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Title: Associations between gait kinematics, gross motor function and physical activity among young people with cerebral palsy: A cross sectional study
Authors: Ryan, JM
Lavelle, G
Noorkoiv, M
Kiernan, D
Theis, N
Little, Ú
Shortland, A
Malone, A
Keywords: Developmental neurology and neurodisability;functional performance;gait;gait analysis;Mobility limitation;paediatrics
Issue Date: 18-Jun-2022
Publisher: IOS Press
Citation: Ryan, J.M. et al. (2022) ‘Associations between gait kinematics, gross motor function and physical activity among young people with cerebral palsy: A cross sectional study’, Physiotherapy Practice and Research. IOS Press. 43 (1), pp. 71 - 80. doi:10.3233/ppr-200411.
Abstract: Introduction: The aim of this study was to investigate the association between gait parameters, gross 25 motor function and physical activity (PA) in young people with cerebral palsy (CP). 26 Methods: Thirty-eight adolescents aged between 10-19 years with spastic CP in GMFCS levels I-III (mean 27 [standard deviation] age 13.7 [2.4] yr; 53% female) were included in this cross-sectional study. Hip, knee 28 and ankle joint excursion and stance time was assessed using 3D gait analysis. Self-selected walking 29 speed was assessed during a timed 10m overground walk and treadmill walking. Gross motor function 30 was assessed using dimensions D and E of the Gross Motor Function Measure (GMFM-66). Moderate-to 31 vigorous PA, light PA and step-count were assessed using an accelerometer. Linear regression was used 32 to examine associations. 33 Results: After adjusting for age, sex and GMFCS level, percentage stance time was associated with 34 dimension E of the GMFM-66 (β=-0.29, 95% CI -0.54 to -0.05). There was no evidence that any other gait 35 parameters were associated with GMFM-66 dimensions D or E. There was also no evidence that gait 36 parameters or GMFM-66 dimensions D or E were associated with step-count or time in PA after 37 adjusting for age, sex and GMFCS level. 38 Discussion: The findings provide an insight into the complexity of the relationship between gait quality 39 or ability at the impairment level, function as measured in a controlled environment, and the 40 performance of habitual PA, which is essential for health among children with CP.
ISSN: 2213-0683
Other Identifiers: ORCiD: Jennifer M. Ryan 0000-0003-3768-2132
ORCiD: Grace Lavelle
ORCiD: Marika Noorkõiv
Appears in Collections:Dept of Health Sciences Research Papers

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