Correlación de patrones de marcha de marcha en diplejía espástica con pruebas funcionales en una muestra de pacientes con parálisis cerebral en la ciudad de Bogotá

dc.contributor.advisorOrtiz Corredor, Fernandospa
dc.contributor.advisorMendoza Pulido, Juan Camilospa
dc.contributor.authorOrozco Higuera, Nelson Fabiánspa
dc.contributor.researchgroupCIFEL Centro de Investigación en Fisiatría y Electrodiagnósticospa
dc.date.accessioned2021-02-06T03:39:42Zspa
dc.date.available2021-02-06T03:39:42Zspa
dc.date.issued2020-12-16spa
dc.description.abstractCerebral palsy (CP) is the most common cause of physical disability that affects children in developed countries, and its prevalence is increasing due to technological advances and medical care that allow the management of comorbidities. Gait disturbances are a frequent reason for consultation and involve decision-making about medical and / or surgical treatment. Objective: To determine the correlation between the gait patterns in CP type spastic diplegia according to Rodda, using the plantarflexor–knee extension couple index and different functional tests. : Retrospective, descriptive study . The results of Roosevelt Institute gait laboratory were taken from children with a diagnosis of spastic diplegia aged 4 to 17 years. The plantarflexor–knee extension couple index was calculated using a mathematical algorithm for each lower limb, classifying the gait pattern according to Rodda. 173 patients were selected with the same defined gait pattern in both limbs. Using statistical methods, the correlation of these patterns with the performance of functional tests and the GDI was determined. Results: The crouching gait pattern was the most frequent (60.7%). No correlation was obtained between gait pattern and the functional tests studied. A correlation was found with the GDI and the GMFCS level and functional tests analyzed. Within the crouch gait group, an inverse relationship was found between the 6-minute walking distance and the dPFKE. Conclusions: The Rodda's gait patterns classification in patients with CP spastic diplegia, using the PFKE index, did not show a correlation with the result of the physical capacity and performance tests evaluated, which suggests that they do not have a functional significance.spa
dc.description.abstractLa parálisis cerebral (PC) es la causa más común de discapacidad física que afecta a niños en países desarrollados y cursa con una prevalencia en aumento por los avances tecnológicos y cuidados médicos que permiten el manejo de comorbilidades. Las alteraciones de la marcha son un motivo de consulta frecuente e implican la toma de decisiones sobre tratamiento médico y/o quirúrgico. Objetivo: Determinar la correlación entre los patrones de marcha en PC tipo diplejía espástica según Rodda, utilizando el índice de acoplamiento (flexión plantar- extensión de rodilla) y diferentes pruebas funcionales. Materiales y metodología: Estudio retrospectivo, descriptivo. Se tomaron los resultados del laboratorio de marcha del Instituto Roosevelt, de niños con diagnóstico de diplejía espástica de 4 a 17 años. Se calculó el índice de acoplamiento (flexión plantar-extensión de rodilla) utilizando un algoritmo matemático para cada extremidad inferior, clasificando el patrón de marcha de acuerdo a Rodda. Se seleccionaron 173 pacientes con el mismo patrón de marcha definido en ambas extremidades. Utilizando métodos estadísticos se determinó la correlación de estos patrones con el rendimiento pruebas funcionales y el GDI. Resultados: El patrón de marcha agazapado fue el más frecuente con el 60,7%. No se obtuvo