The Relevance Between Gross Motor Function Measurement (GMFM) and the Spatiotemporal Parameters of Gait in Children With Cerebral Palsy

뇌성마비 아동에서 대동작기능평가(GMFM)와 보행의 시공간적 변수와의 관계

  • Lee, Jung-Lim (Dept. of Rehabilitation Medicine, Chungnam National University Hospital) ;
  • Cho, Sang-Hyun (Dept. of Rehabilitation Therapy, College of Health Science, Yonsei University Institute of Health Science, Yonsei University) ;
  • Kwon, Oh-Yun (Dept. of Rehabilitation Therapy, College of Health Science, Yonsei University Institute of Health Science, Yonsei University) ;
  • Lee, Young-Hui (Dept. of Rehabilitation Medicine, Wonju Christian Hospital Wonju College of Medicine, Yonsei University)
  • 이정림 (충남대학교병원 재활의학과) ;
  • 조상현 (연세대학교 보건과학대학 재활학과 및 보건과학연구소) ;
  • 권오윤 (연세대학교 보건과학대학 재활학과 및 보건과학연구소) ;
  • 이영희 (연세대학교 원주의과대학 재활의학교실)
  • Published : 2001.02.19

Abstract

This paper presents the relevance between GMFM and the spatiotemporal parameters of gait in children with cerebral palsy. Twenty-one children ($73.11{\pm}30.06$ months) with cerebral palsy participated in this study. GMFM was performed and spatiotemporal parameters of gait were measured by foot print gait analysis. A correlation analysis was used to investigate the correlation between GMFM scores and spatiotemporal parameters of gait. A linear regression analysis was employed to find how much each gait spatiotemporal parameters could be predicted from GMFM scores. The total GMFM scores was significantly correlated with walking speed, cadence, and stride length. Dimensions D (standing) and E (walking, running, and jumping) were more significantly correlated with gait spatiotemporal parameters than dimensions A (lying and rolling), B (sitting), and C (crawling and kneeling). The GMFM scores were useful for predicting spatiotemporal parameters. However, it is difficult to predict the status of gait development using GMFM scores because GMFM scores and gait spatiotemporal parameters are only measured as quantities not qualities. In the field, it is easily found that many children with cerebral palsy are unable to walk in any way. Consequently, gait analysis cannot be performed in many cases. Therefore, it is more reasonable to investigate the influence of GMFM on spatiotemporal parameters, rather than vice versa.

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