{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:58:28Z","timestamp":1766401108358,"version":"3.40.5"},"reference-count":23,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T00:00:00Z","timestamp":1728604800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>To assess a group of ambulant, untreated children with bilateral spastic cerebral palsy, in a resource\u2010poor setting, who had never been assessed by a health care professional or received any treatment, to help establish the natural history of gait patterns in this condition.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>At CURE Children's Hospital of Ethiopia, 46 children with no prior health care contact were assessed in a cross\u2010sectional cohort study, through a detailed history, clinical examination, and instrumented gait analysis using a motion capture system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was a large spread in the data reflecting the high natural heterogeneity in this population. The severity of gait pathology did not correlate with age; however, a small but significant reduction in sagittal hip and knee range of motion with increasing age was observed. There was also a trend towards reduced passive knee extension with age.<\/jats:p><\/jats:sec><jats:sec><jats:title>Interpretation<\/jats:title><jats:p>Improved understanding of the aspects of gait that are likely to naturally improve, deteriorate, or remain stable over time helps guide treatment decisions in this population.<\/jats:p><\/jats:sec>","DOI":"10.1111\/dmcn.16113","type":"journal-article","created":{"date-parts":[[2024,10,11]],"date-time":"2024-10-11T18:03:23Z","timestamp":1728669803000},"page":"510-518","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Natural history of gait patterns in untreated children with bilateral cerebral palsy in a low\u2010income country setting"],"prefix":"10.1111","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6496-8588","authenticated-orcid":false,"given":"Julie","family":"Stebbins","sequence":"first","affiliation":[{"name":"Oxford Gait Laboratory Oxford University Hospitals NHS Foundation Trust  Oxford UK"},{"name":"Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences Oxford University  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laurence","family":"Wicks","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Department CURE Children's Hospital of Ethiopia  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Nunn","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Department CURE Children's Hospital of Ethiopia  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Richard","family":"Gardner","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Department Hospital for Sick Children  Toronto Canada"},{"name":"Department of Surgery University of Toronto  Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tewodros T.","family":"Zerfu","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Department CURE Children's Hospital of Ethiopia  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mesfin","family":"Kassahun","sequence":"additional","affiliation":[{"name":"Orthopaedic Surgery Department CURE Children's Hospital of Ethiopia  Addis Ababa Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4758-9081","authenticated-orcid":false,"given":"Tim","family":"Theologis","sequence":"additional","affiliation":[{"name":"Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences Oxford University  Oxford UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,11]]},"reference":[{"key":"e_1_2_6_2_1","unstructured":"National Institute for Health and Care Excellence.Cerebral Palsy [Internet].2023. 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