Gait Profile Score of Children with Cerebral Palsy Can Differ Based on Normative Data from Different Institutions

2021 ◽  
Author(s):  
Justine Borchard ◽  
Wilshaw Stevens ◽  
Kelly Jeans ◽  
Kirsten Tulchin-Francis ◽  
Lane Wimberly
Keyword(s):  
Cerebral Palsy ◽  
Normative Data ◽  
Children With Cerebral Palsy ◽  
Profile Score

scholarly journals An Unsupervised Data-Driven Model to Classify Gait Patterns in Children with Cerebral Palsy

2020 ◽  
Vol 9 (5) ◽  
pp. 1432
Author(s):  
Julie Choisne ◽  
Nicolas Fourrier ◽  
Geoffrey Handsfield ◽  
Nada Signal ◽  
Denise Taylor ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Gait Pattern ◽  
Data Driven ◽  
Self Organizing Map ◽  
Gait Patterns ◽  
Gait Biomechanics ◽  
Children With Cerebral Palsy ◽  
Profile Score ◽  
Data Driven Modeling ◽  
Gait Variable

Ankle and foot orthoses are commonly prescribed to children with cerebral palsy (CP). It is unclear whether 3D gait analysis (3DGA) provides sufficient and reliable information for clinicians to be consistent when prescribing orthoses. Data-driven modeling can probe such questions by revealing non-intuitive relationships between variables such as 3DGA parameters and gait outcomes of orthoses use. The purpose of this study was to (1) develop a data-driven model to classify children with CP according to their gait biomechanics and (2) identify relationships between orthotics types and gait patterns. 3DGA data were acquired from walking trials of 25 typically developed children and 98 children with CP with additional prescribed orthoses. An unsupervised self-organizing map followed by k-means clustering was developed to group different gait patterns based on children’s 3DGA. Model inputs were gait variable scores (GVSs) extracted from the gait profile score, measuring root mean square differences from TD children’s gait cycle. The model identified five pathological gait patterns with statistical differences in GVSs. Only 43% of children improved their gait pattern when wearing an orthosis. Orthotics prescriptions were variable even in children with similar gait patterns. This study suggests that quantitative data-driven approaches may provide more clarity and specificity to support orthotics prescription.

scholarly journals Effectiveness of Global Optimisation and Direct Kinematics in Predicting Surgical Outcome in Children with Cerebral Palsy

Life ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. 1306
Author(s):  
Claude Fiifi Hayford ◽  
Emma Pratt ◽  
John P. Cashman ◽  
Owain G. Evans ◽  
Claudia Mazzà
Keyword(s):  
Cerebral Palsy ◽  
Clinical Decision Making ◽  
Three Dimensional ◽  
Clinical Decision ◽  
Contact Forces ◽  
Gait Quality ◽  
Children With Cerebral Palsy ◽  
Profile Score ◽  
Joint Contact ◽  
Direct Kinematics

Multibody optimisation approaches have not seen much use in routine clinical applications despite evidence of improvements in modelling through a reduction in soft tissue artifacts compared to the standard gait analysis technique of direct kinematics. To inform clinical use, this study investigated the consistency with which both approaches predicted post-surgical outcomes, using changes in Gait Profile Score (GPS) when compared to a clinical assessment of outcome that did not include the 3D gait data. Retrospective three-dimensional motion capture data were utilised from 34 typically developing children and 26 children with cerebral palsy who underwent femoral derotation osteotomies as part of Single Event Multi-Level Surgeries. Results indicated that while, as expected, the GPS estimated from the two methods were numerically different, they were strongly correlated (Spearman’s ρ = 0.93), and no significant differences were observed between their estimations of change in GPS after surgery. The two scores equivalently classified a worsening or improvement in the gait quality in 93% of the cases. When compared with the clinical classification of responders versus non-responders to the intervention, an equivalent performance was found for the two approaches, with 27/41 and 28/41 cases in agreement with the clinical judgement for multibody optimisation and direct kinematics, respectively. With this equivalent performance to the direct kinematics approach and the benefit of being less sensitive to skin artefact and allowing additional analysis such as estimation of musculotendon lengths and joint contact forces, multibody optimisation has the potential to improve the clinical decision-making process in children with cerebral palsy.

Impact of multilevel joint contractures of the hips, knees and ankles on the Gait Profile score in children with cerebral palsy

2018 ◽  
Vol 59 ◽  
pp. 8-14 ◽  
Author(s):  
Sarah J. Holmes ◽  
Anita J. Mudge ◽  
Elizabeth A. Wojciechowski ◽  
Matthias W. Axt ◽  
Joshua Burns
Keyword(s):  
Cerebral Palsy ◽  
Joint Contractures ◽  
Children With Cerebral Palsy ◽  
Profile Score

Development of disorder-specific normative data for growth in children with cerebral palsy

2019 ◽  
Vol 178 (6) ◽  
pp. 811-822
Author(s):  
Philipp Egenolf ◽  
Ibrahim Duran ◽  
Christina Stark ◽  
Kyriakos Martakis ◽  
Stefanie Hamacher ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Normative Data ◽  
Children With Cerebral Palsy

Effects of gastrocnemius fascia lengthening on gait pattern in children with cerebral palsy using the Gait Profile Score

2014 ◽  
Vol 35 (5) ◽  
pp. 1137-1143 ◽  
Author(s):  
Luiz Alfredo Braun Ferreira ◽  
Veronica Cimolin ◽  
Pier Francesco Costici ◽  
Giorgio Albertini ◽  
Claudia Santos Oliveira ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Gait Pattern ◽  
Children With Cerebral Palsy ◽  
Profile Score

Prevalence of Speech Problems and the Use of Augmentative and Alternative Communication in Children With Cerebral Palsy: A Registry-Based Study in Norway

2010 ◽  
Vol 19 (1) ◽  
pp. 12-20 ◽  
Author(s):  
Guro Andersen ◽  
Tone R. Mjøen ◽  
Torstein Vik
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gestational Age ◽  
Augmentative And Alternative Communication ◽  
Alternative Communication ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Children With Cerebral Palsy ◽  
Communicative Abilities ◽  
Normal Speech

Abstract This study describes the prevalence of speech problems and the use of augmentative and alternative communication (AAC) in children with cerebral palsy (CP) in Norway. Information on the communicative abilities of 564 children with CP born 1996–2003, recorded in the Norwegian CP Registry, was collected. A total of 270 children (48%) had normal speech, 90 (16%) had slightly indistinct speech, 52 (9%) had indistinct speech, 35 (6%) had very indistinct speech, 110 children (19%) had no speech, and 7 (1%) were unknown. Speech problems were most common in children with dyskinetic CP (92 %), in children with the most severe gross motor function impairments and among children being totally dependent on assistance in feeding or tube-fed children. A higher proportion of children born at term had speech problems when compared with children born before 32 weeks of gestational age 32 (p > 0.001). Among the 197 children with speech problems only, 106 (54%) used AAC in some form. Approximately 20% of children had no verbal speech, whereas ~15% had significant speech problems. Among children with either significant speech problems or no speech, only 54% used AAC in any form.

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