una correlación entre el tipo de marcha y las pruebas funcionales estudiadas. Se encontró una correlación con el nivel GDI y el nivel GMFCS y pruebas funcionales analizadas. Dentro del grupo de marcha agazapada se encontró una relación inversa entre la distancia de marcha en 6 minutos y la distancia dPFKE. Conclusiones: La clasificación de los patrones de marcha de Rodda en pacientes con PC diplejía espástica, utilizando el índice PFKE, no mostró una correlación con el resultado de las pruebas de capacidad física y desempeño evaluadas, lo que sugiere que no tienen un significado funcional.spa
dc.description.additionalLínea de investigación: Rehabilitación en Parálisis Cerebral.spa
dc.description.degreelevelEspecialidades Médicasspa
dc.format.extent65spa
dc.format.mimetypeapplication/pdfspa
dc.identifier.citationOrozco Higuera, N. F. (2020). Correlación de patrones de marcha de marcha en diplejía espástica con pruebas funcionales en una muestra de pacientes con parálisis cerebral en la ciudad de Bogotá [Tesis de especialidad, Universidad Nacional de Colombia]. Repositorio Institucional.spa
dc.identifier.urihttps://repositorio.unal.edu.co/handle/unal/79100
dc.language.isospaspa
dc.publisher.branchUniversidad Nacional de Colombia - Sede Bogotáspa
dc.publisher.programBogotá - Medicina - Especialidad en Medicina Física y Rehabilitaciónspa
dc.relation.referencesÁlvarez, L. M. O., Universidad Nacional de Colombia, Castro, D. C. H., Valencia, D. V., Universidad Nacional de Colombia, & Universidad Nacional de Colombia. (2016). Valores de referencia del test de marcha en 6 minutos para niños y adolescentes sanos colombianos de 7 a 17 años de edad. In Revista Colombiana de Médicina Física y Rehabilitación (Vol. 26, Issue 1, pp. 19–29). https://doi.org/10.28957/rcmfr.v26n1a2spa
dc.relation.referencesAmichai, T., Harries, N., Dvir, Z., Patish, H., & Copeliovitch, L. (2009). The effects of femoral derotation osteotomy in children with cerebral palsy: an evaluation using energy cost and functional mobility. Journal of Pediatric Orthopedics, 29(1), 68–72.spa
dc.relation.referencesAmmann‐Reiffer, C., Bastiaenen, C. H. G., & Van Hedel, H. J. A. (2019). Measuring change in gait performance of children with motor disorders: assessing the Functional Mobility Scale and the Gillette Functional Assessment Questionnaire walking scale. In Developmental Medicine & Child Neurology (Vol. 61, Issue 6, pp. 717–724). https://doi.org/10.1111/dmcn.14071spa
dc.relation.referencesATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. (2002). ATS statement: guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 166(1), 111–117.spa
dc.relation.referencesBarnes, D., Linton, J. L., Sullivan, E., Bagley, A., Oeffinger, D., Abel, M., Damiano, D., Gorton, G., Nicholson, D., Romness, M., Rogers, S., & Tylkowski, C. (2008). Pediatric outcomes data collection instrument scores in ambulatory children with cerebral palsy: an analysis by age groups and severity level. Journal of Pediatric Orthopedics, 28(1), 97–102.spa
dc.relation.referencesBecher, J. G. (2002). Pediatric Rehabilitation in Children with Cerebral Palsy: General Management, Classification of Motor Disorders. In JPO Journal of Prosthetics and Orthotics (Vol. 14, Issue 4, pp. 143–149). https://doi.org/10.1097/00008526-200212000-00004spa
dc.relation.referencesBell, K. J., Õunpuu, S., DeLuca, P. A., & Romness, M. J. (2002). Natural Progression of Gait in Children With Cerebral Palsy. In Journal of Pediatric Orthopaedics (Vol. 22, Issue 5, pp. 677–682). https://doi.org/10.1097/01241398-200209000-00020spa
