GAIT FEATURES IN CHILDREN WITH HEMIPARETIC CEREBRAL PALSY BASED ON PEDOBAROGRAPHY DATA

BACKGROUND: he hemiparetic form of cerebral palsy is characterized by pronounced asymmetry of movements and impaired supporting function of the affected lower limb. Despite the existing methods for assessing gait disorders, the exact quantitative parameters reflecting the specifics of hemiparetic gait in children remain insufficiently studied. Pedobarographic examination is a modern instrumental method that makes it possible to analyze in detail the features of the distribution of pressure on the plantar surface of the foot, determine the temporal and spatial parameters of walking, as well as identify load asymmetry, primary and secondary walking disorders.

AIMS: To evaluate the significance of pedobarography in children with hemiparetic cerebral palsy.

MATERIALS AND METHODS: This study is observational, single-center, retrospective, and continuous. On the basis of the Department of Medical Rehabilitation for Children of the Russian Children's Clinical Hospital, a branch of the Pirogov Russian National Research Medical University (Pirogov University), 86 pedobarography protocols were analyzed in patients aged 6 to 16 years with a confirmed diagnosis of hemiparetic cerebral palsy during an initial examination from November 2021 to December 2024.

RESULTS:  The most significant markers of pedobarography in children with hemiparetic cerebral palsy have been identified.

CONCLUSIONS: The obtained results of pedobarography can serve as an objective basis for the development of differentiated rehabilitation programs aimed at improving motor functions and optimizing static-dynamic parameters in children of this group, as well as the prevention of secondary functional disorders in children with hemiparetic cerebral palsy (the development of stiffness, and then deformities of the joints of the paretic lower extremity, displacement of pelvic structures, scoliosis).