Anderson Gait Analysis Laboratory, Edinburgh, United Kingdom.
Gait Posture. 2010 Mar;31(3):351-4. doi: 10.1016/j.gaitpost.2009.12.006. Epub 2010 Jan 29.
Eighteen children with diplegic cerebral palsy and no history of orthopaedic surgery had two gait analyses a mean of 6.3 years apart to analyse the effects of time on their gait. The mean age of the children at first analysis was 7.7 years (range 4.4-13.3 years). The data was analysed as a whole group (18 children) and as two sub-groups of nine children: those with a shorter follow-up (mean 5.0 years) and those with a longer follow-up (mean 7.5 years) between analyses. The following significant bilateral changes were seen in the whole group and longer follow-up sub-group: deterioration in the range of knee flexion, mid-stance knee flexion, peak knee extension in stance and hamstring length and an improvement in mean and maximum hip rotation. Temporal data showed no significant changes once normalised. There were no bilateral significant changes in data from children evaluated at a mean of 5 years follow-up. GMFCS scores generally improved over time despite the significant increase in flexed knee gait. There was no significant change in gait deviation index in any group over time. There was an increase in body mass index in 16 children but there was no correlation between this and the degree of mid-stance knee flexion. These findings may have implications for longer term follow-up of children with cerebral palsy into adulthood.
18 名偏瘫型脑瘫且无骨科手术史的儿童，在平均 6.3 年的时间内进行了两次步态分析，以分析时间对其步态的影响。第一次分析时儿童的平均年龄为 7.7 岁（范围 4.4-13.3 岁）。将数据作为一个整体组（18 名儿童）和两个 9 名儿童的子组进行分析：随访时间较短（平均 5.0 年）和随访时间较长（平均 7.5 年）的子组。在整个组和随访时间较长的子组中，观察到以下双侧显著变化：膝关节屈曲范围、站立中期膝关节屈曲、站立时峰值膝关节伸展和腘绳肌长度恶化，以及髋关节旋转的平均值和最大值改善。时间数据归一化后无显著变化。在平均随访 5 年的儿童中，数据没有双侧显著变化。尽管膝关节屈曲步态显著增加，但 GMFCS 评分总体上随时间改善。在任何组中，步态偏差指数随时间均无显著变化。16 名儿童的体重指数增加，但与站立中期膝关节屈曲程度无相关性。这些发现可能对脑瘫儿童成年后进行更长期的随访具有重要意义。
