Article

The aim of this study was to explore the physical status and gait patterns
of children with spastic diplegia secondary to human immunodeficiency virus
encephalopathy (HIVE).
METHOD: A cross-sectional study was conducted on children
diagnosed with HIVE and spastic diplegia. Sociodemographic and clinical
background information was obtained, followed by three-dimensional gait analysis
(3DGA) and a physical examination including assessments of muscle tone, strength,
motor control, contractures, and bony deformities of the lower extremities.
RESULTS: Fourteen children (eight males, six females; mean age 5 y 8 mo [SD 9
mo], range 4 y 4 mo-6 y 10 mo) were studied. The cohort was divided into two
groups based on distinctive gait patterns. Nine participants in group I showed
only limited abnormalities. Group II displayed a more pathological gait pattern
including stiff knee and equinus ankle abnormalities. Results of 3DGA, as with
the physical examination outcomes, showed increased impairments from proximal to
distal (except for hip extension). INTERPRETATION: This study provides a first
description of distinctive gait patterns and related physical characteristics of
children with HIVE and spastic diplegia. Further research is necessary.
CI - (c) 2013 Mac Keith Press.

Langue : ANGLAIS