Foot Progression Angle in Relation to Spatiotemporal Parameters of Gait in Children with Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 60
- 试验地点
- 1
- 主要终点
- foot progression angle
研究概览
简要总结
The study was applied to assess the difference of the foot progression angle and measuring spatiotemporal parameters of gait among the three age groups (five to six, six to seven and seven to eight years), of diplegic cerebral palsied children and to investigate the relation between FPA of right and left lower extremity and spatiotemporal parameters of gait in diplegic cerebral palsied children.
Sixty diplegic cerebral palsied children from both sexes with age ranged from five to eight years old were participated in this study.
Children were selected from the outpatient clinic of faculty of physical therapy, Cairo University.
They were divided into three equal age groups, group (A) from five to six years, group (B) from six to seven years and group (C) from seven to eight years.
Foot progression angle and spatiotemporal parameters of gait were evaluated for each participated child by the use of dynamic footprint during walking barefoot at free walking speed.
详细描述
Introduction Cerebral palsy (CP) is the most common pediatric neurological and physical disability. It is a group of permanent disorders of the development of movement and posture that are attributed to non-progressive disturbances that occurred in the developing fetal or infant brain along with accompanying conditions such as mental retardation, epilepsy, perceptual impairment, language impairment, and mental behavior abnormalities.
Foot progression angle (FPA) is defined as the angle between the longitudinal axis of the foot and the line of progression of the child's gait . It represents the rotational gait deviation of the lower extremity from the tip of the femoral head to the foot. It was also defined as the angle of the foot relative to the progressive direction of the subjects during gait .
Abnormal gait is a common problem in children with CP. Because of motor weakness and poor voluntary motor control, crouched gait or diplegic gait is an important functional biomarker in children with spastic diplegic CP. In addition, gait in children with CP is characterized by a slower walking speed, a shorter-stride length, and more time spent in double support .
Purpose of the Study: The purpose of the study is:
To determine the side differences (right and left sides) on FPA values in diplegic CP children from five to eight years.
研究设计
- 研究类型
- Observational
- 观察模型
- Other
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 5 Years 至 8 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Inclusion criteria:
- •Their age will be ranged from six to eight years.
- •Children diagnosed as diplegic and/or hemiplegic CP.
- •Children who can stand and ambulate without the use of an assistive device (At Level II or III on the Gross Motor Function Classification System).
- •Their degree of spasticity will be ranged from 1 to 1+ according to the Modified Ashworth Scale.
- •Children who are able to follow instructions and understand commands given to them during the testing procedure.
- •Dynamic foot print will be used to assess FPA and spatial parameter of gait (step length and stride length).
排除标准
- •Children with Convulsions.
- •Children with fixed contractures of lower extremities.
- •Children with surgical interventions in the lower extremities.
- •Children with visual and\or auditory disorders.
结局指标
主要结局
foot progression angle
时间窗: up to 4 months
Foot progression angle of both right and left foot
次要结局
未报告次要终点
研究者
Hisham Elsawy
Clinical researcher
Cairo University