Control of Walking Speed in Children With Cerebral Palsy

Davids, Jon R.; Cung, Nina Q.; Chen, Suzy; Sison-Williamson, Mitell; Bagley, Anita

doi:10.1097/bpo.0000000000000978

Cited by 19 publications

(7 citation statements)

References 28 publications

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“…Moreover, walking speed was found to be positively correlated with subjective gait scores across the entire cohort ( r =0.41, p =0.001). This parameter has a direct impact on patient autonomy and is one of the most important function‐related parameters . Jasper et al likewise reported that walking speeds had an impact on the QoL of children with CP .…”

Section: Discussionmentioning

confidence: 99%

Self‐perceived gait quality in young adults with cerebral palsy

Bonnefoy‐Mazure

Coulon

Armand

2020

Develop Med Child Neuro

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Aim To explore how patients with cerebral palsy (CP) perceive their gait and evaluate associations between subjective gait perception and: objective gait parameters, endurance, pain, and fatigue. Method Sixty‐two patients (21 females and 41 males; mean [SD] age 20y [5y 1mo], range 15–29y) performed a clinical gait analysis. Self‐selected walking speed, Gait Profile Score, and Gait Variable Score were calculated. Subjective gait perception was assessed with a visual analogue scale using the question: ‘On a scale from 0 (worst) to 10 (optimal), how would you describe your walking today?’. A 6‐minute walk test (6MWT) measured endurance; the 36‐Item Short Form Health Survey (SF‐36) evaluated quality of life. T‐tests, Pearson correlations, and univariate and multiple linear regression models were used to compare and find associations between the data. Results Overall mean (SD) subjective gait perception was 7.5 (1.8) and was significantly higher for patients in Gross Motor Function Classification System (GMFCS) level I (7.9 [1.5]) than for patients in GMFCS levels II and III (5.9 [2.0]). Positive correlations were found between subjective gait perception and gait scores, walking speed, 6MWT distance, and SF‐36 score. Only walking speed was a significant predictor of subjective gait perception. Interpretation Subjective gait perception was influenced by GMFCS level and linked partially with the walking speed. The gait quality did not explain subjective gait perception. It is important to combine subjective and objective gait scores to develop personalized therapeutic goals. What this paper adds Subjective gait perception is influenced by the physical impairment levels of patients with cerebral palsy. Subjective gait perception and objective gait scores are associated. Walking speed is the only predictor of gait perception.

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Section: Discussionmentioning

confidence: 99%

Self‐perceived gait quality in young adults with cerebral palsy

Bonnefoy‐Mazure

Coulon

Armand

2020

Develop Med Child Neuro

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“…Players must effectively move to utilize strength, speed, power, agility, balance, flexibility, and endurance [36]. The ability of players to control speed is essential for the gait of various activities [26]. Speed has different characteristics in each other movement [22].…”

Section: Discussionmentioning

confidence: 99%

“…Players need speed and agility to run, rotate, change direction, dribble, or face an opponent. Efforts to increase speed for children with CP are required [26] Improving the speed and agility of CP Football players requires a proper training model to suit your needs. The training program must be modified for each player to optimize maximum performance in matches [27].…”

Section: Introductionmentioning

confidence: 99%

Increasing Speed and Agility of Cerebral Palsy Football Indonesian Player with UMAC-CPF Exercise Model

Umar¹,

Purnama²,

Hidayatullah³

et al. 2020

saj

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“…Yürüme hızı günlük yaşamda birçok fonksiyonel ve sosyal aktivite için önemlidir. SP'li olgularda yürüme hızının kas zayıflığı ile ilişkili olarak azaldığı ifade edilmiştir (25). Literatürde SP'li olgularda yürüme fonksiyonu ile gövde kas kuvveti arasındaki ilişkiyi inceleyen tek bir çalışmaya rastlandı.…”

Section: İstatistiksel Analizunclassified

An Investigation of Relationship Between Trunk and Lower Extremity Muscle Strength and Functional Activity in Children With Spastic Cerebral Palsy

Değer¹,

Mutlu

2020

Türk Fizyoterapi Ve Rehabilitasyon Dergisi

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Amaç: Serebral palsili (SP) olgularda kas zayıflığı önemli motor problemler arasında yer almaktadır. Bu çalışmanın amacı, ambule spastik tip SP'li olgularda gövde ve alt ekstremite kaslarının izometrik kuvveti ile fonksiyonel aktivite arasındaki ilişkiyi incelemekti.Yöntem: Çalışmaya yaşları 7-18 yıl arasında değişen ve yaş ortalamaları 12,53±3,27 yıl olan 54 spastik tip SP'li olgu dâhil edildi. Olguların gövde fleksor ve ekstansor kasları ve alt ekstremite kaslarının (kalça fleksor, ekstansor, abduktor ve adduktor, diz fleksor ve ekstansor, ayak bileği dorsifleksor ve plantar fleksor) izometrik kuvvet değerlendirmeleri el dinamometresi ile yapıldı. Olguların kaba motor fonksiyonları Kaba Motor Fonksiyon Ölçütü (KMFÖ)'nün D ve E bölümleri ile değerlendirildi ve Kaba Motor Fonksiyon Sınıflama Sistemi (KMFSS) ile seviyeleri belirlendi. Fonksiyonel aktivitenin değerlendirilebilmesi için süreli kalk yürü testi (TUG) ve otur kalk testi (OKT) kullanıldı.Sonuçlar: KMFÖ D ve E puanları ile kalça fleksor, ekstansor, abduktor ve adduktor, diz ekstansor ve fleksor, ayak bileği dorsifleksor ve plantar fleksor kas kuvveti arasında anlamlı ilişki olduğu gözlemlendi (p<0,05). TUG testi ile kalça ekstansor ve abduktor, diz ekstansor ve ayak bileği plantar fleksor kas kuvveti arasında anlamlı ilişki olduğu belirlendi (p<0,05). OKT ile kalça fleksor, ekstansor, abduktor adduktor, diz ekstansor ve fleksor, dorsifleksor ve plantar fleksor kasları arasında anlamlı ilişki olduğu gözlemlendi (p<0,05). Tartışma: Bu çalışma, SP'li çocuklarda gövde ve alt ekstremite kas kuvveti ile fonksiyonel aktivite arasında farklı seviyelerde, değişik şiddette ve yönde ilişki olduğunu göstermektedir. SP'li çocuklarda kas kuvveti fonksiyonel aktivite için kritik rol oynamaktadır.

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Control of Walking Speed in Children With Cerebral Palsy

Abstract: Diagnostic level II.

Cited by 19 publications

References 28 publications

Self‐perceived gait quality in young adults with cerebral palsy

Self‐perceived gait quality in young adults with cerebral palsy

Increasing Speed and Agility of Cerebral Palsy Football Indonesian Player with UMAC-CPF Exercise Model

An Investigation of Relationship Between Trunk and Lower Extremity Muscle Strength and Functional Activity in Children With Spastic Cerebral Palsy

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