Article

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.
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Langue : ANGLAIS