@article{ref1,
title="Are clinic-based walking measures associated with community walking activity in children with cerebral palsy?",
journal="Journal of pediatric rehabilitation medicine",
year="2018",
author="Wittry, Sarah and Tsao, Elaine and Bjornson, Kristie",
volume="11",
number="1",
pages="23-30",
abstract="PURPOSE: To examine the relationship between clinic-based walking capacity measures and community-based walking activity in ambulatory children with cerebral palsy (CP). <br><br>METHODS: A secondary analysis of a cross-sectional cohort was employed at tertiary care children's hospital; n= 128, ages 2-9 years, Gross Motor Function Classification System (GMFCS) I-III. Walking capacity was captured with 1- and 6-minute walk tests (1MWT, 6MWT), Gross Motor Function Measure-walk/run/jump score (GMFM-E), and Activity Scale for Kids performance version (ASKp-30). Walking activity performance in the community was quantified by StepWatch (SW). <br><br>RESULTS: Moderate correlations were documented for 6MWT to SW outputs of walking level, moderate high intensity, 60-minute peak and peak activity index (r= 0.55-0.58, p< 0.01). GMFM-E correlated with all SW outputs (r= 0.55-0.69, p< 0.01) except 1-minute peak walking rate. Per regression modeling, GMFM-E was associated with walking level and intensity (p< 0.02) and 6MWT related to high intensity walking (p< 0.4, R=2 0.28-0.48). <br><br>CONCLUSION: 6MWT and GMFM-E have the strongest associations with level, amount and intensity of walking in daily life. <br><br>RESULTS suggest that the 6MWT and GMFM-E can be employed to estimate community walking activity in ambulatory children with CP. Future studies should focus on environmental and personal factors that influence community walking performance.<p /> <p>Language: en</p>",
language="en",
issn="1874-5393",
doi="10.3233/PRM-160425",
url="http://dx.doi.org/10.3233/PRM-160425"
}