Anjana Chandran Nair, George Zachariah, Jayasree M

A STUDY ON DISTANCE CHARACTERISTICS OF GAIT IN CHILDREN WITH SPASTIC HEMIPLEGIC CEREBRAL PALSY

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Introduction Cerebral palsy(CP) is the leading cause of locomotor disability in children all over the world. The motor disorders of CP are usually accompanied by disturbances of sensation, perception, cognition, behaviour, epilepsy and secondary musculoskeletal problems. Studies on spatial parameters of gait in CP children with hemiplegia are very few in number, especially scarce in Indian population. This study is aimed to describe the distance characteristics of gait in children with spastic hemiplegic cerebral palsy. It is Methodology a retrospective descriptive study. Anthropometric measures and 3D gait analysis data of 15 children with spastic hemiplegic cerebral palsy who attended Department of Physical Medicine and Rehabilitation, Government Medical College Thiruvananthapuram during the period from 2014 to 2021 were analysed. Spatial parameters studied were stride length, step length and step width. SPSS 25 statistical software was used. Study was started after clearance from institution research committee and ethical committee and conducted for period of 24 months. In our study mean age of study group was 7+/-2 years. Results Mean BMI of the group was 15.6+/-3 kg/m2.Study group consisted of 12 right and 3 left spastic hemiplegic cerebral palsy children. .Mean stride length and step length of affected side were 0.93m and 0.33m, respectively. Step width was 0.17+/-0.05m.In the right hemiplegics proportional loss of step length (comparing affected side with unaffected side) was 26.3% and in left was 38.3%. There was a decrease in stride length and step length in children with increased knee standing angle. Study showed decreased stride length and step length in GMFCS II children compared to GMFCS I. Study also showed children with BMI in normal range had better stride length and step length when compared with underweight. In this stud Conclusion y children with increased knee standing angle had decreased stride length and step length. Study showed decreased stride length and step length in GMFCS II children compared to GMFCS I. Proportional loss of step length in affected leg compared to unaffected leg was more in left hemiplegic than in right hemiplegic children.

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