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Passive range of motion changes in young children with spastic diplegia. A study during the initial stages of

Rigas Dimakopoulos1, George Syrogiannopoulos1, Sotirios Youroukos2

  • 1Department of Pediatrics, Faculty of Medicine, University of Thessaly, Larissa, Greece.

Journal of Pediatric Rehabilitation Medicine
|June 23, 2019
PubMed

Insights

Children with Cerebral Palsy (CP) show reduced lower limb joint range of motion compared to typical development peers, regardless of walking experience. This difference is not explained by their gait pattern at walking onset.

Area of Science:

  • Pediatrics
  • Neurology
  • Physical Therapy

Background:

  • Cerebral Palsy (CP) affects motor development, influencing gait and joint mobility.
  • Independent walking is a critical milestone for children with CP, impacting their functional outcomes.
  • Passive Range of Motion (PROM) is a key indicator of joint health and mobility.

Purpose of the Study:

  • To examine the influence of initiating independent walking on lower limb joint PROM in children with CP.
  • To compare PROM changes in children with CP versus typically developing (TD) children during early walking development.

Main Methods:

  • A longitudinal study involving 16 children with CP (GMFCS levels I-II) and 16 TD children.
  • PROM of hip, knee, and ankle joints was measured at walking onset and 8 months later.
  • Repeated-measures two-way ANOVA analyzed the effects of group and walking experience on PROM.

Main Results:

  • Children with CP exhibited significantly lower PROM in all measured lower limb joints compared to TD children (p<0.05).
  • Walking experience over 8 months did not significantly alter PROM in either group.
  • No significant interaction effect was found between group and walking experience on PROM.

Conclusions:

  • The atypical gait pattern in children with CP does not significantly affect their lower limb PROM during early walking.
  • Lower PROM in children with CP compared to TD peers may stem from factors beyond gait, such as reduced voluntary movement or age.
  • Early walking in CP does not appear to exacerbate joint stiffness in the initial stages.
Abstract

Keywords:
Passive range of motioncerebral palsygaitgoniometryspasticity

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