Influence of gait pattern on the body's centre of mass displacement in children with cerebral palsy.

Abstract

We assessed the influence of digitigrade gait pattern, topographical types, severity of motor involvement, and locomotor experience on the body's centre of mass (COM) displacement during gait in children with spastic cerebral palsy (CP). Three-dimensional COM displacements were computed from ground reaction forces in 51 independent digitigrade walkers (29 males, 22 females; mean age 10 years 6 months, SD 2 years 7 months, range 7 to 15 years). Results obtained from 10 participants without disabilities (five males, five females), in the same age range as the patients with CP, were used as a reference plantigrade group. Vertical and forward COM displacements were significantly different between the digitigrade and the plantigrade walkers. Neither the topographical type (quadriplegia, n=5; diplegia, n=20; right hemiplegia, n=13; left hemiplegia, n=13), nor the severity of motor involvement, nor the locomotor experience influenced COM displacements. We conclude that the COM displacement during gait in patients with CP was mainly influenced by the digitigrade gait pattern encountered in this neurological disorder rather than the different topographical types and motor involvements.