Lower-extremity selective voluntary motor control in patients with spastic cerebral palsy: increased distal motor impairment
This study evaluated the proximal to distal distribution of SVMC impairment among lower extremity joints.Method Using a recently developed tool, the Selective Control Assessment of the Lower Extremity (SCALE), we evaluated the SVMC of the hip, knee, ankle, subtalar joint, and toes in a cross-sectional, observational study of 47 participants with spastic, diplegic, hemiplegic, and quadriplegic CP (22 males, 25 females; mean age 11y 9mo, SD 4y 8mo; Gross Motor Function Classification System levels I[ndash]IV).Results Statistically significant decreases in SCALE scores from hip to toes were found using the Page statistical test for trend (p (Source: Developmental Medicine and Child Neurology)
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