AI Article Synopsis
- The study aimed to evaluate untreated children with bilateral spastic cerebral palsy in Ethiopia to understand their natural gait patterns, as they had never been assessed before.
- Researchers assessed 46 children using detailed medical histories, examinations, and advanced motion capture technology to analyze their gait.
- Findings showed considerable variability in gait issues, with age not strongly affecting overall severity, though some aspects like hip and knee motion tended to decrease as children aged.
Article Abstract
Aim: To assess a group of ambulant, untreated children with bilateral spastic cerebral palsy, in a resource-poor setting, who had never been assessed by a health care professional or received any treatment, to help establish the natural history of gait patterns in this condition.
Method: At CURE Children's Hospital of Ethiopia, 46 children with no prior health care contact were assessed in a cross-sectional cohort study, through a detailed history, clinical examination, and instrumented gait analysis using a motion capture system.
Results: There was a large spread in the data reflecting the high natural heterogeneity in this population. The severity of gait pathology did not correlate with age; however, a small but significant reduction in sagittal hip and knee range of motion with increasing age was observed. There was also a trend towards reduced passive knee extension with age.
Interpretation: Improved understanding of the aspects of gait that are likely to naturally improve, deteriorate, or remain stable over time helps guide treatment decisions in this population.
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| http://dx.doi.org/10.1111/dmcn.16113 | DOI Listing |
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