Comparison of Spatiotemporal Gait Parameters between Children with Normal Development and Children with Diplegic Cerebral Palsy

Abstract Background TheraTogs promotes proprioceptive sense of a child with cerebral palsy and improves abnormal muscle tone, posture alignment, balance, and gait. Therefore, the aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on gait pattern in children with dyskinetic cerebral palsy. Thirty children with dyskinetic cerebral palsy were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Gait parameters were measured at baseline and after 3 months of intervention using Pro-Reflex motion analysis. Results Children in both groups showed significant improvements in the gait parameters (P < 0.05), with significantly greater improvements in the experimental group than in the control group. Conclusions The use of TheraTogs may have a positive effect to improve gait pattern in children with dyskinetic cerebral palsy. Trial registration This trial was registered in the ClinicalTrial.gov PRS (NCT03037697).

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Effect of physical therapy interventions on spatiotemporal gait parameters in children with cerebral palsy: a systematic review

Disability and Rehabilitation ◽

10.1080/09638288.2019.1671500 ◽

2019 ◽

pp. 1-10

Author(s):

Carolina Corsi ◽

Mariana M. Santos ◽

Roberta F. C. Moreira ◽

Adriana N. dos Santos ◽

Ana C. de Campos ◽

...

Keyword(s):

Systematic Review ◽

Cerebral Palsy ◽

Physical Therapy ◽

Gait Parameters ◽

Children With Cerebral Palsy ◽

Therapy Interventions

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Gait parameters in children with bilateral spastic cerebral palsy: a systematic review of randomized controlled trials

Developmental Medicine & Child Neurology ◽

10.1111/dmcn.14108 ◽

2018 ◽

Vol 61 (7) ◽

pp. 770-782 ◽

Cited By ~ 3

Author(s):

Cristina Gómez‐Pérez ◽

Josep M Font‐Llagunes ◽

Joan Carles Martori ◽

Joan Vidal Samsó

Keyword(s):

Systematic Review ◽

Cerebral Palsy ◽

Randomized Controlled Trials ◽

Spastic Cerebral Palsy ◽

Controlled Trials ◽

Randomized Controlled ◽

Gait Parameters

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Test-Retest Reliability of Discrete Gait Parameters in Children With Cerebral Palsy

Archives of Physical Medicine and Rehabilitation ◽

10.1016/j.apmr.2010.01.016 ◽

2010 ◽

Vol 91 (5) ◽

pp. 781-787 ◽

Cited By ~ 20

Author(s):

Susan Klejman ◽

Jan Andrysek ◽

Annie Dupuis ◽

Virginia Wright

Keyword(s):

Cerebral Palsy ◽

Retest Reliability ◽

Gait Parameters ◽

Children With Cerebral Palsy ◽

Test Retest Reliability

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Short-term Gait Parameters Change in Mild Spastic Cerebral Palsy after Selective Dorsal Rhizotomy Guided by Our Newly-Modified Protocol

10.21203/rs.3.rs-278334/v1 ◽

2021 ◽

Author(s):

wenbin jiang ◽

Shuyun Jiang ◽

Yan Yu ◽

Qijia Zhan ◽

Min Wei ◽

...

Keyword(s):

Cerebral Palsy ◽

Lower Limbs ◽

Spastic Cerebral Palsy ◽

Selective Dorsal Rhizotomy ◽

Short Term ◽

Term Outcome ◽

Long Term Outcome ◽

Dorsal Rhizotomy ◽

Gait Parameters

Abstract Background Selective Dorsal Rhizotomy (SDR) guided by our modified protocol can decrease spasticity in certain muscles. This study aimed to investigate gait parameters changes in cerebral palsy (CP) with focal spasticity after SDR in short-term follow-up. Methods CP classified as Gross Motor Function Classification System (GMFCS) level Ⅰ and Ⅱ who underwent SDR were included. Changes of spasticity, gait parameters and gait deviation index (GDI) were retrospectively reviewed. Results This study contained 26 individuals with 44 affected and 8 intact lower limbs (4 monoplegia, 4 hemiplegia and 18 diplegia). Mean age was 5.7 ± 1.9 years-old and follow-up duration was 9.9 ± 6.6 months. After SDR, average spasticity of 108 target muscles decreased from 2.9 ± 0.8 to 1.8 ± 0.6 in Modified Ashworth Scale (MAS). Kinematic curves changed after the surgery in sagittal and transverse plane in affected sides, further investigation showed improvements in ankle and knee. No changes were found in temporal-spatial parameters except decrease in cadence in affected sides. GDI improved significantly in affected limbs. Conclusion In short-term follow up, the new-protocol-guiding SDR can lower focal spasticity, GA showed improvements in kinematic parameters and GDI. Longer follow-up duration is needed to clarify the long-term outcome.

