Validity of the Kinematic Classification of Gait in Diplegic Children With Cerebral Palsy (CP)

Validity of the Kinematic Classification of Gait in Diplegic Children With Cerebral Palsy

In recent years Ferrari et al. proposed a new classification of gait in diplegic children with spastic diplegia that describes four different patterns of gait by analyzing the strategies that each children adopts to need his/her needs to walk. The investigators believe that this classification provides the clinician with clinically meaningful information in terms of coping strategies adopted to maximize the ability to walk.

The aim of this study is to determine the criterion validity of the new classification of the pattern of gait in children with spastic diplegia by correlating pattern of diplegic gait with the score of the Functional performance measure.

Study Overview

• Status: Completed
• Conditions: Cerebral Palsy; Diplegia, Spastic
• Intervention / Treatment: Other: classification of gait in diplegic children with CP

• Study Type: Observational
• Enrollment (Actual): 86

Contacts and Locations

Study Locations

• Italy
  • RE
    • Reggio Emilia, RE, Italy, 42100
      • Arcispedale Santa Maria Nuova

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 8 years to 13 years (Child)
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

We retrospectively studied children with diplegia and CP who are followed by the Unit for Severe Disability in the Developmental Age at the Hospital of Reggio Emilia (Italy);

Description

Inclusion Criteria:

• diplegia and CP;

Exclusion Criteria:

• severe mental retardation attested by the Diagnostic and Statistical Manual of mental disorders IV
• pharmaco-resistant epilepsy
• behavioural disorders

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Retrospective

Number of groups / cohorts

1

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
spastic diplegia due to Cerebral Palsy	Other: classification of gait in diplegic children with CP; To determine the criterion validity of the classification of the pattern of diplegic gait proposed by Ferrari et al. we correlated gait patterns with the score of the FMS.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Functional Mobility Scale (FMS)	correlation between the new classification of diplegic gait and the FMS which classifies the functional mobility in children	at the age of 12 to 17 years

Collaborators and Investigators

• Sponsor: University of Modena and Reggio Emilia
• Collaborators: Arcispedale Santa Maria Nuova-IRCCS
• Investigators: Study Director: Stefania Costi, PT, University of Modena and Reggio Emilia; Principal Investigator: Rita Neviani, PT, Arcispedale Santa Maria Nuova-IRCCS

Publications and helpful links

General Publications

• Pascale R, Perazza S, Borelli G, Bianchini E, Alboresi S, Paolicelli PB, Ferrari A, Cioni G. The term diplegia should be enhanced. Part III: inter-observer reliability of the new rehabilitation oriented classification. Eur J Phys Rehabil Med. 2008 Jun;44(2):213-20.
• Cioni G, Lodesani M, Pascale R, Coluccini M, Sassi S, Paolicelli PB, Perazza S, Ferrari A. The term diplegia should be enhanced. Part II: contribution to validation of the new rehabilitation oriented classification. Eur J Phys Rehabil Med. 2008 Jun;44(2):203-11.
• Ferrari A, Alboresi S, Muzzini S, Pascale R, Perazza S, Cioni G. The term diplegia should be enhanced. Part I: a new rehabilitation oriented classification of cerebral palsy. Eur J Phys Rehabil Med. 2008 Jun;44(2):195-201.

Study record dates

Study Major Dates

• Study Start: April 1, 2010
• Primary Completion (Actual): September 1, 2010
• Study Completion (Actual): November 1, 2010

Study Registration Dates

• First Submitted: July 6, 2010
• First Submitted That Met QC Criteria: July 7, 2010
• First Posted (Estimate): July 8, 2010

Study Record Updates

• Last Update Posted (Estimate): June 27, 2014
• Last Update Submitted That Met QC Criteria: June 26, 2014
• Last Verified: June 1, 2014

More Information

Terms related to this study

• Keywords: gait; Cerebral palsy; classification; diplegia
• Additional Relevant MeSH Terms: Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Neurologic Manifestations; Brain Damage, Chronic; Cerebral Palsy; Paralysis
• Other Study ID Numbers: UDGEE_2010_classdipl