Gait pathology subtypes are not associated with self-reported fall frequency in children with cerebral palsy

Gait & Posture
Elizabeth R Boyer, Aleksys Patterson

Abstract

Trips and falls are common concerns reported by parents of children with cerebral palsy. Specific gait pathologies (excessive internal hip rotation, intoeing, and stiff knee gait) are anecdotally associated with higher rates of falls. Is fall frequency higher for the aforementioned gait pathologies? Parent-reported fall frequency from 1063 children with cerebral palsy who also had a three-dimensional gait analysis was retrospectively reviewed. Frequency of 10 common gait pathologies was determined and fall frequency for the gait pathologies of interest were compared to matched control groups. Possible effects of Gross Motor Functional Classification System (GMFCS) level and age on fall frequency were also assessed and matched in the control group, as appropriate. In general, parent-reported fall frequency increased from GMFCS level I to II and then decreased until level IV. Moreover, younger children tended to report greater fall frequency, though children who reported never falling were of similar age as those who reported weekly falls, resulting in an inverted-U shaped relationship. Children with cerebral palsy who walked with excessive internal hip rotation, excessive intoeing, or stiff knee gait did not report increased fal...Continue Reading

Citations

Mar 4, 2020·Developmental Medicine and Child Neurology·Jeremy R CrenshawChristopher M Modlesky
Dec 11, 2019·Journal of Pediatric Orthopedics·Eliza PelrineElizabeth Boyer
Mar 28, 2020·Disability and Rehabilitation·Daniel TopleyClaire Kerr
Jun 6, 2020·Journal of Pediatric Orthopedics·Eliza PelrineElizabeth Boyer
Jun 22, 2019·Gait & Posture·James B TracyJeremy R Crenshaw
Jul 1, 2021·Annals of Biomedical Engineering·Taryn A HarveyZachary F Lerner
Mar 26, 2021·Physical Therapy·Jennifer A Nelson, Elizabeth R Boyer
Sep 18, 2021·Developmental Medicine and Child Neurology·Elizabeth R BoyerJean L Stout
Sep 26, 2021·Prosthetics and Orthotics International·Tobias GoihlSiri Merete Brændvik

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