Comparison of gait characteristics between clinical and daily life settings in children with cerebral palsy

Autor: Corinna N. Gerber, Stéphane Armand, Geraldo De Coulon, Lena Carcreff, Christopher J. Newman, Kamiar Aminian, Anisoara Paraschiv-Ionescu
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Male
030506 rehabilitation
Wilcoxon signed-rank test
deviation index
lcsh:Medicine
0302 clinical medicine
Gait (human)
Activities of Daily Living
older-adults
adolescents
physical-activity
Child
lcsh:Science
gross motor function
Gait
ddc:618
Multidisciplinary
ddc:617
ambulatory system
Female
walking activity
Gait Analysis
0305 other medical science
performance
medicine.medical_specialty
Adolescent
Case-Control Studies
Cerebral Palsy/physiopathology
Cross-Sectional Studies
Gait/physiology
Humans
Walking Speed
Young Adult
Qualitative evidence
Clinical settings
Paediatric research
Article
Cerebral palsy
scale
03 medical and health sciences
Physical medicine and rehabilitation
medicine
patterns
business.industry
Cerebral Palsy
lcsh:R
Translational research
medicine.disease
lcsh:Q
business
human activities
030217 neurology & neurosurgery
Zdroj: Scientific Reports, Vol 10, Iss 1, Pp 1-11 (2020)
Scientific Reports, Vol. 10, No 1 (2020) P. 2091
Scientific Reports
Scientific reports, vol. 10, no. 1, pp. 2091
ISSN: 2045-2322
DOI: 10.1038/s41598-020-59002-6
Popis: Gait assessments in standardized settings, as part of the clinical follow-up of children with cerebral palsy (CP), may not represent gait in daily life. This study aimed at comparing gait characteristics in laboratory and real life settings on the basis of multiple parameters in children with CP and with typical development (TD). Fifteen children with CP and 14 with TD wore 5 inertial sensors (chest, thighs and shanks) during in-laboratory gait assessments and during 3 days of daily life. Sixteen parameters belonging to 8 distinct domains were computed from the angular velocities and/or accelerations. Each parameter measured in the laboratory was compared to the same parameter measured in daily life for walking bouts defined by a travelled distance similar to the laboratory, using Wilcoxon paired tests and Spearman’s correlations. Most gait characteristics differed between both environments in both groups. Numerous high correlations were found between laboratory and daily life gait parameters for the CP group, whereas fewer correlations were found in the TD group. These results demonstrated that children with CP perform better in clinical settings. Such quantitative evidence may enhance clinicians’ understanding of the gap between capacity and performance in children with CP and improve their decision-making.
Databáze: OpenAIRE
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