Influences of Spatio-Temporal Gait Parameters on Walking Efficiency of Children with Cerebral Palsy

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  • KIMOTO Minoru
    Department of Medicine, Akitaken Taiheiryouikuen Hospital for Disabled Children Health Science, Graduate School of Medicine, Akita University
  • NORO Yasuko
    Akita Prefectural Center of Rehabilitation and Psychiatric Medicine
  • KATOU Chizuru
    Department of Medicine, Akitaken Taiheiryouikuen Hospital for Disabled Children
  • KONDO Takanori
    Department of Medicine, Akitaken Taiheiryouikuen Hospital for Disabled Children
  • NAKANO Hiroaki
    Department of Medicine, Akitaken Taiheiryouikuen Hospital for Disabled Children
  • MATSUSHIMA Akiko
    Department of Medicine, Akitaken Taiheiryouikuen Hospital for Disabled Children
  • SAKAMOTO Hitoshi
    Department of Medicine, Akitaken Taiheiryouikuen Hospital for Disabled Children
  • SASAKI Makoto
    Course of Physical Therapy, School of Health Sciences, Akita University

Bibliographic Information

Other Title
  • 脳性麻痺児における歩行時の効率に対する空間時間的変数の影響
  • ノウセイ マヒジ ニ オケル ホコウジ ノ コウリツ ニ タイスル クウカン ジカンテキ ヘンスウ ノ エイキョウ

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[Purpose] The purpose of this study was to determine influences of spatio-temporal gait parameters on walking efficiency of children with cerebral palsy. [Subjects] Subjects were 9 children with spastic diplegia who could walk. Mean ± SD of age was 12.8 ± 3.5 years (range: 7 yrs 5 mo-18 yrs 9 mo). [Methods] We measured gait speed, step length and cadence in 10-m gait as spatio-temporal gait parameters, and pulse rate, walking speed and calculated the Physiological Cost Index (PCI) during 4 min walking as parameters of walking efficiency. Pearson's correlation coefficients were obtained for the spatio-temporal gait parameters and walking efficiency parameters. [Results] No significant correlation was found between the pulse rate during 4 min walking and the spatio-temporal parameters. There were significant positive correlations between walking speed during 4 min walking and 10-m walking speed (p<0.05), and step length in 10-m gait (p<0.01), but no significant correlation was found between walking speed during 4 min walking and cadence in 10-m gait. There were significant negative correlations between PCI and walking speed (p<0.01), and step length in 10-m gait (p<0.05), but no significant correlation was found between PCI and cadence in 10-m gait. [Conclusion] Because walking efficiency was high when walking speed was fast and/or step length was wide, we consider that the factors for high walking efficiency in children with cerebral palsy are fast walking speed and wide step length.<br>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 24 (2), 155-159, 2009

    The Society of Physical Therapy Science

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