Stebbins Julie, Wicks Laurence, Nunn Tim, Gardner Richard, Zerfu Tewodros T, Kassahun Mesfin, Theologis Tim
Oxford Gait Laboratory, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, Oxford University, Oxford, UK.
Dev Med Child Neurol. 2025 Apr;67(4):510-518. doi: 10.1111/dmcn.16113. Epub 2024 Oct 11.
To assess a group of ambulant, untreated children with bilateral spastic cerebral palsy, in a resource-poor setting, who had never been assessed by a health care professional or received any treatment, to help establish the natural history of gait patterns in this condition.
At CURE Children's Hospital of Ethiopia, 46 children with no prior health care contact were assessed in a cross-sectional cohort study, through a detailed history, clinical examination, and instrumented gait analysis using a motion capture system.
There was a large spread in the data reflecting the high natural heterogeneity in this population. The severity of gait pathology did not correlate with age; however, a small but significant reduction in sagittal hip and knee range of motion with increasing age was observed. There was also a trend towards reduced passive knee extension with age.
Improved understanding of the aspects of gait that are likely to naturally improve, deteriorate, or remain stable over time helps guide treatment decisions in this population.
在资源匮乏的环境中，评估一组未经治疗的双侧痉挛性脑瘫患儿，这些患儿从未接受过医疗保健专业人员的评估或任何治疗，以帮助确定这种情况下步态模式的自然病史。
在埃塞俄比亚库瑞儿童医院，通过一项横断面队列研究，对46名此前未接受过医疗保健的儿童进行了评估，评估内容包括详细病史、临床检查以及使用运动捕捉系统进行的仪器化步态分析。
数据分布广泛，反映出该人群中存在高度的自然异质性。步态病理学严重程度与年龄无关；然而，随着年龄增长，矢状面髋关节和膝关节活动范围有小幅但显著的减小。随着年龄增长，被动膝关节伸展也有减少的趋势。
更好地理解随着时间推移可能自然改善、恶化或保持稳定的步态方面，有助于指导该人群的治疗决策。