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Early Development of Locomotor Patterns and Motor Control in Very Young Children at High Risk of Cerebral Palsy, a Longitudinal Case Series

Frontiers in Human Neuroscience ◽

10.3389/fnhum.2021.659415 ◽

2021 ◽

Vol 15 ◽

Author(s):

Annike Bekius ◽

Margit M. Bach ◽

Laura A. van de Pol ◽

Jaap Harlaar ◽

Andreas Daffertshofer ◽

...

Keyword(s):

Cerebral Palsy ◽

High Risk ◽

Young Children ◽

Early Development ◽

Muscle Activation ◽

Brain Lesions ◽

Very Young Children ◽

Gait Parameters ◽

Locomotor Patterns ◽

Over Time

The first years of life might be critical for encouraging independent walking in children with cerebral palsy (CP). We sought to identify mechanisms that may underlie the impaired development of walking in three young children with early brain lesions, at high risk of CP, via comprehensive instrumented longitudinal assessments of locomotor patterns and muscle activation during walking. We followed three children (P1–P3) with early brain lesions, at high risk of CP, during five consecutive gait analysis sessions covering a period of 1 to 2 years, starting before the onset of independent walking, and including the session during the first independent steps. In the course of the study, P1 did not develop CP, P2 was diagnosed with unilateral and P3 with bilateral CP. We monitored the early development of locomotor patterns over time via spatiotemporal gait parameters, intersegmental coordination (estimated via principal component analysis), electromyography activity, and muscle synergies (determined from 11 bilateral muscles via nonnegative matrix factorization). P1 and P2 started to walk independently at the corrected age of 14 and 22 months, respectively. In both of them, spatiotemporal gait parameters, intersegmental coordination, muscle activation patterns, and muscle synergy structure changed from supported to independent walking, although to a lesser extent when unilateral CP was diagnosed (P2), especially for the most affected leg. The child with bilateral CP (P3) did not develop independent walking, and all the parameters did not change over time. Our exploratory longitudinal study revealed differences in maturation of locomotor patterns between children with divergent developmental trajectories. We succeeded in identifying mechanisms that may underlie impaired walking development in very young children at high risk of CP. When verified in larger sample sizes, our approach may be considered a means to improve prognosis and to pinpoint possible targets for early intervention.

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Immediate Effects of the Dorsiflexion Angle of Hinged Ankle-foot Orthosis on the Spatiotemporal Gait Parameters of Children With Spastic Cerebral Palsy

10.21203/rs.3.rs-581906/v1 ◽

2021 ◽

Author(s):

IlHyun Son ◽

GyuChang Lee

Keyword(s):

Cerebral Palsy ◽

Stride Length ◽

Step Length ◽

Gait Velocity ◽

Spastic Cerebral Palsy ◽

Spastic Diplegia ◽

Ankle Foot Orthosis ◽

Gait Parameters ◽

Children With Cerebral Palsy ◽

Foot Orthosis

Abstract Background: It has been reported the effects of a hinged ankle-foot orthosis on the gait ability of children with cerebral palsy. However, no studies investigated the effects of the dorsiflexion angle of the hinged ankle-foot orthosis on the spatiotemporal gait parameters of children with cerebral palsy. This study aimed to investigate the immediate effects of a 10° dorsiflexion inducing ankle-foot orthosis the spatiotemporal gait parameters of children with spastic diplegia compared to barefoot and a hinged ankle-foot orthosis.Methods: This study was cross-over design. 10 children with spastic diplegia were walked with barefoot, a hinged ankle-foot orthosis, and a 10° dorsiflexion inducing ankle-foot orthosis. GAITRite was used to collect the spatiotemporal gait parameters including gait velocity, cadence, step length, stride length, single leg support, and double leg support. Results: It showed that a 10° dorsiflexion inducing ankle-foot orthosis significantly improved the gait velocity, cadence, step length, stride length, single leg support, and double leg support than barefoot and a hinged ankle-foot orthosis (p<.05). Conclusion: The results of this study implied that a 10° dorsiflexion inducing ankle-foot orthosis could improve the gait ability of children with spastic diplegia more than barefoot or a hinged ankle-foot orthosis. High quality future studies will need to examine the effects of hinged ankle-foot orthosis on gait ability according to dorsiflexion angles.

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