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- Title
Gait parameters in children with bilateral spastic cerebral palsy: a systematic review of randomized controlled trials.
- Authors
Gómez‐Pérez, Cristina; Font‐Llagunes, Josep M; Martori, Joan Carles; Vidal Samsó, Joan; Gómez-Pérez, Cristina; Font-Llagunes, Josep M
- Abstract
<bold>Aim: </bold>To identify the gait parameters used to assess gait disorders in children with bilateral spastic cerebral palsy (CP) and evaluate their responsiveness to treatments.<bold>Method: </bold>A systematic search within PubMed, Web of Science, and Scopus (in English, 2000-2016) for randomized controlled trials of children with bilateral spastic CP who were assessed by instrumented gait analysis (IGA) was performed. Data related to participants and study characteristics, risk of bias, and outcome measures were collected. A list of gait parameters responsive to clinical interventions was obtained.<bold>Results: </bold>Twenty-one articles met the inclusion criteria. Eighty-nine gait parameters were identified, 56 of which showed responsiveness to treatments. Spatiotemporal and kinematic parameters were widely used compared to kinetic and surface electromyography data. The majority of responsive gait parameters were joint angles at the sagittal plane (flexion-extension).<bold>Interpretation: </bold>The IGA yields responsive outcome measures for the gait assessment of children with bilateral spastic CP. Spatiotemporal and kinematic (at sagittal plane) parameters are the gait parameters used most frequently. Further research is needed to establish the relevant gait parameters for each clinical problem.<bold>What This Paper Adds: </bold>Fifty-six responsive gait parameters for children with bilateral spastic cerebral palsy were identified. Most responsive gait parameters belong to joint angles time-series at sagittal plane. Spatiotemporal and kinematic parameters are widely used compared to kinetic and surface electromyography parameters.
- Subjects
CEREBRAL palsy; RANDOMIZED controlled trials; META-analysis; NEUROREHABILITATION; ANATOMICAL planes; GAIT disorders; CEREBRAL palsy treatment; DIAGNOSIS of neurological disorders; CLINICAL trials; KINEMATICS; MEDLINE; NEUROLOGICAL disorders; ONLINE information services; SYSTEMATIC reviews; DISEASE complications
- Publication
Developmental Medicine & Child Neurology, 2019, Vol 61, Issue 7, p770
- ISSN
0012-1622
- Publication type
journal article
- DOI
10.1111/dmcn.14108