[Purpose] Children with cerebral palsy require more gait energy than healthy children.
The association between gait abnormalities and gait efficiency remains unclear. We
investigated the association between gait abnormalities, balance, and maximum step length
to determine contributors to gait efficiency in children with cerebral palsy.
[Participants and Methods] The study included 33 patients with cerebral palsy, who could
walk without the use of walking aids. All participants were instructed to walk for 6 min,
and the Total Heart Beat Index was calculated as a measure of walking efficiency. The
Edinburgh Visual Gait Score was used to assess gait abnormalities. Additionally, the
maximum step length was recorded, and all participants performed the Berg Balance Scale.
Correlation analysis and stepwise multiple regression analysis were used to confirm the
association between the aforementioned parameters and the Total Heart Beat Index.
[Results] The Edinburgh Visual Gait Score was correlated with the heel lift during the
stance, knee position during the terminal swing of gait as factors associated with the
Total Heartbeat Index. The Berg Balance Scale was correlated with turning 360°, standing
with feet together. [Conclusion] Our findings emphasize the need for treatment strategies
focused on gait abnormalities and balance.