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The Problem

More than 80,000 patients with cerebral palsy exhibit scisoor gait, which is a form of gait disorder charcterized by crossing of the legs while walking

Scissor Gait...

  • Increases gait instability

  • icreases incidences of falling

  • Is linked to muscle weakness

  • Causes higher walking expenditure

We narrowed the target population to children, ages 5-18, because gait correction should have a greater impact on the still-forming bone and joint structures of children. 

The focus of our project is on childrenwith GMFCS levels I to III who have independent ambulatory abilities with or without assitive devices.

Figure 2: The Gross Motor Function Measure Classification System (GMFCS) : a 5-level classification system that is used to categorize the severity of gross motor dysfunction of children and young adults with cerebral palsy. Reproduced from BC Children’s Hospital (2015).

 

The Motivation

The drive for our project comes from the need to reduce crossing of the legs caused by scissor gait in order to improve balance, which allows for greater independence and increased participation in daily activities.

Citations:

1. Arneson, C. L., 2009, Disability and Health Journal, 2 (1), 45-48, Prevalence of Cerebral Palsy: Autism and Developmental Disabilities Monitoring Network, Three Sites, United States, 2004

2. Zelnik, N. et al. 2010, Eur J Paediatr Neurol. 14 (1), 67-72, Risk factors for epilepsy in children with cerebral palsy

3. Nielsen, J.B. 2003, The Neuroscientist, 9, (3), 195 - 204, How We Walk: Central Control of Muscle Activity during Human Walking

4. Calley, A. et al. 2012, Disability & Rehabilitation, 34 (15), 1306 - 1310, A comparison of activity, participation and quality of life in children with and without spastic diplegia cerebral palsy

5. Rose, J. et al. 1990, Developmental Medicine and Child Neurology, 32, 333 - 340, Energy expenditure index of walking for normal children and for children with cerebral palsy

6. Willacy, H. 2014, Patient Web Site, http://patient.info/doctor/abnormal-gait  Last Checked:12/08/2014, Abnormal Gait

7. Givon, U. 2009. Acta Orthop Traumatol Turc. Mar-Apr;43 (2):87-93, Muscle weakness in cerebral palsy.

8. Schotles, V. et al. 2008, BMC Pediatrics 2008, 8:41, Lower limb strength training in children with cerebral palsy – a randomized controlled trial protocol for functional strength training based on progressive resistance exercise principles

9. Palisona, R., et al. 1997, Developmental Medicine and Child Neurology, 39 214-223, Development and reliability of a system, to classify gross motor function in children with cerebral palsy

10. Nelson, K. B. & Grether, J. K. 1999, Curr Opin Pediatr., 11 (6), 487 - 491, Causes of cerebral palsy

11. Morgan, P., et al. 2015, Rehabilitation research and Practice, Perceived Cause, Environmental Factors, and Consequences of Falls in Adults with Cerebral Palsy: A Preliminary Mixed Methods Study

12. Talbot, L, et al. 2005 BMC Public Health, vol. 5, article 86, Falls in young, middle-aged and older community dwelling adults:perceived cause, environmental factors and injury

13. Opheim, A. , et al. 2012, Physical Therapy, vol. 92, no. 2, pp. 279–288, Balance in relation to walking deterioration in adults with spastic bilateral cerebral palsy

14. Odding, E. et al. 2009, Disability and Rehabilitation, 28 4,183-191, The epidemiology of cerebral palsy: Incidence, impairments and risk factors

15. Oskoui, M. et al. 2013, Developmental Medicine & Child Neurology, 55 509 - 519, An update on the prevalence of cerebral palsy: a systematic review and meta-analysis

16. Maher, C. A. et al. 2008, International Journal of Rehabilitation Research, 31, 185 - 188, The six-minute walk test for children with cerebral palsy

17. Allard USA, Inc. SWASH clinic manual. USA: Allard USA, Inc.

 

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