dc.relation.referencesButland, R. J., Pang, J., Gross, E. R., Woodcock, A. A., & Geddes, D. M. (1982). Two-, six-, and 12-minute walking tests in respiratory disease. British Medical Journal , 284(6329), 1607–1608.spa
dc.relation.referencesButler, P., Engelbrecht, M., Major, R. E., Tait, J. H., Stallard, J., & Patrick, J. H. (1984). Physiological cost index of walking for normal children and its use as an indicator of physical handicap. Developmental Medicine and Child Neurology, 26(5), 607–612.spa
dc.relation.referencesDamiano, D. L., & Abel, M. F. (2008). Relation Of Gait Analysis To Gross Motor Function In Cerebral Palsy. In Developmental Medicine & Child Neurology (Vol. 38, Issue 5, pp. 389–396). https://doi.org/10.1111/j.1469-8749.1996.tb15097.xspa
dc.relation.referencesDavids, J. R., Cung, N. Q., Chen, S., Sison-Williamson, M., & Bagley, A. M. (2019). Control of Walking Speed in Children With Cerebral Palsy. In Journal of Pediatric Orthopaedics (Vol. 39, Issue 8, pp. 429–435). https://doi.org/10.1097/bpo.0000000000000978spa
dc.relation.referencesDomagalska, M., Szopa, A., Syczewska, M., Pietraszek, S., Kidoń, Z., & Onik, G. (2013). The relationship between clinical measurements and gait analysis data in children with cerebral palsy. Gait & Posture, 38(4), 1038–1043.spa
dc.relation.referencesFilho, M. C. de M., de Morais Filho, M. C., Kawamura, C. M., Lopes, J. A. F., Neves, D. L., de Oliveira Cardoso, M., & Caiafa, J. B. (2014). Most frequent gait patterns in diplegic spastic cerebral palsy. In Acta Ortopédica Brasileira (Vol. 22, Issue 4, pp. 197–201). https://doi.org/10.1590/1413-78522014220400942spa
dc.relation.referencesFitzgerald, D., Hickey, C., Delahunt, E., Walsh, M., & OʼBrien, T. (2016). Six-Minute Walk Test in Children With Spastic Cerebral Palsy and Children Developing Typically. Pediatric Physical Therapy: The Official Publication of the Section on Pediatrics of the American Physical Therapy Association, 28(2), 192–199.spa
dc.relation.referencesFolle, M. R., Tedesco, A. P., & Nicolini-Panisson, R. D´. (2016). CORRELATION BETWEEN VISUAL GAIT ANALYSIS AND FUNCTIONAL ASPECTS IN CEREBRAL PALSY. In Acta Ortopédica Brasileira (Vol. 24, Issue 5, pp. 259–261). https://doi.org/10.1590/1413-785220162405162986spa
dc.relation.referencesGraham, H. K., Kerr Graham, H., & Selber, P. (2008). Local and distant effects of isolated calf muscle lengthening in children with cerebral palsy and equinus gait. Lofterød B, Terjesen T. Journal of Children’s Orthopaedics 2008;1:55–62. In Journal of Children’s Orthopaedics (Vol. 2, Issue 4, pp. 321–322). https://doi.org/10.1007/s11832-008-0116-yspa
dc.relation.referencesGraham, H. K., & Selber, P. (2003). MUSCULOSKELETAL ASPECTS OF CEREBRAL PALSY. In The Journal of Bone and Joint Surgery. British volume (Vol. 85-B, Issue 2, pp. 157–166). https://doi.org/10.1302/0301-620x.85b2.14066spa
dc.relation.referencesGünel, M. K., Tarsuslu, T., Mutlu, A., & Livanelioğlu, A. (2010). Investigation of interobserver reliability of the Gillette Functional Assessment Questionnaire in children with spastic diparetic cerebral palsy. Acta Orthopaedica et Traumatologica Turcica, 44(1), 63–69.spa
dc.relation.referencesJohnson, D. C., Damiano, D. L., & Abel, M. F. (1997). The evolution of gait in childhood and adolescent cerebral palsy. Journal of Pediatric Orthopedics, 17(3), 392–396.spa
dc.relation.referencesKlepper, S. E. (2011). Measures of pediatric function: Child Health Assessment Questionnaire (C-HAQ), Juvenile Arthritis Functional Assessment Scale (JAFAS), Pediatric Outcomes Data Collection Instrument (PODCI), and Activities Scale for Kids (ASK). In Arthritis Care & Research (Vol. 63, Issue S11, pp. S371–S382). https://doi.org/10.1002/acr.20635spa
