ArticleJournal of rehabilitation medicine2025
A 16-year follow-up of walking function, fatigue, and pain in adults aged 34-65 years with spastic cerebral palsy.
Article in Journal of rehabilitation medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed.
- Lung function and ventilatory response during high-intensity treadmill walking in adults with cerebral palsy: a cross-sectional study.Journal of rehabilitation medicine · 2026Article
- Physical Strain During Walking in Adults With Cerebral Palsy: A Construct Validity Study.Archives of rehabilitation research and clinical translation · 2026Article
- How Do Gait Outcomes Evolve in Adults with Spastic Cerebral Palsy Who Received Orthopedic Treatment in Childhood?Children (Basel, Switzerland) · 2026Article
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to describe the long-term changes in walking function, fatigue, and pain in adults with cerebral palsy.
designA 16-year follow-up study with paired comparisons. SUBJECTS: Adults with spastic cerebral palsy (n = 29) from a baseline study in 2008.
methodsThe mean age at follow-up was 50 (standard deviation 10) years. PRIMARY OUTCOMES: Gait Deviation Index, 6 Minute Walk Test, Timed-Up-and-Go test, walking speed, Fatigue Severity Scale, and bodily pain (visual analogue scale, 0-100). Paired samples t-test (Wilcoxon signed rank test for non-parametric data) was used to assess differences between baseline and follow-up. Between-group differences were analysed using an independent samples t-test (Mann-Whitney U test for non-parametric data).
resultsMean gait pattern deviations significantly (p-value = < 0.001) increased at follow-up compared with baseline for the full cohort. Walking speed decreased for the full cohort (-0.08 m/sec, p-value = 0.022), due to the bilateral group (-0.13 m/sec, p-value = 0.006). Walking capacity was maintained for the full cohort but decreased (mean diff: -84m, p-value = 0.035) for the bilateral group. Fatigue remained stable (p-value = 0.888). Pain decreased (p-value = 0.025) for the whole group, primarily due to the unilateral group (mean diff: 14 points on visual analogue scale, p-value = 0.031).
conclusionsGait pattern deviations increased for adults with cerebral palsy during this 16-year follow-up. Walking speed and capacity decreased for the bilateral group but were maintained for the unilateral group. Fatigue symptoms were high at baseline but did not change across this follow-up. Pain decreased, similar to the general population.
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Registered trials
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