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Relationship between spatiotemporal parameters and clinical outcomes in children with bilateral spastic cerebral palsy: Clinical interpretation proposal

  • Cristina Gómez-Pérez
    Correspondence
    Corresponding author. Faculty of Health Sciences and Welfare, University of Vic – Central University of Catalonia (UVic-UCC), C. Sagrada Família 7, 08500, Vic, Spain.
    Affiliations
    Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences (M3O), 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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  • Joan Vidal Samsó
    Affiliations
    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
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  • Albert Puig Diví
    Affiliations
    Blanquerna School of Health Sciences – Ramon Llull University, Barcelona, Spain
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  • Josep Medina Casanovas
    Affiliations
    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
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  • Josep M. Font-Llagunes
    Affiliations
    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
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  • Joan Carles Martori
    Affiliations
    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
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Published:October 07, 2022DOI:https://doi.org/10.1016/j.jos.2022.08.011

      Abstract

      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–Wallis 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.

      Keywords

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