Research Group on Methodology, Methods, Models and Outcomes of Health and Social Sciences, Faculty of Health Science and Welfare, Centre for Health and Social Care Research, University of Vic - Central University of Catalonia, Vic, Spain.
Biomechanical Engineering Lab, Department of Mechanical Engineering and Research Centre for Biomedical Engineering, Universitat Politècnica de Catalunya, Barcelona, Spain.
Dev Med Child Neurol. 2019 Jul;61(7):770-782. doi: 10.1111/dmcn.14108. Epub 2018 Nov 28.
To identify the gait parameters used to assess gait disorders in children with bilateral spastic cerebral palsy (CP) and evaluate their responsiveness to treatments.
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.
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).
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.
Fifty-six responsive gait parameters for children with bilateral spastic cerebral palsy were identified. Most responsive gait parameters belong to joint angles time-series at sagittal plane. Spatiotemporal and kinematic parameters are widely used compared to kinetic and surface electromyography parameters.
确定用于评估双侧痉挛性脑瘫（CP）儿童步态障碍的步态参数，并评估其对治疗的反应性。
在 PubMed、Web of Science 和 Scopus（英文，2000-2016 年）中进行系统检索，以评估使用仪器步态分析（IGA）评估的双侧痉挛性 CP 儿童的随机对照试验。收集了与参与者和研究特征、偏倚风险和结局测量相关的数据。获得了对临床干预有反应的步态参数列表。
21 篇文章符合纳入标准。确定了 89 个步态参数，其中 56 个对治疗有反应。与动力学和表面肌电图数据相比，时空和运动学参数被广泛使用。反应性步态参数主要是矢状面的关节角度（屈伸）。
IGA 为双侧痉挛性 CP 儿童的步态评估提供了有反应的结局测量。时空和运动学（矢状面）参数是最常使用的步态参数。需要进一步研究以确定每个临床问题的相关步态参数。
确定了 56 个用于评估双侧痉挛性脑瘫儿童的反应性步态参数。最有反应的步态参数属于矢状面关节角度时间序列。与动力学和表面肌电图参数相比，时空和运动学参数被广泛使用。
