Sanz-Mengibar Jose Manuel, Altschuck Natalie, Sanchez-de-Muniain Paloma, Bauer Christian, Santonja-Medina Fernando
Clínica de Rehabilitación Madrid (Mr Sanz-Mengibar and Dr Sanchez-de-Muniain), Madrid, Spain; Vojta Therapy UK (Mr Sanz-Mengibar), London, UK; Technischen Universität (Ms Altschuck) and KBO-Kinderzentrum (Ms Altschuck and Mr Bauer), Munich, Germany; Faculty of Medicine, University of Murcia (Dr Santonja-Medina), and Department of Traumatology, Virgen de la Arrixaca University Hospital (Dr Santonja-Medina), Murcia, Spain.
Pediatr Phys Ther. 2017 Apr;29(2):130-137. doi: 10.1097/PEP.0000000000000361.
To understand whether there is a trunk postural control threshold in the sagittal plane for the transition between the Gross Motor Function Classification System (GMFCS) levels measured with 3-dimensional gait analysis.
Kinematics from 97 children with spastic bilateral cerebral palsy from spine angles according to Plug-In Gait model (Vicon) were plotted relative to their GMFCS level.
Only average and minimum values of the lumbar spine segment correlated with GMFCS levels. Maximal values at loading response correlated independently with age at all functional levels. Average and minimum values were significant when analyzing age in combination with GMFCS level.
There are specific postural control patterns in the average and minimum values for the position between trunk and pelvis in the sagittal plane during gait, for the transition among GMFCS I-III levels. Higher classifications of gross motor skills correlate with more extended spine angles.
了解在三维步态分析中测量的粗大运动功能分类系统（GMFCS）水平之间的转换，矢状面是否存在躯干姿势控制阈值。
根据插件式步态模型（Vicon），绘制了97例双侧痉挛性脑瘫儿童脊柱角度的运动学数据，并与他们的GMFCS水平相关联。
仅腰椎节段的平均值和最小值与GMFCS水平相关。在所有功能水平上，负重反应时的最大值与年龄独立相关。在结合年龄和GMFCS水平进行分析时，平均值和最小值具有显著性。
在步态过程中，矢状面躯干与骨盆位置的平均值和最小值存在特定的姿势控制模式，用于GMFCS I-III水平之间的转换。粗大运动技能的更高分类与更伸展的脊柱角度相关。
