Pre-operative walking activity in youth with cerebral palsy

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• 作者：Kristen Nicholson ; ^{Kristen.Nicholson@nemours.org} ; Nancy Lennon ; Robert Hulbert ; Chris Church ; Freeman Miller
• 关键词：Walking activity ; Per-operative ; Cerebral palsy ; StepWatch ; Ambulatory
• 刊名：Research in Developmental Disabilities
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：60
• 期：Complete
• 页码：77-82
• 全文大小：428 K
• 卷排序：60

文摘

No data are available regarding level of walking activity for youth with cerebral palsy (CP) before undergoing orthopeadic surgery. The goals of this study were to quantify pre-operative walking activity, and determine whether pre-operative values are different from previously defined levels of walking activity in youth with CP.ProceduresThis study retrospectively evaluated pre-operative walking activity in youth with spastic CP, GMFCS levels I–IV. Walking activity was monitored using the StepWatch™. Outcome variables included mean daily strides, percent of day active, and percent of active time at high activity. Differences between GMFCS levels were examined and comparisons were made to published data.ResultsPre-operative walking activity data from 126 youth with CP were included. All variables demonstrated higher walking activity in youth at GMFCS levels I/II compared to those at GMFCS levels III/IV. When compared to previously defined walking activity levels, pre-operative walking activity was lower.ConclusionsWalking activity among pre-operative youth with CP is significantly lower than published data for ambulatory youth with CP. Results suggest that youth with CP who are surgical candidates have less walking activity than youth with CP without surgical needs. Therefore this study should encourage the effort to collect and analyze individual pre-operative data for comparison and evaluation of post-operative functional recovery.