Article

Children with bilateral cerebral palsy (CP) commonly have limited selective motor
control (SMC). This affects their ability to complete functional tasks. The impact of impaired SMC on walking has yet to be fully understood. Measures of SMC
have been shown to correlate with specific characteristics of gait, however the
impact of SMC on overall gait pattern has not been reported. This study explored
SMC data collected as part of routine gait analysis in children with bilateral
CP. As part of their clinical assessment, SMC was measured with the Selective
Control Assessment of the Lower Extremities (SCALE) in 194 patients with
bilateral cerebral palsy attending for clinical gait analysis at a single centre.
Their summed SCALE score was compared with overall gait impairment, as measured
by Gait Profile Score (GPS). Score on SCALE showed a significant negative
correlation with GPS (rs=-0.603, p<0.001). Cerebral injuries in CP result in
damage to the motor tracts responsible for SMC. Our results indicate that this
damage is also associated with changes in the development of walking pattern in
children with CP.
CI - Copyright (c) 2016 Elsevier B.V. All rights reserved.

Langue : ANGLAIS