뇌성마비 아동에서 대동작기능평가(GMFM)와 보행의 시공간적 변수와의 관계

Abstract

This paper presents the relevance between GMFM and the spatiotemporal parameters of gait in children with cerebral palsy. Twenty-one children (73.11±30.06 months) with cerebral palsy participated in thisstudy. GMFM was performed and spatiotemporal parameters of gait were measured byfoot print gait analysis. A correlation analysis was used to investigate the correlationbetween GMFM scores and spatiotemporal parameters of gait A linear regressionanalysis was employed to find how much each gait spatiotemporal parameters could bepredicted from GMFM scores. The total GMFM scores was significantly correlated withwalking speed, cadence, and stride length. Dimensions D (standing) and E (walking,Running, and jumping) were more significantly correlated with gait spatiotemporalparameters than dimensions A (lying and rolling), B(sitting), and C (crawling andkneeling). The GMFM scores were useful for predicting spatiotemporal parameters. However, it is difficult to predicts the status of gait development using GMFM scoresbecause GMFM scores and gait spatiotemporal parameters are only measured asquantities not qualities. In the field, it is easily found that many children with cerebral palsy are unable towalk in any was. Consequently, gait analysis cannot be performed in many cases. Therefore, it is more reasonable to investigate the influence of GMFM on spatiotemporalparameters, rather than vice versa.