The Effect of Gender, Age and Cerebral Palsy Sub-Type on The Prevalence of Specific Gait Deviations in Cerebral Palsy Children

Abstract

Objective: to find out the effect of managerial protocols, age and gender on the prevalence of specific gait patterns among children suffering from cerebral palsy. It is expected that this study will help researchers and clinicians focus their efforts in areas that will enhance the general functioning and the gait efficiency of children suffering from cerebral palsy instead of incorporating excessive treatment options that might have little or no effect on the gait improvement of patients with cerebral palsy.Method: a descriptive design was adopted to investigate the impact of effect of gender, age and cerebral palsy sub-type on the prevalence of specific gait patterns seen in cerebral palsy patients who were currently accessing treatments between (2005)(2006)(2007)(2008)(2009)(2010)(2011)(2012)(2013)(2014)(2015) in the hospitals used and are within the age range of 4-20years.Result: a total of one hundred and forty-two cerebral palsy patient's folders were reviewed from two hospitals. Necessary information obtained were ages, type of cerebral palsy and gender of the patient, also documented was noted gait deviations. The prevalence of 12 gait abnormalities were evaluated and compared based on sub-type (Hemiplegia, Diplegia and Quadriplegia), gender and age of the patient. Stiff knee, excessive hip flexion, in-toeing were all found to be more prevalent in the whole group, while scissors gait was the less prevalent. There is a greater possibility of crouch gait, rotational mal-alignment, hip rotation in older patients, while children below the age of 0-10years were seen to have equineus and in-toeing predominantly. The major difference that was seen in the gender circle was that females are more likely to develop trendebenburg gait but less likely to have crouch gait. Conclusion:The result of this study shows that there is a significant difference in gait deviations based on gender, age and sub-type cerebral palsy classification in pediatrics. It is expected that this study will help researchers and clinicians focus their efforts in areas that will enhance the general functioning and the gait efficiency of children suffering from cerebral palsy instead of incorporating excessive treatment options that might have little or no effect on the gait improvement of patients with cerebral palsy. It is also hoped that the result of this study will be useful when counseling patients and parents about the potential ramifications for their children.

Cerebral palsy and sex differences in children: A narrative review of the literature

“…These sex differences should be considered by the therapists to determine the best integrated multifactor therapeutic approach (Kara et al, 2020;Ugorji et al, 2019) and to guide clinicians to identify children who may be at risk of reduced physical activity (Mitchell et al, 2015).…”

“…Females are more likely to develop Trendelenburg gait but less likely to have crouch gait (Ugorji et al, 2019). Ramstad et al, 2011;Reid et al, 2018;Rethlefsen et al, 2015;Romeo et al, 2010;Romeo, Brogna, Quintiliani, et al, 2014;Sellier et al, 2012;Worley et al, 2002;Zelnik et al, 2010).…”

“…In 2016, our research group published a review on sex differences in CP on neuromotor outcome (Romeo et al, 2016), including studies on different motor function aspects (Bania et al, 2014; Begum et al, 2019; Chounti et al, 2013; Kara et al, 2020; Lauruschkus et al, 2013; Mitchell et al, 2015; Pfeifer et al, 2009; Romeo et al, 2010; Ugorji et al, 2019; Van Eck et al, 2008), specific forms of CP (Pfeifer et al, 2009; Chounti et al, 2013; Romeo et al, Westbom et al, 2007; Himmelmann et al, 2009; Klingels et al, 2012; Sakzewski et al, 2010; Gough et al, 2008; Maher et al, 2008), and others without details on the levels of motor function or type of CP (Chen, Chen, et al, 2013; Chen, Hsu, et al, 2013; McCoy et al, 2012; McCoy et al, 2014; Wu et al, 2015).…”

“…Females are more likely to develop Trendelenburg gait but less likely to have crouch gait (Ugorji et al, 2019).…”

Studi Deskriptif Motorik Kasar Anak Cerebral Palsy

“…Hasil tersebut sesuai dengan penelitian oleh MacLennan dan Thompson (2015) yang menyatakan bahwa anak laki-laki memiliki proporsi yang lebih besar untuk terjadi CP dibandingkan dengan anak perempuan. Tetapi secara spesifik, kejadian CP tidak secara langsung berhubungan dengan jenis kelamin anak (Ugorji et al, 2019).…”