Eliminating toe-fixing pattern can improve standing and gait pattern of children with cerebral palsy in a qualitative way

2008 ◽  
Vol 31 (3) ◽  
pp. 199-206 ◽  
Author(s):  
Tina Wai Ting Chan ◽  
Sui Heung Law
Keyword(s):  
Cerebral Palsy ◽  
Gait Pattern ◽  
Children With Cerebral Palsy

Influence of gait pattern on the body's centre of mass displacement in children with cerebral palsy

2004 ◽  
Vol 46 (10) ◽  
Author(s):  
Firas Massaad ◽  
Frédéric Dierick ◽  
Adélaïde van den Hecke ◽  
Christine Detrembleur
Keyword(s):  
Cerebral Palsy ◽  
Gait Pattern ◽  
Centre Of Mass ◽  
Children With Cerebral Palsy ◽  
Mass Displacement

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 A Systematic Review to Determine Best Practice Reporting Guidelines for AFO Interventions in Studies Involving Children with Cerebral Palsy

2010 ◽  
Vol 34 (2) ◽  
pp. 129-145 ◽  
Author(s):  
Emily Ridgewell ◽  
Fiona Dobson ◽  
Timothy Bach ◽  
Richard Baker
Keyword(s):  
Systematic Review ◽  
Cerebral Palsy ◽  
Best Practice ◽  
Data Extraction ◽  
Evidence Base ◽  
Gait Pattern ◽  
Best Practice Guidelines ◽  
Sufficient Detail ◽  
Children With Cerebral Palsy

Studies which have examined the effects of ankle-foot orthoses (AFOs) on children with cerebral palsy (CP) often report insufficient detail about the participants, devices and testing protocols. The aim of this systematic review was to evaluate the level and quality of detail reported about these factors in order to generate best practice guidelines for reporting of future studies. A systematic search of the literature was conducted to identify studies which examined any outcome measure relating to AFO use in children with CP. A customized checklist was developed for data extraction and quality assessment. There was substantial variability in the level and quality of detail reported across the 41-paper yield. Many papers reported insufficient detail to allow synthesis of outcomes across studies. The findings of this review have been used to generate guidelines for best practice of reporting for AFO intervention studies. It is important to ensure homogeneity of gait pattern in a subject sample or to subdivide a sample to investigate the possibility that heterogeneity affected results. It is also important to describe the orthosis in sufficient detail that the device can be accurately replicated because differences in designs have been shown to affect outcomes. These guidelines will help researchers provide more systematic and detailed reports and thereby permit future reviewers to more accurately assess both the reporting and quality of orthotic interventions, and will facilitate synthesis of literature to enhance the evidence base.

scholarly journals Influence of gait pattern on the body's centre of mass displacement in children with cerebral palsy

2007 ◽  
Vol 46 (10) ◽  
pp. 674-680 ◽  
Author(s):  
Firas Massaad ◽  
Frédéric Dierick ◽  
Adélaïde Van Den Hecke ◽  
Christine Detrembleur
Keyword(s):  
Cerebral Palsy ◽  
Gait Pattern ◽  
Centre Of Mass ◽  
Children With Cerebral Palsy ◽  
Mass Displacement

scholarly journals A PROSPECTIVE EVALUATION OF ORTHOTIC DEVICE IMPLICATION ON THE LOWER LIMB IN CHILDREN WITH CEREBRAL PALSY

2021 ◽  
Vol 11 (1) ◽  
pp. 12-16
Author(s):  
Akshay Kumar ◽  
◽  
Vinita N/A ◽  
Keyword(s):  
Cerebral Palsy ◽  
Lower Limb ◽  
Financial Burden ◽  
Gait Pattern ◽  
Orthotic Devices ◽  
Motor Disability ◽  
Children With Cerebral Palsy ◽  
The Relationship

CP is the foremost cause of motor disability in children and affects two to five children in 1000 live births worldwide. It is been recognized as a global concern medically, socially, and economically due to the increasing financial burden to the states. About half of the children with cerebral palsy suffer a range of motion difficulties. The study aims to understand the role of orthotic devices and its efficacy in the treatment of the patient with cerebral palsy and gait improvement. An online database of Pubmed, Science Direct, Google Scholar, etc. searched to find the articles with the keywords, cerebral palsy, orthotic devices, orthosis, lower limb, and results were synthesized and narrated to explore the effectiveness of the devices on the gait pattern and quality of life of a patient with cerebral palsy. The database search was done without the barrier of dates and regions. Orthoses applied externally appear to be supported and had a diverse effect on gait depending on the type of orthosis. However, the relationship between gait pattern and AFOs and ankle properties is yet to be established. Additional research in this area is needed to complement the development of passive and active AFOs to provide larger improvements in walking capabilities.

Kinematic gait pattern in children with cerebral palsy and leg length discrepancy: Effects of an extra sole

2017 ◽  
Vol 55 ◽  
pp. 150-156 ◽  
Author(s):  
Meta N. Eek ◽  
Roland Zügner ◽  
Ingibjörg Stefansdottir ◽  
Roy Tranberg
Keyword(s):  
Cerebral Palsy ◽  
Gait Pattern ◽  
Leg Length Discrepancy ◽  
Leg Length ◽  
Length Discrepancy ◽  
Children With Cerebral Palsy
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