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Kinematic gait deficits at the trunk and pelvis: characteristic features in children with hereditary spastic paraplegia
Author(s) -
Adair Brooke,
Rodda Jillian,
McGinley Jennifer L,
Graham H Kerr,
Morris Meg E
Publication year - 2016
Publication title -
developmental medicine and child neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.658
H-Index - 143
eISSN - 1469-8749
pISSN - 0012-1622
DOI - 10.1111/dmcn.13082
Subject(s) - gait , sagittal plane , pelvis , trunk , physical medicine and rehabilitation , coronal plane , spastic diplegia , kinematics , gait analysis , medicine , spasticity , physical therapy , anatomy , cerebral palsy , biology , physics , ecology , classical mechanics
Aim To examine the kinematic gait deviations at the trunk and pelvis of children with hereditary spastic paraplegia ( HSP ). Method This exploratory observational study quantified gait kinematics for the trunk and pelvis from 11 children with HSP (7 males, 4 females) using the Gait Profile Score and Gait Variable Scores ( GVS ), and compared the kinematics to data from children with typical development using a Mann–Whitney U test. Results Children with HSP (median age 11y 4mo, interquartile range 4y) demonstrated large deviations in the GVS for the trunk and pelvis in the sagittal and coronal planes when compared to the gait patterns of children with typical development ( p =0.010–0.020). Specific deviations included increased range of movement for the trunk in the coronal plane and increased excursion of the trunk and pelvis in the sagittal plane. In the transverse plane, children with HSP demonstrated later peaks in posterior pelvic rotation. Interpretation The kinematic gait deviations identified in this study raise questions about the contribution of muscle weakness in HSP . Further research is warranted to determine contributing factors for gait dysfunction in HSP , especially the relative influence of spasticity and weakness.