scholarly journals Restricted Arm Swing Affects Gait Stability and Increased Walking Speed Alters Trunk Movements in Children with Cerebral Palsy

2016 ◽  
Vol 10 ◽  
Author(s):  
Tijs Delabastita ◽  
Kaat Desloovere ◽  
Pieter Meyns
Keyword(s):  
Cerebral Palsy ◽  
Walking Speed ◽  
Arm Swing ◽  
Gait Stability ◽  
Trunk Movements ◽  
Children With Cerebral Palsy

Psychometric Properties of Functional Balance Assessment in Children With Cerebral Palsy

2008 ◽  
Vol 22 (6) ◽  
pp. 745-753 ◽  
Author(s):  
Sue-Mae Gan ◽  
Li-Chen Tung ◽  
Yue-Her Tang ◽  
Chun-Hou Wang
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Convergent Validity ◽  
Interrater Reliability ◽  
Walking Speed ◽  
Retest Reliability ◽  
Functional Balance ◽  
Sit To Stand ◽  
Children With Cerebral Palsy ◽  
Test Retest Reliability

Background. Children with cerebral palsy often suffer from a lack of balance compared with typically developing children. Because balance capacity is relevant to functional activities, reliable and valid functional balance measures are crucial for the pediatric clinical setting. Objective. This study examined the reliability and validity of 3 functional balance measures. Methods. Thirty children aged 60 to 142 months with Gross Motor Function Classification System (GMFCS) levels of I to IV were recruited. For test-retest reliability, the same physical therapist administered the Functional Reach Test (FRT), Berg Balance Scale (BBS), and Timed Up and Go (TUG) twice. For interrater reliability, the testing processes were video recorded and later scored by another therapist. For convergent validity, children with cerebral palsy received the Gross Motor Function Measures (GMFM), walking speed, and 10-second sit-to-stand test within 1 week and the results evaluated. Results. The 3 functional balance measures had excellent test-retest reliability (intraclass correlation coefficient [ICC] >0.95) and interrater reliability (ICC = 0.98-1.00). With regard to convergent validity, the BBS and the TUG were highly correlated with GMFM total score, walking speed, and the 10-second sit-to-stand test. The discriminate validity indicates that the FRT can distinguish children with cerebral palsy with different GMFCS levels, whereas the BBS total score and TUG failed to distinguish between children with cerebral palsy with GMFCS levels of I and II. Conclusion. The 3 functional balance measures are simple, valid, and reliable for examining children with cerebral palsy and are thus suitable for clinical practice.

scholarly journals Head and Trunk Movements During Turning Gait in Children with Cerebral Palsy

2018 ◽  
Vol 51 (4) ◽  
pp. 362-370 ◽  
Author(s):  
Asa Bartonek ◽  
Cecilia Lidbeck ◽  
Kerstin Hellgren ◽  
Elena Gutierrez-Farewik
Keyword(s):  
Cerebral Palsy ◽  
Trunk Movements ◽  
Children With Cerebral Palsy

Trunk Movements Should be Considered When Optimizing Ankle-Foot Orthosis Stiffness in Children with Cerebral Palsy

2017 ◽  
Vol 98 (12) ◽  
pp. e168-e169
Author(s):  
Yvette Kerkum ◽  
Pieter Meyns ◽  
Merel-Anne Brehm ◽  
Annemieke Buizer ◽  
Jules Becher ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Ankle Foot Orthosis ◽  
Trunk Movements ◽  
Children With Cerebral Palsy ◽  
Foot Orthosis

scholarly journals Designing a Gait Enhancer and Determining its Effect on Standing Ability and Gait Speed of Children With Cerebral Palsy Spastic Diplegia

2021 ◽  
Vol 21 (4) ◽  
pp. 436-453
Author(s):  
Seyed Mehdi Hosseini ◽  
◽  
Saeid Fatorehchy ◽  
Seyed Ali Hosseini ◽  
Hojjat Allah Haghgoo ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Occupational Therapy ◽  
Effect Size ◽  
Gait Speed ◽  
Walking Speed ◽  
Spastic Diplegia ◽  
Cohen’S D ◽  
Children With Cerebral Palsy ◽  
Cohen's D ◽  
Therapy Sessions

Objective: This study aimed to design a “gait enhancer” and investigate its effect on standing ability and gait speed of children with cerebral palsy spastic diplegia. Materials & Methods: A new gate trainer was designed based on Theo Johnson mechanism. Johnson's two separate movement chains were placed on either side of the gate trainer body and attached to the lower limbs by a foot plate. To investigate the effect of the designed device, a single-item experimental study with baseline design, treatment and maintenance (ABA) was performed on four children with available spastic diplegia cerebral palsy. These children received routine occupational therapy sessions. Results: The designed “gait enhancer” increased standing ability and gait speed scores in all subjects. Non-overlapping measures also indicated the improvement in both variables. Measured by Cohen’s d, the effect size for standing ability were 1.95, 2.29, 1.83, and 2.3 for the child No. 1, 2, 3, and 4, respectively. Regarding walking speed, the effect size for these children, No. 1 to 4, were 1.13, 3.37, 2.15, and 2.21, respectively. Cohen’s d values were greater than 0.8, indicating the considerable effect of the intervention. Hedges’ g was also calculated due to the small sample size, which was greater than 0.8 for all subjects in standing ability and gait speed. Conclusion: Following the use of Gait Enhancer along with conventional occupational therapy, we observed an increase in the ability to stand and walk at children with cerebral palsy. Findings showed that the change in standing ability and walking speed occurred more during the period of using the designed device than other stages, which could be a consequence of using Gait Enhancer along with routine occupational therapy sessions at this stage of the study. However, it should be noted that this study was only a single case study and to prove the effectiveness of this tool in children with cerebral palsy, it is necessary to conduct clinical trial studies.

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