An investigation of the effect of the lower extremity sensation on gait in children with cerebral palsy
An investigation of the effect of the lower extremity sensation on gait in children with cerebral palsy
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DOI：
10.1016/j.gaitpost.2020.12.026
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发表时间：
2021-01-25
期刊：
影响因子：
2.4
通讯作者：
Elbasan, Bulent
中科院分区：
文献类型：
--
作者：
Akkaya, Kamile Uzun;Elbasan, Bulent
背景：脑瘫（CP）儿童的感觉障碍经常伴随运动障碍。研究问题：脑瘫儿童下肢是否有感觉障碍？如果存在感觉障碍，这些障碍是否会影响步态？方法：本研究总共纳入了 45 名年龄在 5 岁至 18 岁之间的儿童（18 名女性，27 名男性）：15 名正常发育儿童，15 名单侧脑瘫儿童，15 名双侧脑瘫儿童。根据粗大运动功能分类，他们可以在 I 或 II 级独立行走。记录儿童的人口统计数据后，对其触觉、振动感、两点辨别和本体感觉进行评估，并采用爱丁堡视觉步态评分（EVGS）进行步态评估。结果：CP儿童的下肢触觉（p = 0.001）、两点辨别（p = 0.001）和本体感觉（p = 0.001），并且发现触觉丧失与步态障碍有关（p = 0.02，r = 0.41）。意义：下肢感觉存在缺陷，触觉缺陷对步态产生负面影响。进行感觉评估被认为是脑瘫儿童康复步态训练的基础，并为干预计划中缺乏的参数提供支持可能会对步态产生积极影响。
Background: Sensory disorders frequently accompany the motor disorders in children with cerebral palsy (CP). Research question: Do children with CP have sensory disturbances in their lower extremities? If there are sensory impairments, do these impairments affect gait?Methods: In total, 45 children (18 females, 27 males) in an age range between 5 and 18 years were included in the study: 15 typically developing children, 15 unilaterally affected children with cerebral palsy, and 15 bilaterally affected children with cerebral palsy. They could walk independently at the levels of I or II according to the gross motor function classification. After the demographic data of the children were recorded, their tactile sense, vibration sense, two-point discrimination, and proprioception were evaluated, and the Edinburgh Visual Gait Score (EVGS) was used for gait assessment.Results: Failures were discovered in lower extremity tactile (p = 0.001), two-point discrimination (p = 0.001), and proprioceptive senses of the children with CP (p = 0.001), and the loss of tactile sense was found to be related to gait disorders (p = 0.02, r = 0.41).Significance: There were deficiencies in the lower extremity senses, and deficiencies in the tactile sense negatively affected gait. Performing sensory assessments, which are considered to be fundamental for gait training in the rehabilitation of children with CP, and providing support for the lacking parameters in the intervention programs may create positive effects on gait.