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  <doc>
    <id>2029</id>
    <completedYear>2023</completedYear>
    <publishedYear/>
    <thesisYearAccepted/>
    <language>eng</language>
    <pageFirst>88</pageFirst>
    <pageLast>96</pageLast>
    <pageNumber/>
    <edition/>
    <issue/>
    <volume>42</volume>
    <type>article</type>
    <publisherName/>
    <publisherPlace/>
    <creatingCorporation/>
    <contributingCorporation/>
    <belongsToBibliography>0</belongsToBibliography>
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    <title language="eng">Relationship between kinematic gait quality and caregiver-reported everyday mobility in children and youth with spastic Cerebral Palsy</title>
    <abstract language="eng">Background:&#13;
3D gait analysis (3DGA) is a common assessment in Cerebral Palsy (CP) to quantify the extent of movement abnormalities. Yet, 3DGA is performed in laboratories and may thus be of debatable significance to everyday life.&#13;
&#13;
Aim&#13;
The aim was to assess the relationship between kinematic gait abnormality and everyday mobility in ambulatory children and youth with spastic CP.&#13;
&#13;
Methods:&#13;
73 paediatric and juvenile patients with uni- or bilateral spastic CP (N = 21 USCP, N = 52, BSCP, age: 4–20 y, GMFCS I-III) underwent a 3DGA, while the MobQues47 Questionnaire quantified caregiver-reported mobility. We calculated the Gait Profile Score (GPS), a metric that summarizes how far the lower limb joint angles during walking deviate from those of matched controls.&#13;
&#13;
Results:&#13;
The GPS correlated well with indoor and outdoor mobility (rho = −0.69 and −0.70, both p &lt; 0.001) and the relationships were not significantly different for USCP and BSCP. Still, mobility was lower in BSCP (p &lt; 0.001) and more compromised outdoors (p = 0.002). Indoor mobility could be predicted by walking speed, GPS and age (adj. R2 = 0.62). Outdoor mobility was best predicted by walking speed and GPS (adj. R2 = 0.60). The additive explained variance by the GPS was even higher outdoors than indoors (17.1% vs. 11.4%).&#13;
&#13;
Conclusions:&#13;
Measuring movement deviations with 3DGA seems equally meaningful in uni- and bilaterally affected children and has considerable relevance for real-life ambulation, particurlarly outdoors, where children with spastic CP typically face greater difficulties. Therapeutic strategies that achieve faster walking and reduction of kinematic deviations may increase outdoor mobility.</abstract>
    <parentTitle language="eng">European Journal of Paediatric Neurology</parentTitle>
    <identifier type="url">https://doi.org/10.1016/j.ejpn.2022.11.009</identifier>
    <enrichment key="RS_Correlation">Ja</enrichment>
    <enrichment key="opus.source">publish</enrichment>
    <author>Matthias Hösl</author>
    <author>Alexander Schupfinger</author>
    <author>Luisa Klich</author>
    <author>Linda Geest</author>
    <author>Petra Bauer</author>
    <author>Michaela V. Bonfert</author>
    <author>Faik K. Afifi</author>
    <author>Sean Nader</author>
    <author>Steffen Berweck</author>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Cerebral palsy</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Mobility</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Gait analysis</value>
    </subject>
    <subject>
      <language>eng</language>
      <type>uncontrolled</type>
      <value>Gait profile score</value>
    </subject>
    <collection role="ddc" number="610">Medizin und Gesundheit</collection>
    <collection role="institutes" number="">Fakultät für Angewandte Gesundheits- und Sozialwissenschaften</collection>
    <thesisPublisher>Technische Hochschule Rosenheim</thesisPublisher>
  </doc>
</export-example>
