Gait parameters in children with bilateral spastic cerebral palsy: a systematic review of randomized controlled trials
Por:
Gomez-Perez, C, Font-Llagunes, JM, Martori, JC and Samso, JV
Publicada:
1 jul 2019
Ahead of Print:
28 nov 2018
Resumen:
Aim To identify the gait parameters used to assess gait disorders in children with bilateral spastic cerebral palsy (CP) and evaluate their responsiveness to treatments. Method 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. Results 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). Interpretation 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.
Filiaciones:
Gomez-Perez, C:
Univ Vic, Cent Univ Catalonia, Res Grp Methodol Methods Models & Outcomes Hlth &, Fac Hlth Sci & Welf,Ctr Hlth & Social Care Res, Vic, Spain
Font-Llagunes, JM:
Univ Politecn Cataluna, Biomech Engn Lab, Dept Mech Engn, Barcelona, Spain
Univ Politecn Cataluna, Biomed Engn Res Ctr, Barcelona, Spain
Inst Recerca St Joan de Deu, Biomed Engn, Esplugas de Llobregat, Spain
Martori, JC:
Univ Vic, Cent Univ Catalonia, Fac Business & Commun Studies, Data Anal & Modeling Res Grp,Dept Econ & Business, Vic, Spain
:
Neurorehabilitat Inst, Inst Guttmann, Badalona, Spain
Univ Autonoma Barcelona, Cerdanyola Del Valles, Spain
Fdn Inst Invest Ciencies Salut Germans Trias & Pu, Badalona, Spain
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