Threshold values of ankle dorsiflexion and gross motor function in 60 children with cerebral palsy: A cross-sectional study

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Resumé

Background and purpose - Threshold values defining 3 categories of passive range of motion are used in the Cerebral Palsy follow-Up Program to guide clinical decisions. The aim of this study was to investigate the threshold values by testing the hypothesis that passive range of motion in ankle dorsiflexion is associated with gross motor function and that function differs between the groups of participants in each category. Patients and methods - We analyzed data from 60 ambulatory children (aged 5-9 years) with spastic cerebral palsy. Outcomes were passive range of motion in ankle dorsiflexion with flexed and extended knee and gross motor function (Gait Deviation Index, Gait Variable Score of the ankle, peak dorsiflexion during gait, 1-minute walk, Gross Motor Function Measure, the Pediatric Quality of Life Inventory Cerebral Palsy Module, and Pediatric Outcomes Data Collection Instrument). Results - Significant (p < 0.05) and moderate correlations were documented for range of motion versus Gait Variable Score of the ankle (r = -0.37 and r = -0.37) and range of motion versus peak dorsiflexion (r = 0.49 and r = 0.55). Differences between the groups formed by the categories were shown for Gait Variable Score of the ankle and peak dorsiflexion (p < 0.05). No other significant correlations or differences between the categories were observed. Interpretation - The results suggest that threshold values for ankle dorsiflexion used in the Cerebral Palsy follow-Up Program are of limited clinical value in assessing overall gross motor function, but may be used to identify deviations in ankle-specific gait function.

OriginalsprogEngelsk
TidsskriftActa Orthopaedica (Print Edition)
Vol/bind89
Udgave nummer4
Sider (fra-til)437-442
ISSN1745-3674
DOI
StatusUdgivet - aug. 2018

Fingeraftryk

Cerebral Palsy
Cross-Sectional Studies
Pediatrics
Knee
Quality of Life
Equipment and Supplies

Citer dette

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title = "Threshold values of ankle dorsiflexion and gross motor function in 60 children with cerebral palsy: A cross-sectional study",
abstract = "Background and purpose - Threshold values defining 3 categories of passive range of motion are used in the Cerebral Palsy follow-Up Program to guide clinical decisions. The aim of this study was to investigate the threshold values by testing the hypothesis that passive range of motion in ankle dorsiflexion is associated with gross motor function and that function differs between the groups of participants in each category. Patients and methods - We analyzed data from 60 ambulatory children (aged 5-9 years) with spastic cerebral palsy. Outcomes were passive range of motion in ankle dorsiflexion with flexed and extended knee and gross motor function (Gait Deviation Index, Gait Variable Score of the ankle, peak dorsiflexion during gait, 1-minute walk, Gross Motor Function Measure, the Pediatric Quality of Life Inventory Cerebral Palsy Module, and Pediatric Outcomes Data Collection Instrument). Results - Significant (p < 0.05) and moderate correlations were documented for range of motion versus Gait Variable Score of the ankle (r = -0.37 and r = -0.37) and range of motion versus peak dorsiflexion (r = 0.49 and r = 0.55). Differences between the groups formed by the categories were shown for Gait Variable Score of the ankle and peak dorsiflexion (p < 0.05). No other significant correlations or differences between the categories were observed. Interpretation - The results suggest that threshold values for ankle dorsiflexion used in the Cerebral Palsy follow-Up Program are of limited clinical value in assessing overall gross motor function, but may be used to identify deviations in ankle-specific gait function.",
keywords = "Ankle Joint/physiology, Cerebral Palsy/physiopathology, Child, Child, Preschool, Cross-Sectional Studies, Female, Gait/physiology, Humans, Male, Motor Skills/physiology, Range of Motion, Articular/physiology",
author = "Rasmussen, {Helle M} and Joachim Svensson and Maria Thorning and Pedersen, {Niels W} and S{\o}ren Overgaard and Anders Holsgaard-Larsen",
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pages = "437--442",
journal = "Acta Orthopaedica (Print Edition)",
issn = "1745-3674",
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Threshold values of ankle dorsiflexion and gross motor function in 60 children with cerebral palsy : A cross-sectional study. / Rasmussen, Helle M; Svensson, Joachim; Thorning, Maria; Pedersen, Niels W; Overgaard, Søren; Holsgaard-Larsen, Anders.

