Bartonek Asa, Lidbeck Cecilia M, Gutierrez-Farewik Elena M
Karolinska University Hospital (Dr Bartonek), Solna, Sweden; Department of Women's and Children's Health (Dr Bartonek and Ms Lidbeck), Karolinska Institutet, Stockholm, Sweden; and KTH Mechanics and KTH BioMEx Center (Dr Gutierrez-Farewik), Royal Institute of Technology, Stockholm, Sweden.
Pediatr Phys Ther. 2016 winter;28(4):393-399. doi: 10.1097/PEP.0000000000000282.
To explore whether focusing a target influenced gait in children with cerebral palsy (CP) and typical development (TD).
Thirty children with bilateral CP (Gross Motor Function Classification System [GMFCS] I-III) and 22 with TD looked at a light at walkway end (Gaze Target) while walking and returned (No Target).
During Gaze versus No Target, children with TD reduced temporal-spatial parameters and movements in the sagittal (SPM) and transverse planes. In comparison, during Gaze Target, children in CP1 (GMFCS I) had larger trunk SPM, children in CP2 (GMFCS II) larger neck (SPM), and children in CP3 (GMFCS III) greater head and neck frontal plane movements, and reduced cadence and single support.
Focusing a target altered gait in children with CP. Children in CP1 reduced movements similar to children with TD, children in CP2 behaved nearly unchanged, whereas children in CP3 reduced movements and temporal-spatial parameters, potentially as a consequence of lack of sensory information from lower limbs.
探讨注视目标是否会影响脑瘫（CP）患儿及发育正常（TD）儿童的步态。
30名双侧脑瘫患儿（粗大运动功能分类系统[GMFCS] I - III级）和22名发育正常儿童在行走时注视通道末端的灯光（注视目标），然后返回（无目标）。
与无目标相比，发育正常儿童在注视目标时减少了时空参数以及矢状面（SPM）和横断面的运动。相比之下，在注视目标时，CP1（GMFCS I级）患儿的躯干SPM更大，CP2（GMFCS II级）患儿的颈部（SPM）更大，CP3（GMFCS III级）患儿的头部和颈部额面运动更大，并伴有步频和单支撑期减少。
注视目标会改变脑瘫患儿的步态。CP1级患儿的运动减少情况与发育正常儿童相似，CP2级患儿几乎没有变化，而CP3级患儿的运动和时空参数减少，这可能是由于下肢感觉信息缺乏所致。
