Gait characteristics in children with cerebral palsy

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Abstract

BACKGROUND: A diagnosis of cerebral palsy presupposes the presence of motor function impairments, among which gait disturbances play a central role. The application of three-dimensional gait analysis is limited by its high cost and technical complexity. Instrumental gait analysis using inertial sensors addresses these limitations; consequently, studying the parameters derived from this method across different forms of cerebral palsy is a relevant research objective.

AIM: To investigate gait characteristics in children with different spastic forms of cerebral palsy by instrumental gait analysis using inertial sensors and to identify key pathological patterns.

METHODS: This was an observational, single-center, retrospective, census study. This study analyzed 88 gait analysis protocols from patients with confirmed cerebral palsy, collected during initial examination at the Department of Pediatric Medical Rehabilitation of the Russian Children’s Clinical Hospital between July 2021 and November 2024.

RESULTS: Instrumental gait analysis using inertial sensors identified the most significant markers of pathological gait depending on the spastic form of cerebral palsy (hemiplegia, diplegia, and tetraplegia), including compensatory changes in the non-paretic limb in hemiplegia.

CONCLUSIONS: The identified key pathological patterns are among the most important for determining priority rehabilitation targets for individuals with different spastic forms of cerebral palsy.

About the authors

Igor O. Vedernikov

Russian Children’s Clinical Hospital — branch of the Pirogov Russian National Research Medical University

Author for correspondence.
Email: pulmar@bk.ru
ORCID iD: 0009-0006-1327-2525
SPIN-code: 5047-2594
Russian Federation, Moscow

Olga A. Laisheva

Russian Children’s Clinical Hospital — branch of the Pirogov Russian National Research Medical University; Pirogov Russian National Research Medical University

Email: olgalaisheva@mail.ru
ORCID iD: 0000-0002-8084-1277
SPIN-code: 8188-2819

MD, Dr. Sci. (Medicine), Professor

Russian Federation, Moscow; Moscow

Margarita A. Borovik

Russian Children’s Clinical Hospital — branch of the Pirogov Russian National Research Medical University; Pirogov Russian National Research Medical University

Email: a1180@rambler.ru
ORCID iD: 0009-0004-9663-4805
SPIN-code: 6307-8201
Russian Federation, Moscow; Moscow

Timofey S. Kovalchuk

Russian Children’s Clinical Hospital — branch of the Pirogov Russian National Research Medical University

Email: doctor@tim-kovalchuk.ru
ORCID iD: 0000-0002-9870-4596
Russian Federation, Moscow

Maria S. Ikonnikova

Pirogov Russian National Research Medical University

Email: Vasya_ikonnikova@mail.ru
ORCID iD: 0009-0005-1687-9026
SPIN-code: 1996-4935
Russian Federation, Moscow

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