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Association between Gait Deviation Index and Physical Function in Children with Bilateral Spastic Cerebral Palsy: A Cross-Sectional Study

This study examined the association between Gait Deviation Index (GDI) and the five-times-sit-to-stand test (FTSST) or gait speed results, which represent mobility and muscle strength of the lower extremities in ambulatory children with Gross Motor Function Classification System (GMFCS) level I and...

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Autores principales: Ito, Tadashi, Noritake, Koji, Sugiura, Hiroshi, Kamiya, Yasunari, Tomita, Hidehito, Ito, Yuji, Sugiura, Hideshi, Ochi, Nobuhiko, Yoshihashi, Yuji
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019325/
https://www.ncbi.nlm.nih.gov/pubmed/31877676
http://dx.doi.org/10.3390/jcm9010028
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author Ito, Tadashi
Noritake, Koji
Sugiura, Hiroshi
Kamiya, Yasunari
Tomita, Hidehito
Ito, Yuji
Sugiura, Hideshi
Ochi, Nobuhiko
Yoshihashi, Yuji
author_facet Ito, Tadashi
Noritake, Koji
Sugiura, Hiroshi
Kamiya, Yasunari
Tomita, Hidehito
Ito, Yuji
Sugiura, Hideshi
Ochi, Nobuhiko
Yoshihashi, Yuji
author_sort Ito, Tadashi
collection PubMed
description This study examined the association between Gait Deviation Index (GDI) and the five-times-sit-to-stand test (FTSST) or gait speed results, which represent mobility and muscle strength of the lower extremities in ambulatory children with Gross Motor Function Classification System (GMFCS) level I and II spastic cerebral palsy. In this cross-sectional, observational study, three-dimensional gait analysis data were obtained during gait trials to evaluate the GDI in 35 children (age 5–16 years) with spastic palsy. Motor function was evaluated using FTSST and gait speed. Gross motor function was evaluated using GMFCS. Children with GMFCS level II spastic cerebral palsy demonstrated lower GDI (p < 0.001) and poorer FTSST (p = 0.031) than those with GMFCS level I spastic cerebral palsy. Correlation analysis showed that FTSST results were significantly correlated with GDI (r = −0.624; p < 0.001). Motor function may be important for the maintenance of gait quality in patients with GMFCS level I and II spastic cerebral palsy and should not be ignored. In conclusion, reduction in gait impairment may affect the values of FTSST and GDI in patients with spastic cerebral palsy who can ambulate without an assistive device.
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spelling pubmed-70193252020-03-09 Association between Gait Deviation Index and Physical Function in Children with Bilateral Spastic Cerebral Palsy: A Cross-Sectional Study Ito, Tadashi Noritake, Koji Sugiura, Hiroshi Kamiya, Yasunari Tomita, Hidehito Ito, Yuji Sugiura, Hideshi Ochi, Nobuhiko Yoshihashi, Yuji J Clin Med Article This study examined the association between Gait Deviation Index (GDI) and the five-times-sit-to-stand test (FTSST) or gait speed results, which represent mobility and muscle strength of the lower extremities in ambulatory children with Gross Motor Function Classification System (GMFCS) level I and II spastic cerebral palsy. In this cross-sectional, observational study, three-dimensional gait analysis data were obtained during gait trials to evaluate the GDI in 35 children (age 5–16 years) with spastic palsy. Motor function was evaluated using FTSST and gait speed. Gross motor function was evaluated using GMFCS. Children with GMFCS level II spastic cerebral palsy demonstrated lower GDI (p < 0.001) and poorer FTSST (p = 0.031) than those with GMFCS level I spastic cerebral palsy. Correlation analysis showed that FTSST results were significantly correlated with GDI (r = −0.624; p < 0.001). Motor function may be important for the maintenance of gait quality in patients with GMFCS level I and II spastic cerebral palsy and should not be ignored. In conclusion, reduction in gait impairment may affect the values of FTSST and GDI in patients with spastic cerebral palsy who can ambulate without an assistive device. MDPI 2019-12-20 /pmc/articles/PMC7019325/ /pubmed/31877676 http://dx.doi.org/10.3390/jcm9010028 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ito, Tadashi
Noritake, Koji
Sugiura, Hiroshi
Kamiya, Yasunari
Tomita, Hidehito
Ito, Yuji
Sugiura, Hideshi
Ochi, Nobuhiko
Yoshihashi, Yuji
Association between Gait Deviation Index and Physical Function in Children with Bilateral Spastic Cerebral Palsy: A Cross-Sectional Study
title Association between Gait Deviation Index and Physical Function in Children with Bilateral Spastic Cerebral Palsy: A Cross-Sectional Study
title_full Association between Gait Deviation Index and Physical Function in Children with Bilateral Spastic Cerebral Palsy: A Cross-Sectional Study
title_fullStr Association between Gait Deviation Index and Physical Function in Children with Bilateral Spastic Cerebral Palsy: A Cross-Sectional Study
title_full_unstemmed Association between Gait Deviation Index and Physical Function in Children with Bilateral Spastic Cerebral Palsy: A Cross-Sectional Study
title_short Association between Gait Deviation Index and Physical Function in Children with Bilateral Spastic Cerebral Palsy: A Cross-Sectional Study
title_sort association between gait deviation index and physical function in children with bilateral spastic cerebral palsy: a cross-sectional study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7019325/
https://www.ncbi.nlm.nih.gov/pubmed/31877676
http://dx.doi.org/10.3390/jcm9010028
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