dc.relation.referencesMaher, C. A., Williams, M. T., & Olds, T. S. (2008). The six-minute walk test for children with cerebral palsy. In International Journal of Rehabilitation Research (Vol. 31, Issue 2, pp. 185–188). https://doi.org/10.1097/mrr.0b013e32830150f9spa
dc.relation.referencesMylius, C. F., Paap, D., & Takken, T. (2016). Reference value for the 6-minute walk test in children and adolescents: a systematic review. Expert Review of Respiratory Medicine, 10(12), 1335–1352.spa
dc.relation.referencesNoorkoiv, M., Lavelle, G., Theis, N., Korff, T., Kilbride, C., Baltzopoulos, V., Shortland, A., Levin, W., & Ryan, J. M. (2019). Predictors of Walking Efficiency in Children With Cerebral Palsy: Lower-Body Joint Angles, Moments, and Power. Physical Therapy, 99(6), 711–720.spa
dc.relation.referencesNovacheck, T. F., Stout, J. L., & Tervo, R. (2000). Reliability and validity of the Gillette Functional Assessment Questionnaire as an outcome measure in children with walking disabilities. Journal of Pediatric Orthopedics, 20(1), 75–81.spa
dc.relation.referencesOdding, E., Roebroeck, M. E., & Stam, H. J. (2006). The epidemiology of cerebral palsy: incidence, impairments and risk factors. Disability and Rehabilitation, 28(4), 183–191.spa
dc.relation.referencesOrtíz, F. (2017). Texto de Medicina Física y Rehabilitación. Editorial El Manual Moderno Colombia S.A.S. O’Sullivan, R., Horgan, F., O’Brien, T., & French, H. (2018). The natural history of crouch gait in bilateral cerebral palsy: A systematic review. Research in Developmental Disabilities, 80, 84–92.spa
dc.relation.referencesRodda, J., & Graham, H. K. (2001). Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm. European Journal of Neurology: The Official Journal of the European Federation of Neurological Societies, 8 Suppl 5, 98–108.spa
dc.relation.referencesRodda, J. M., Graham, H. K., Carson, L., Galea, M. P., & Wolfe, R. (2004). Sagittal gait patterns in spastic diplegia. The Journal of Bone and Joint Surgery. British Volume, 86(2), 251–258.spa
dc.relation.referencesRomei, M., Galli, M., Motta, F., Schwartz, M., & Crivellini, M. (2004). Use of the normalcy index for the evaluation of gait pathology. In Gait & Posture (Vol. 19, Issue 1, pp. 85–90). https://doi.org/10.1016/s0966-6362(03)00017-1spa
dc.relation.referencesRose, J., Gamble, J. G., Burgos, A., Medeiros, J., & Haskell, W. L. (2010). ENERGY EXPENDITURE INDEX OF WALKING FOR NORMAL CHILDREN AND FOR CHILDREN WITH CEREBRAL PALSY. In Developmental Medicine & Child Neurology (Vol. 32, Issue 4, pp. 333–340). https://doi.org/10.1111/j.1469-8749.1990.tb16945.xspa
dc.relation.referencesRosenbaum, P. L., Palisano, R. J., Bartlett, D. J., Galuppi, B. E., & Russell, D. J. (2008). Development of the Gross Motor Function Classification System for cerebral palsy. Developmental Medicine and Child Neurology, 50(4), 249–253.spa
dc.relation.referencesRozumalski, A., & Schwartz, M. H. (2009). Crouch gait patterns defined using k-means cluster analysis are related to underlying clinical pathology. Gait & Posture, 30(2), 155–160.spa
dc.relation.referencesRozumalski, A., & Schwartz, M. H. (2011). The GDI-Kinetic: a new index for quantifying kinetic deviations from normal gait. Gait & Posture, 33(4), 730–732.spa
dc.relation.referencesSaad, H. B., Ben Saad, H., Prefaut, C., Missaoui, R., Mohamed, I. H., Tabka, Z., & Hayot, M. (2009). Reference equation for 6-min walk distance in healthy North African children 6-16 years old. In Pediatric Pulmonology (Vol. 44, Issue 4, pp. 316–324). https://doi.org/10.1002/ppul.20942spa
