Article

AIM: To examine the kinematic gait deviations at the trunk and pelvis of children
with hereditary spastic paraplegia (HSP). METHOD:
This exploratory observational
study quantified gait kinematics for the trunk and pelvis from 11 children with
HSP (7 males, 4 females) using the Gait Profile Score and Gait Variable Scores
(GVS), and compared the kinematics to data from children with typical development
using a Mann-Whitney U test. RESULTS: Children with HSP (median age 11y 4mo,
interquartile range 4y) demonstrated large deviations in the GVS for the trunk
and pelvis in the sagittal and coronal planes when compared to the gait patterns
of children with typical development (p=0.010-0.020). Specific deviations
included increased range of movement for the trunk in the coronal plane and
increased excursion of the trunk and pelvis in the sagittal plane. In the
transverse plane, children with HSP demonstrated later peaks in posterior pelvic
rotation. INTERPRETATION:
The kinematic gait deviations identified in this study
raise questions about the contribution of muscle weakness in HSP. Further
research is warranted to determine contributing factors for gait dysfunction in
HSP, especially the relative influence of spasticity and weakness.
CI - (c) 2016 Mac Keith Press.

Langue : ANGLAIS