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首页> 外文期刊>Gait & posture >Gait asymmetries in children with cerebral palsy: Do they deteriorate with running?
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Gait asymmetries in children with cerebral palsy: Do they deteriorate with running?

机译：脑瘫患儿的步态不对称：跑步会恶化吗？

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In children with cerebral palsy (CP) analysis of gait asymmetry can provide insight into the control of walking and may help in guiding the clinician's treatment decisions. Running is more difficult that walking for the musculoskeletal system, however, in the literature it has been shown that gait deviations associated with CP maybe better tolerated during running. This leads us to the hypothesis that running might increase gait symmetry in patients with CP. Therefore the purpose of this study was to investigate the effect of running on asymmetries in spatio-temporal, kinematic and kinetic gait parameters for children with CP. Twenty-four children with diplegia and 25 with hemiplegia were examined using 3D gait analysis during running and walking. MANOVA on two factors: diagnosis (hemiplegic, diplegic) and movement (walking, running) was conducted on a total of 22 gait parameters. The MANOVA revealed a significant difference in symmetry between walking and running (p<0.001) and between patients groups (p=0.004). The detailed analysis of gait parameters demonstrated a significant decrease of symmetry in 13 of the 22 gait parameters investigated, only symmetry of step time was significantly increased. Therefore the hypothesis that gait symmetry improved with running in children with CP can be rejected. Based on the results of this study, asymmetries masked during walking might appear during running. Therefore, analysis of asymmetry of walking and running gives a more comprehensive assessment of the gait pathology for clinical decision making.
机译：在患有脑瘫（CP）的儿童中，步态不对称分析可以提供对行走控制的深入了解，并可能有助于指导临床医生的治疗决策。跑步比肌肉骨骼系统的行走更困难，但是，在文献中已经显示，与CP相关的步态偏差可能在跑步过程中得到更好的容忍。这导致我们提出一个假设，即跑步可能会增加CP患者的步态对称性。因此，本研究的目的是研究跑步障碍对儿童CP时空，运动和运动步态参数不对称的影响。在跑步和行走过程中使用3D步态分析检查了24例截瘫儿童和25例偏瘫儿童。对两个因素进行MANOVA：诊断（半肢，双腿）和运动（步行，跑步），共计22个步态参数。 MANOVA显示行走和跑步之间（p <0.001）和患者组之间（p = 0.004）的对称性存在显着差异。步态参数的详细分析表明，在所研究的22个步态参数中，有13个的对称性显着降低，只有步距时间的对称性显着提高。因此，可以驳斥CP患儿步态对称性随跑步而改善的假说。根据这项研究的结果，行走过程中掩盖的不对称可能会在跑步过程中出现。因此，步行和跑步的不对称性分析为临床决策提供了更全面的步态病理评估。

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