The effect of uneven surfaces on inter-joint coordination during walking in children with cerebral palsy.
Journal
Scientific reports
ISSN: 2045-2322
Titre abrégé: Sci Rep
Pays: England
ID NLM: 101563288
Informations de publication
Date de publication:
08 Dec 2023
08 Dec 2023
Historique:
received:
25
08
2023
accepted:
05
12
2023
medline:
9
12
2023
pubmed:
9
12
2023
entrez:
8
12
2023
Statut:
epublish
Résumé
Clinical gait analysis on uneven surfaces contributes to the ecological assessment of gait deviations of children with spastic cerebral palsy (CP). Walking on uneven surfaces requires specific motor strategies, which can be assessed by lower-limb kinematic and inter-joint coordination analyses. This study aimed to assess and compare kinematics and inter-joint coordination between children with CP and their typically developing (TD) peers when walking on even and two levels of uneven surfaces (medium and high). A total of 17 children with CP and 17 TD children (11.5 ± 3.5 and 10.4 ± 4.5 years old, respectively) were asked to complete 6-8 gait trials on a 4-m walkway of each surface (n = 3) in randomized blocks while fit with retro-reflective markers on their lower-limbs. Children with CP showed proximal gait adaptations (i.e., hip and knee) on uneven surfaces. Compared with the TD group, the CP group showed decreased hip extension during late stance (49-63%, d = 0.549, p < 0.001), and a more in-phase knee-hip coordination strategy during swing phase (75-84% of gait cycle, d = 1.035, p = 0.029 and 92-100%, d = 1.091, p = 0.030) when walking on an uneven (high), compared to even surface. This study provides a better understanding of kinematic strategies employed by children with spastic CP when facing typical daily life gait challenges. Further studies are needed to evaluate the benefits of integrating uneven surfaces in rehabilitation care.
Identifiants
pubmed: 38066308
doi: 10.1038/s41598-023-49196-w
pii: 10.1038/s41598-023-49196-w
pmc: PMC10709314
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
21779Subventions
Organisme : Fonds de recherche du Québec - Nature et technologies
ID : PhD Scholarship
Organisme : NSERC Discovery Grants Program
ID : RGPIN-2022-04217
Organisme : Fonds de Recherche du Québec - Santé
ID : Junior 1
Informations de copyright
© 2023. The Author(s).
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