Background

Sensory disorders frequently accompany the motor disorders in children with cerebral palsy (CP).

Research question

Do children with CP have sensory disturbances in their lower extremities? If there are sensory impairments, do these impairments affect gait?

Methods

In total, 45 children (18 females, 27 males) in an age range between 5 and 18 years were included in the study: 15 typically developing children, 15 unilaterally affected children with cerebral palsy, and 15 bilaterally affected children with cerebral palsy. They could walk independently at the levels of I or II according to the gross motor function classification. After the demographic data of the children were recorded, their tactile sense, vibration sense, two-point discrimination, and proprioception were evaluated, and the Edinburgh Visual Gait Score (EVGS) was used for gait assessment.

Results

Failures were discovered in lower extremity tactile (p = 0.001), two-point discrimination (p = 0.001), and proprioceptive senses of the children with CP (p = 0.001), and the loss of tactile sense was found to be related to gait disorders (p = 0.02, r = 0.41).

Significance

There were deficiencies in the lower extremity senses, and deficiencies in the tactile sense negatively affected gait. Performing sensory assessments, which are considered to be fundamental for gait training in the rehabilitation of children with CP, and providing support for the lacking parameters in the intervention programs may create positive effects on gait.

中文翻译：

---

下肢感觉对脑瘫患儿步态影响的研究

背景

小儿脑性瘫痪（CP）儿童的运动障碍常伴有感觉障碍。

研究问题

CP患儿下肢是否有感觉障碍？如果存在感觉障碍，这些障碍会影响步态吗？

方法

该研究总共纳入了45位年龄在5至18岁之间的儿童（18位女性，27位男性）：15位典型的发育中儿童，15位单侧患脑瘫儿童和15位双侧患脑瘫儿童。根据总体运动功能分类，他们可以在I或II级独立行走。记录儿童的人口统计数据后，评估他们的触觉，振动感，两点歧视和本体感觉，并使用爱丁堡视觉步态评分（EVGS）进行步态评估。

结果

发现下肢触觉失败（p = 0.001），两点歧视（p = 0.001）和CP儿童的本体感觉（p = 0.001），并且触觉丧失与步态有关。疾病（p = 0.02，r = 0.41）。

意义

下肢感觉不足，而触觉感觉不足则影响步态。进行感觉评估（被认为是CP儿童康复中的步态训练的基础），并为干预计划中缺少的参数提供支持可能会对步态产生积极影响。