Correlation between arch height index, spatiotemporal gait parameters and plantar pressure in children with spastic hemiplegia cerebral palsy

IF 1.4 3区医学 Q4 ENGINEERING, BIOMEDICAL

Clinical Biomechanics Pub Date : 2025-09-11 DOI:10.1016/j.clinbiomech.2025.106670

Young-Hwan Kwag

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引用次数: 0

Abstract

Background

This study aimed to investigate the correlations between the arch height index (AHI), spatiotemporal gait parameters, and plantar pressure in children with spastic hemiplegic cerebral palsy.

Methods

A cross-sectional study was conducted with 15 children diagnosed with spastic hemiplegic cerebral palsy. The AHI was measured using the method developed by Williams and McClay. Spatiotemporal gait parameters were assessed using the GAITRite system, and plantar pressure was evaluated with the Dynafoot platform.

Findings

On the affected side, the AHI showed moderate positive correlations with step length (0.522) and stride length (0.529). On the non-affected side, the AHI demonstrated a moderate negative correlation with plantar pressure in the medial heel region (−0.629).

Interpretation

The findings suggest that the AHI is associated with shorter step and stride lengths and plantar pressure distribution in children with spastic hemiplegic cerebral palsy. These results support the clinical utility of AHI as an assessment tool and its potential role in guiding interventions to improve gait and foot posture in this population.

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痉挛性偏瘫脑瘫患儿足弓高度指数、时空步态参数与足底压力的相关性

本研究旨在探讨痉挛性偏瘫脑瘫患儿足弓高度指数（AHI）、时空步态参数与足底压力的相关性。方法对15例诊断为痉挛性偏瘫性脑瘫的患儿进行横断面研究。AHI测量采用Williams和McClay开发的方法。使用GAITRite系统评估时空步态参数，使用Dynafoot平台评估足底压力。患侧AHI与步长（0.522）、步长（0.529）呈中度正相关。在非受累侧，AHI与内侧跟区足底压力呈中度负相关（- 0.629）。研究结果表明，痉挛性偏瘫性脑瘫患儿的AHI与较短的步长、步幅和足底压力分布有关。这些结果支持AHI作为一种评估工具的临床应用，以及它在指导干预改善该人群步态和足部姿势方面的潜在作用。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Biomechanics 医学-工程：生物医学

CiteScore

3.30

自引率

5.60%

发文量

189

审稿时长

12.3 weeks

期刊介绍： Clinical Biomechanics is an international multidisciplinary journal of biomechanics with a focus on medical and clinical applications of new knowledge in the field. The science of biomechanics helps explain the causes of cell, tissue, organ and body system disorders, and supports clinicians in the diagnosis, prognosis and evaluation of treatment methods and technologies. Clinical Biomechanics aims to strengthen the links between laboratory and clinic by publishing cutting-edge biomechanics research which helps to explain the causes of injury and disease, and which provides evidence contributing to improved clinical management. A rigorous peer review system is employed and every attempt is made to process and publish top-quality papers promptly. Clinical Biomechanics explores all facets of body system, organ, tissue and cell biomechanics, with an emphasis on medical and clinical applications of the basic science aspects. The role of basic science is therefore recognized in a medical or clinical context. The readership of the journal closely reflects its multi-disciplinary contents, being a balance of scientists, engineers and clinicians. The contents are in the form of research papers, brief reports, review papers and correspondence, whilst special interest issues and supplements are published from time to time. Disciplines covered include biomechanics and mechanobiology at all scales, bioengineering and use of tissue engineering and biomaterials for clinical applications, biophysics, as well as biomechanical aspects of medical robotics, ergonomics, physical and occupational therapeutics and rehabilitation.