[논문]Relation Of Gait Analysis To Gross Motor Function In Cerebral Palsy

Damiano, Diane L; Abel, Mark F

doi:10.1111/j.1469-8749.1996.tb15097.x

Relation Of Gait Analysis To Gross Motor Function In Cerebral Palsy

Developmental medicine and child neurology, v.38 no.5, 1996년, pp.389 - 396

Damiano, Diane L , Abel, Mark F

Abstract ▼ AI-Helper

SUMMARYThe Gross Motor Function Measure (GMFM) and computerized gait analysis are commonly used to assess patients with cerebral palsy (CP). The authors investigated correlations between the GMFM and gait parameters in 32 children aged 3 to 18 (mean 8.9) years with spastic CP. Of the gait parameters, cadence and normalized velocity correlated most strongly with the GMFM score, and hip and knee excursion and percentage single support also correlated directly with the GMFM. In a stepwise multiple regression, cadence alone was a significant predictor of GMFM score. Time and distance parameters, hip and knee excursion in the sagittal plane and GMFM values all moved consistently further from pediatric norms as functional severity increased. The study confirms that gait is representative of general motor status in CP and that the GMFM and gait analysis are complementary measures in the functional assessment of these children.RÉSUMÉRelations entre l'analyse de la démarche et le trouble moteur global dans l'IMCUne évaluation du trouble moteur global (GMFM) et une analyse de la demarche par ordinateur a été pratiquée systématiquement pour caractériser des IMC (CP). Lés auteurs ont recherche les corrélations entre le GMFM et les paramètres de la démarche chez 32 enfants âgés de 3 à 18 ans (moyenne 8,9) préscntant une IMC spastique. Parmi les paramétres de la démarche, les corrélations les plus élevées avec le GMFM concernaient la cadence et la vitesse normalisée: l'excursion de la hanche ct du genouet le pourcentage de support unipodal présentaient également une corrélation directe avec le GMFM. Dans une analyse de variance à régression multiple, la cadence à elle seule était prédictive du score GMFM. Les paramétres de distance et de temps, l'excursion de la hanche et du genou dans un plan sagittal et les valeurs GMFM s'éloignaient des normes pédiatriques avec la gravité fonctionnelle. Cette étude confirme que la démarche est un reflet de l'état moteur global dans l'IMC et que le GMFM et l'analyse de la démarche sont des mesures complémentaires dans l'évaluation fonctionnelle des enfants examinés.ZUSAMMENFASSUNGBeziehung zwischen Ganganalyse und grobmotorischer Funktion bei CerebralpareseDer Gross Motor Function Measure (GMFM) und die Komputerganganalyse werden in der Regel zur Beurteilung von Patienten mit Cerebralparese (CP) herangezogen. Die Autoren untersuchten die Zusammenhänge zwischen dem GMFM und Gangparametern bei 32 Kindern mit spastischer CP im Alter 3 und 18 (im Mittel 8,9) Jahren. Von den Gangparametern korrelierten Kadenz und geregelte Geschwindigkeit am stärksten mit dem GMFM Score und auch der Hüft‐ und Knieexcursion und der Anteil des single support korrelierten direkt mit dem GMFM. Nach einer schrittweisen multiplen Regressionsanalyse blieb nur noch die Kadenz als signifikanter Parameter für den GMFM. Zeit und Entfernungsparametcr, Hüft‐ und Knieexcursion in einer sagittalen Ebene und GMFM Werte entfernten sich mit zunehmendcr Funktionsverschlcchterung von den pädiatrischen Normalwerten. Die Studie bestütigt, daś der Gang fur den allgemeinen motorischen Status bei Cerebralparese repräsentativ ist und daß der GMFM und die Ganganalyse komplementäre Methoden für die funktionellc Beurteilung dieser Kinder sind.RESUMENRelatión del análisis de la marcha con la fitneión nwtora grosera en la parálisis cerebralLa Medición de la Función Motora Grosera (MFMG) y el análisis computarizado de la marcha se usan corrientemente para cvaluar los pacicntes

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Relation Of Gait Analysis To Gross Motor Function In Cerebral Palsy

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