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dc.contributor.authorAlderson, Lucy
dc.contributor.authorJoksaite, Sandra
dc.contributor.authorKemp, Jennifer
dc.contributor.authorMain, Eleanor
dc.contributor.authorWatson, Tim
dc.contributor.authorPlatt, Frances
dc.contributor.authorCortina-Borja, Mario
dc.date.accessioned2019-07-05T00:08:37Z
dc.date.available2019-07-05T00:08:37Z
dc.date.issued2019-03-25
dc.identifier.citationAlderson , L , Joksaite , S , Kemp , J , Main , E , Watson , T , Platt , F & Cortina-Borja , M 2019 , ' Age-related gait standards for healthy children and young people: the GOS-ICH paediatric gait centiles ' , Archives of Disease in Childhood , vol. 104 , no. 8 , pp. 755-760 . https://doi.org/10.1136/archdischild-2018-316311
dc.identifier.issn0003-9888
dc.identifier.otherPURE: 17035231
dc.identifier.otherPURE UUID: bf77d8c3-f149-4efc-8e7b-b9cb9790ecdc
dc.identifier.otherScopus: 85063535558
dc.identifier.urihttp://hdl.handle.net/2299/21421
dc.description.abstractObjective To develop paediatric gait standards in healthy children and young people. Methods This observational study builds on earlier work to address the lack of population standards for gait measurements in children. Analysing gait in children affected by neurological or musculoskeletal conditions is an important component of paediatric assessment but is often confounded by developmental changes. The standards presented here do not require clinician expertise to interpret and offer an alternative to developmental tables of normalised gait data. Healthy children aged 1-19 years were recruited from community settings in London and Hertfordshire, U.K. The GAITRite ® walkway was used to record measurements for each child for velocity, cadence, step length, base of support, and stance, single and double support (as percentage of gait cycle). We fitted generalized linear additive models for location, scale and shape (gamlss). Results We constructed percentile charts for seven gait variables measured on 624 (321 males) contemporary healthy children using gamlss package in R. A clinical application of gait standards was explored. Conclusion Age-related, gender-specific standards for seven gait variables were developed and are presented here. They have a familiar format and can be used clinically to aid diagnoses, and to monitor change over time for both medical therapy and natural history of the condition. The clinical example demonstrates the potential of the GOS-ICH Paediatric Gait Centiles (GOS-ICH PGC) to enable meaningful interpretation of change in an individual’s performance, and describes characteristic features of gait from a specific population throughout childhood.en
dc.format.extent6
dc.language.isoeng
dc.relation.ispartofArchives of Disease in Childhood
dc.subjectgrowth
dc.subjectneurodevelopment
dc.subjectoutcomes research
dc.subjectphyscial therapy
dc.subjectrehabilitation
dc.subjectPediatrics, Perinatology, and Child Health
dc.titleAge-related gait standards for healthy children and young people: the GOS-ICH paediatric gait centilesen
dc.contributor.institutionDepartment of Allied Health Professions, Midwifery and Social Work
dc.contributor.institutionPhysiotherapy
dc.contributor.institutionSchool of Health and Social Work
dc.description.statusPeer reviewed
dc.identifier.urlhttps://adc.bmj.com/content/early/2019/03/25/archdischild-2018-316311.full
rioxxterms.versionAM
rioxxterms.versionofrecordhttps://doi.org/10.1136/archdischild-2018-316311
rioxxterms.typeJournal Article/Review
herts.preservation.rarelyaccessedtrue


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