Comparison of gait characteristics between clinical and daily life settings in children with cerebral palsy
Comparison of gait characteristics between clinical and daily life settings in children with cerebral palsy
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DOI：
10.1038/s41598-020-59002-6
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发表时间：
2020-02-07
影响因子：
4.6
通讯作者：
Armand, Stephane
中科院分区：
文献类型：
--
作者：
Carcreff, Lena;Gerber, Corinna N.;Armand, Stephane
标准化环境中的步态评估，作为脑瘫（CP）儿童临床随访的一部分，可能不代表日常生活中的步态。本研究旨在比较实验室和真实的生活环境中CP儿童和典型发育（TD）儿童的多个参数的步态特征。15名CP儿童和14名TD儿童在实验室步态评估和3天日常生活中佩戴5个惯性传感器（胸部、大腿和小腿）。根据角速度和/或加速度计算了属于8个不同域的16个参数。使用Wilcoxon配对检验和斯皮尔曼相关性，将实验室中测量的每个参数与日常生活中测量的相同参数进行比较，以进行与实验室相似的行走距离定义的步行比赛。大多数步态特征在两组中的两种环境之间存在差异。CP组的实验室和日常生活步态参数之间存在许多高相关性，而TD组的相关性较低。这些结果表明，患有CP的儿童在临床环境中表现更好。这些定量证据可能会提高临床医生对CP儿童能力和表现之间差距的理解，并改善他们的决策。
Gait assessments in standardized settings, as part of the clinical follow-up of children with cerebral palsy (CP), may not represent gait in daily life. This study aimed at comparing gait characteristics in laboratory and real life settings on the basis of multiple parameters in children with CP and with typical development (TD). Fifteen children with CP and 14 with TD wore 5 inertial sensors (chest, thighs and shanks) during in-laboratory gait assessments and during 3 days of daily life. Sixteen parameters belonging to 8 distinct domains were computed from the angular velocities and/or accelerations. Each parameter measured in the laboratory was compared to the same parameter measured in daily life for walking bouts defined by a travelled distance similar to the laboratory, using Wilcoxon paired tests and Spearman's correlations. Most gait characteristics differed between both environments in both groups. Numerous high correlations were found between laboratory and daily life gait parameters for the CP group, whereas fewer correlations were found in the TD group. These results demonstrated that children with CP perform better in clinical settings. Such quantitative evidence may enhance clinicians' understanding of the gap between capacity and performance in children with CP and improve their decision-making.