dc.relation.referencesSangeux, M., Rodda, J., & Graham, H. K. (2015). Sagittal gait patterns in cerebral palsy: the plantarflexor-knee extension couple index. Gait & Posture, 41(2), 586–591.spa
dc.relation.referencesSchwartz, M. H., & Rozumalski, A. (2008). The gait deviation index: A new comprehensive index of gait pathology. In Gait & Posture (Vol. 28, Issue 3, pp. 351–357). https://doi.org/10.1016/j.gaitpost.2008.05.001spa
dc.relation.referencesStavsky, M., Mor, O., Mastrolia, S. A., Greenbaum, S., Than, N. G., & Erez, O. (2017). Cerebral Palsy-Trends in Epidemiology and Recent Development in Prenatal Mechanisms of Disease, Treatment, and Prevention. Frontiers in Pediatrics, 5, 21.spa
dc.relation.referencesSutherland, D. H., & Davids, J. R. (1993). Common gait abnormalities of the knee in cerebral palsy. Clinical Orthopaedics and Related Research, 288, 139–147.spa
dc.relation.referencesWinters, T. F., Jr, Gage, J. R., & Hicks, R. (1987). Gait patterns in spastic hemiplegia in children and young adults. The Journal of Bone and Joint Surgery. American Volume, 69(3), 437–441.spa
dc.relation.referencesWong, M. A., Simon, S., & Olshen, R. A. (1983). Statistical analysis of gait patterns of persons with cerebral palsy. Statistics in Medicine, 2(3), 345–354.spa
dc.relation.referencesWren, T. A. L., Sheng, M., Bowen, R. E., Scaduto, A. A., Kay, R. M., Otsuka, N. Y., Hara, R., & Chan, L. S. (2008). Concurrent and Discriminant Validity of Spanish Language Instruments for Measuring Functional Health Status. In Journal of Pediatric Orthopaedics (Vol. 28, Issue 2, pp. 199–212). https://doi.org/10.1097/bpo.0b013e318165216dspa
dc.relation.referencesYokochi, K. (2001). Gait patterns in children with spastic diplegia and periventricular leukomalacia. Brain & Development, 23(1), 34–37.spa
dc.rightsDerechos reservados - Universidad Nacional de Colombiaspa
dc.rights.accessrightsinfo:eu-repo/semantics/openAccessspa
dc.rights.licenseAtribución-NoComercial-SinDerivadas 4.0 Internacionalspa
dc.rights.spaAcceso abiertospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/spa
dc.subject.ddc616 - Enfermedadesspa
dc.subject.proposalRodda classificationeng
dc.subject.proposalPatrones de marchaspa
dc.subject.proposalGait patternseng
dc.subject.proposalParálisis cerebralspa
dc.subject.proposalClasificación de Roddaspa
dc.subject.proposalCerebral palsyeng
dc.subject.proposalÍndice de acoplamiento rodilla-tobillospa
dc.subject.proposalGait deviation indexeng
dc.subject.proposalÍndice desviación de la marchaspa
dc.subject.proposalKnee-ankle couple indexeng
dc.titleCorrelación de patrones de marcha de marcha en diplejía espástica con pruebas funcionales en una muestra de pacientes con parálisis cerebral en la ciudad de Bogotáspa
dc.title.alternativeCorrelation of gait patterns in spastic diplegia with functional tests in a sample of patients with Cerebral Palsy in Bogotáspa
dc.typeTrabajo de grado - Especialidad Médicaspa
dc.type.coarhttp://purl.org/coar/resource_type/c_bdccspa
dc.type.coarversionhttp://purl.org/coar/version/c_ab4af688f83e57aaspa
dc.type.contentTextspa
dc.type.driverinfo:eu-repo/semantics/masterThesisspa
dc.type.versioninfo:eu-repo/semantics/acceptedVersionspa
oaire.accessrightshttp://purl.org/coar/access_right/c_abf2spa

Archivos

Bloque original

Mostrando 1 - 1 de 1
Cargando...
Miniatura
Nombre:
74372587.2020.pdf
Tamaño:
815.69 KB
Formato:
Adobe Portable Document Format

Bloque de licencias

Mostrando 1 - 1 de 1
Cargando...
Miniatura
Nombre:
license.txt
Tamaño:
3.87 KB
Formato:
Item-specific license agreed upon to submission
Descripción: