Conclusions: Spatiotemporal parameters provide clinical information regarding both gait pattern and walking.
(c) 2022 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.
Filiaciones:
Gómez-Pérez C:
Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M(3)O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain
Vidal Samsó J:
Institut Guttmann, Hospital de Neurorehabilitació, Badalona, Spain
Universitat Autònoma de Barcelona, Cerdanyola Del Vallès, Spain
Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain
Puig Diví A:
Blanquerna School of Health Sciences - Ramon Llull University, Barcelona, Spain
Medina Casanovas J:
Institut Guttmann, Hospital de Neurorehabilitació, Badalona, Spain
Universitat Autònoma de Barcelona, Cerdanyola Del Vallès, Spain
Fundació Institut d'Investigació en Ciències de la Salut Germans Trias i Pujol, Badalona, Spain
Font-Llagunes JM:
Biomechanical Engineering Lab, Department of Mechanical Engineering and Research Centre for Biomedical Engineering, Universitat Politècnica de Catalunya, Barcelona, Spain
Institut de Recerca Sant Joan de Déu, Esplugues de Llobregat, Spain
Martori JC:
Data Analysis and Modeling Research Group, Department of Economics and Business, Faculty of Business and Communication Studies, University of Vic - Central University of Catalonia (UVic-UCC), Vic, Spain
Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M(3)O), Faculty of Health Sciences and Welfare, Centre for Health and Social Care Research (CESS), University of Vic-Central University of Catalonia (UVIC-UCC), Vic, Spain.
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