ArticlePhysical therapy2019
Predictors of Walking Efficiency in Children With Cerebral Palsy: Lower-Body Joint Angles, Moments, and Power.
Article in Physical therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06624280 (Does Orthopedic Surgery Improve Gait Efficiency in Children With Cerebral Palsy? A Retrospective Study), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Does Orthopedic Surgery Improve Gait Efficiency in Children With Cerebral Palsy? A Retrospective Study
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Biomechanical Determinants of Change of Direction Performance: A Systematic Review.Sports medicine (Auckland, N.Z.) · 2025Pooled it
- RaceRunning training improves stamina and promotes skeletal muscle hypertrophy in young individuals with cerebral palsy.BMC musculoskeletal disorders · 2020Trial
- Predicting normative walking biomechanics across the lifespan using seven simple features.Journal of neuroengineering and rehabilitation · 2025Article
- Impact of single-event multilevel surgery on gait efficiency in children with cerebral palsy: a retrospective study.European journal of physical and rehabilitation medicine · 2025Article
- Evolution of joint power across the lifespan during walking.Journal of neuroengineering and rehabilitation · 2025Article
- Predicting Steady-State Metabolic Power in Cerebral Palsy, Stroke, and the Elderly During Walking With and Without Assistive Devices.Annals of biomedical engineering · 2025Article
- A Comparison of the Immediate Effects of Verbal and Virtual Reality Feedback on Gait in Children with Cerebral Palsy.Children (Basel, Switzerland) · 2024Article
- Physical Activity in Cerebral Palsy: A Current State Study.Healthcare (Basel, Switzerland) · 2024Article
- Factors associated with gait efficiency in children with cerebral palsy: association between gait abnormality and balance ability.Journal of physical therapy science · 2024Article
- The relation of energy cost of walking with gait deviation, asymmetry, and lower limb muscle co-activation in children with cerebral palsy: a retrospective cross-sectional study.BMC musculoskeletal disorders · 2023Article
- GMFCS Level-Specific Differences in Kinematics and Joint Moments of the Involved Side in Unilateral Cerebral Palsy.Journal of clinical medicine · 2022Article
- A Study on Physical Exercise and General Mobility in People with Cerebral Palsy: Health through Costless Routines.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPeople with cerebral palsy (CP) experience increased muscle stiffness, muscle weakness, and reduced joint range of motion. This can lead to an abnormal pattern of gait, which can increase the energy cost of walking and contribute to reduced participation in physical activity.
objectiveThe aim of the study was to examine associations between lower-body joint angles, moments, power, and walking efficiency in adolescents with CP.
designThis was a cross-sectional study.
methodsSixty-four adolescents aged 10 to 19 years with CP were recruited. Walking efficiency was measured as the net nondimensional oxygen cost (NNcost) during 6 minutes of overground walking at self-selected speed. Lower-body kinematics and kinetics during walking were collected with 3-dimensional motion analysis, synchronized with a treadmill with integrated force plates. The associations between the kinematics, kinetics, and NNcost were examined with multivariable linear regression.
resultsAfter adjusting for age, sex, and Gross Motor Function Classification System level, maximum knee extension angle (β = -0.006), hip angle at midstance (β = -0.007), and maximum hip extension (β = -0.008) were associated with NNcost. Age was a significant modifier of the association between the NNcost and a number of kinematic variables. LIMITATIONS: This study examined kinetic and kinematic variables in the sagittal plane only. A high interindividual variation in gait pattern could have influenced the results.
conclusionsReduced knee and hip joint extension are associated with gait inefficiency in adolescents with CP. Age is a significant factor influencing associations between ankle, knee, and hip joint kinematics and gait efficiency. Therapeutic interventions should investigate ways to increase knee and hip joint extension in adolescents with CP.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.