DOS 2017

204

· DOS Abstracts

The clinical use of cut-off points in range of motion of

the lower extremities and the association with gait sum-

mary measures in children with cerebral palsy

Joachim Svensson, Helle Mätzke Rasmussen, Nis Nissen, Anders Holsgaard-Lars-

Orthopaedic Research Unit, Department of Orthopaedics and Traumatology,

Odense University Hospital, Institute of Clinical Research, University of South-

ern Denmark; Orthopaedic Research Unit, Department of Orthopaedics and

Traumatology, Odense University Hospital, Institute of Clinical Research, Uni-

versity of Southern Denmark; Department of Orthopaedics, Lillebaelt Hospital,

Kolding; Orthopaedic Research Unit, Department of Orthopaedics and Trauma-

tology, Odense University Hospital, Institute of Clinical Research, University of

Southern Denmark

Background:

Critical threshold values of range of motion (ROM) during clinical

examinations of children with cerebral palsy (CP) have been implemented by

the Danish Cerebral Palsy Follow-up Program (CPOP) for the purpose of early

detection of restricted movements of joints and potential intervention.

Purpose / Aim of Study:

The aim of the present study was to test the hy-

pothesis that ROMmeasures in children with CP were associated with gait func-

tion by means of Gait Profile Score (GPS) and Gait Variable Score (GVS), and

to determine if ROM threshold values (red, yellow and green), influences gait

function.

Materials and Methods:

60 children with CP classified in GMFCS I- II, age

5-9 years, were included. Clinical examination of ROM of lower extremities was

performed according to procedures described by CPOP. Gait summary measures

(GPS and GVS), calculated through 3-dimensional gait analysis, were collected

at baseline from the CPinMOTION trial (ClinicalTrials.gov: NCT02160457).

Findings / Results:

Overall, the children demonstrated impaired gait function

(GPS: 10.5, IQR: 8.2-11.7). Weak associations were found between GVS and

ROM measures of clinical examination (r2= 0.19-0.25, p<0.05). Multiple re-

gression combining ROM of knee extension, hip extension and hip external ro-

tation explained 10.5 % of variance in gait. Differences in GVS between ROM

categories red vs. green were demonstrated in hip extension (p<0.05) and ankle

dorsiflexion with extended knee (p<0.05).

Conclusions:

Clinical examination of ROM demonstrated weak association with

gait summary measures in the present group of children with CP. Distinction of

the thresholds of ROM categories and the association with gait function may

be questioned and needs further examination, as an indication for intervention.

No conflicts of interest reported

156.