I: Acta Orthopaedica (Print Edition), Bind 89, Nr. 4, 08.2018, s. 437-442.

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

TY - JOUR

T1 - Threshold values of ankle dorsiflexion and gross motor function in 60 children with cerebral palsy

T2 - A cross-sectional study

AU - Rasmussen, Helle M

AU - Svensson, Joachim

AU - Thorning, Maria

AU - Pedersen, Niels W

AU - Overgaard, Søren

AU - Holsgaard-Larsen, Anders

PY - 2018/8

Y1 - 2018/8

N2 - Background and purpose - Threshold values defining 3 categories of passive range of motion are used in the Cerebral Palsy follow-Up Program to guide clinical decisions. The aim of this study was to investigate the threshold values by testing the hypothesis that passive range of motion in ankle dorsiflexion is associated with gross motor function and that function differs between the groups of participants in each category. Patients and methods - We analyzed data from 60 ambulatory children (aged 5-9 years) with spastic cerebral palsy. Outcomes were passive range of motion in ankle dorsiflexion with flexed and extended knee and gross motor function (Gait Deviation Index, Gait Variable Score of the ankle, peak dorsiflexion during gait, 1-minute walk, Gross Motor Function Measure, the Pediatric Quality of Life Inventory Cerebral Palsy Module, and Pediatric Outcomes Data Collection Instrument). Results - Significant (p < 0.05) and moderate correlations were documented for range of motion versus Gait Variable Score of the ankle (r = -0.37 and r = -0.37) and range of motion versus peak dorsiflexion (r = 0.49 and r = 0.55). Differences between the groups formed by the categories were shown for Gait Variable Score of the ankle and peak dorsiflexion (p < 0.05). No other significant correlations or differences between the categories were observed. Interpretation - The results suggest that threshold values for ankle dorsiflexion used in the Cerebral Palsy follow-Up Program are of limited clinical value in assessing overall gross motor function, but may be used to identify deviations in ankle-specific gait function.

AB - Background and purpose - Threshold values defining 3 categories of passive range of motion are used in the Cerebral Palsy follow-Up Program to guide clinical decisions. The aim of this study was to investigate the threshold values by testing the hypothesis that passive range of motion in ankle dorsiflexion is associated with gross motor function and that function differs between the groups of participants in each category. Patients and methods - We analyzed data from 60 ambulatory children (aged 5-9 years) with spastic cerebral palsy. Outcomes were passive range of motion in ankle dorsiflexion with flexed and extended knee and gross motor function (Gait Deviation Index, Gait Variable Score of the ankle, peak dorsiflexion during gait, 1-minute walk, Gross Motor Function Measure, the Pediatric Quality of Life Inventory Cerebral Palsy Module, and Pediatric Outcomes Data Collection Instrument). Results - Significant (p < 0.05) and moderate correlations were documented for range of motion versus Gait Variable Score of the ankle (r = -0.37 and r = -0.37) and range of motion versus peak dorsiflexion (r = 0.49 and r = 0.55). Differences between the groups formed by the categories were shown for Gait Variable Score of the ankle and peak dorsiflexion (p < 0.05). No other significant correlations or differences between the categories were observed. Interpretation - The results suggest that threshold values for ankle dorsiflexion used in the Cerebral Palsy follow-Up Program are of limited clinical value in assessing overall gross motor function, but may be used to identify deviations in ankle-specific gait function.

KW - Ankle Joint/physiology

KW - Cerebral Palsy/physiopathology

KW - Child

KW - Child, Preschool

KW - Cross-Sectional Studies

KW - Female

KW - Gait/physiology

KW - Humans

KW - Male

KW - Motor Skills/physiology

KW - Range of Motion, Articular/physiology

U2 - 10.1080/17453674.2018.1456749

DO - 10.1080/17453674.2018.1456749

M3 - Journal article

C2 - 29589480

VL - 89

SP - 437

EP - 442

JO - Acta Orthopaedica (Print Edition)

JF - Acta Orthopaedica (Print Edition)

SN - 1745-3674

IS - 4

ER -