PMID- 35500365 OWN - NLM STAT- MEDLINE DCOM- 20220530 LR - 20220622 IS - 1879-2219 (Electronic) IS - 0966-6362 (Linking) VI - 95 DP - 2022 Jun TI - Responsiveness of the Foot Profile Score in children with hemiplegia. PG - 160-163 LID - S0966-6362(22)00105-9 [pii] LID - 10.1016/j.gaitpost.2022.04.012 [doi] AB - BACKGROUND: The Foot Profile Score (FPS) is a single score that summarises foot posture and dynamic foot motion during the gait cycle based on the kinematic data of the Oxford Foot Model. The FPS enables clinicians and researchers to quantify foot abnormalities during gait, to monitor change in foot/ankle motion over time, and to measure the outcome of intervention. With the creation of a new outcome measure, it is important to test its responsiveness in a clinical population for whom it may be sensitive to change. AIM: To evaluate the responsiveness of the FPS in a clinical population following isolated foot and ankle surgery. METHODS: Using previous work completed to validate the FPS, we defined the minimal clinically important difference (MCID) for the FPS. Using this MCID, we applied it to a clinical population of 37 children with cerebral palsy, spastic hemiplegia, comparing their FPS before and after foot and ankle surgery. A regression analysis looked at potential relationships between the change in FPS and their pre-operative FPS, age at surgery, and time since surgery. RESULTS: An MCID of 2.4 degrees was calculated through regression analysis. The mean change from the pre-operative FPS to the post-operative FPS was 4.6 (SD 3.7 with a range from -0.1 to 13.4). Twenty-eight children (76%) had a change in their FPS greater than the MCID. A regression analyses only showed a clear regression between pre-operative FPS and change in FPS (R2 = 0.58 p < 0.01). CI - Crown Copyright (c) 2022. Published by Elsevier B.V. All rights reserved. FAU - McCahill, Jennifer AU - McCahill J AD - Oxford Gait Laboratory, Nuffield Orthopaedic Centre, Oxford, UK; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK; Amsterdam University Medical Centers, Amsterdam Movement Science, Dept Rehabilitation Medicine, The Netherlands. Electronic address: jennifer.mccahill@ouh.nhs.uk. FAU - Stebbins, Julie AU - Stebbins J AD - Oxford Gait Laboratory, Nuffield Orthopaedic Centre, Oxford, UK; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK. FAU - Prescott, Robin J AU - Prescott RJ AD - Usher Institute, University of Edinburgh, UK. FAU - Harlaar, Jaap AU - Harlaar J AD - Delft University of Technology, Dept of Biomechanical Engineering, The Netherlands; Erasmus Medical Center, Dept of Orthopedics & Sports Medicine, Rotterdam, The Netherlands. FAU - Theologis, Tim AU - Theologis T AD - Oxford Gait Laboratory, Nuffield Orthopaedic Centre, Oxford, UK; Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, UK. LA - eng PT - Journal Article DEP - 20220419 PL - England TA - Gait Posture JT - Gait & posture JID - 9416830 SB - IM MH - Biomechanical Phenomena MH - *Cerebral Palsy/complications/surgery MH - Child MH - Gait MH - *Hemiplegia MH - Humans MH - Lower Extremity OTO - NOTNLM OT - Foot Profile Score OT - Foot surgery OT - Hemiplegia OT - Kinematics EDAT- 2022/05/03 06:00 MHDA- 2022/05/31 06:00 CRDT- 2022/05/02 18:18 PHST- 2022/01/25 00:00 [received] PHST- 2022/03/13 00:00 [revised] PHST- 2022/04/15 00:00 [accepted] PHST- 2022/05/03 06:00 [pubmed] PHST- 2022/05/31 06:00 [medline] PHST- 2022/05/02 18:18 [entrez] AID - S0966-6362(22)00105-9 [pii] AID - 10.1016/j.gaitpost.2022.04.012 [doi] PST - ppublish SO - Gait Posture. 2022 Jun;95:160-163. doi: 10.1016/j.gaitpost.2022.04.012. Epub 2022 Apr 19.