脑性瘫痪中视觉步态分析与功能方面的相关性
CORRELATION BETWEEN VISUAL GAIT ANALYSIS AND FUNCTIONAL ASPECTS IN CEREBRAL PALSY.
作者信息
Folle Maira Rech, Tedesco Ana Paula, Nicolini-Panisson Renata D Agostini
机构信息
. Instituto de Neuro-Ortopedia, Caxias do Sul, RS, Brazil.
出版信息
Acta Ortop Bras. 2016 Sep-Oct;24(5):259-261. doi: 10.1590/1413-785220162405162986.
OBJECTIVE
To verify the correlation between visual gait analysis (VGA) by the Edinburgh visual gait score (EVGS) and functional aspects using the Timed Up and Go Test (TUG) and Gross Motor Function Classification System (GMFCS) in individuals with cerebral palsy (CP).
METHODS
Retrospective cross sectional study of 35 patients with CP. The mean age 12.61 years old, 94.3% were spastic; 34.4% hemiplegic, 54.3% diplegic, 11.4% triplegic; 45.7% were level II GMFCS, 42.9% level I, 5.7% level III and 5.7% level IV. VGA was analyzed by the Edinburgh visual gait score (EVGS), functional mobility was assessed by TUG and functionality through GMFCS. The Spearman correlation was used for statistical analysis.
RESULTS
The mean EVGS score was 18.97. The mean TUG was 13.71sec. EVGS showed moderate correlation with TUG (r=0.46, p=0.03) and GMFCS (r=0.45, p=0.00).
CONCLUSION
Worse VGA scores correlate to worse functionality and mobility performance. Due to the observed correlation, it is possible to assert that VGA is a useful tool on evaluation of CP patients. Level of Evidence III, Retrospective Comparative Study.
目的
验证在脑瘫（CP）患者中，采用爱丁堡视觉步态评分（EVGS）进行的视觉步态分析（VGA）与使用定时起立行走测试（TUG）及粗大运动功能分类系统（GMFCS）评估的功能方面之间的相关性。
方法
对35例CP患者进行回顾性横断面研究。平均年龄12.61岁，94.3%为痉挛型；34.4%为偏瘫型，54.3%为双瘫型，11.4%为三肢瘫型；45.7%为GMFCS II级，42.9%为I级，5.7%为III级，5.7%为IV级。通过爱丁堡视觉步态评分（EVGS）分析VGA，通过TUG评估功能移动性，并通过GMFCS评估功能。采用Spearman相关性进行统计分析。
结果
EVGS平均评分为18.97。TUG平均时间为13.71秒。EVGS与TUG（r = 0.46，p = 0.03）及GMFCS（r = 0.45，p = 0.00）呈中度相关。
结论
较差的VGA评分与较差的功能及移动性能相关。基于观察到的相关性，可以断言VGA是评估CP患者的有用工具。证据等级III，回顾性比较研究。
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