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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\u2013Whitney U test for non-parametric data).\nResults: Mean gait pattern deviations significantly (p-value\u2009=\u2009&lt;\u20090.001) increased at follow-up compared with baseline for the full cohort. Walking speed decreased for the full cohort (\u20130.08 m\/sec, p-value\u2009=\u20090.022), due to the bilateral group (\u20130.13 m\/sec, p-value\u2009=\u20090.006). Walking capacity was maintained for the full cohort but decreased (mean diff: \u201384m, p-value\u2009=\u20090.035) for the bilateral group. Fatigue remained stable (p-value\u2009=\u20090.888). Pain decreased (p-value\u2009=\u20090.025) for the whole group, primarily due to the unilateral group (mean diff: 14 points on visual analogue scale, p-value\u2009=\u20090.031).\nConclusions: Gait 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.<\/jats:p>","DOI":"10.2340\/jrm.v57.43295","type":"journal-article","created":{"date-parts":[[2025,9,15]],"date-time":"2025-09-15T06:57:39Z","timestamp":1757919459000},"page":"jrm43295","source":"Crossref","is-referenced-by-count":5,"title":["A 16-year follow-up of walking function, fatigue, and pain in adults aged 34\u201365 years with spastic cerebral palsy"],"prefix":"10.2340","volume":"57","author":[{"given":"Sandra L.","family":"Klund-Hansen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arve","family":"Opheim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Terje","family":"Gj\u00f8vaag","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eivind","family":"Lundgaard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Grethe","family":"M\u00e5num","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Linda","family":"Rennie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2025,9,14]]},"reference":[{"key":"126512","unstructured":"Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, et al. 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