Physical Therapy Program, School of Health Professions and Human Services, Hofstra University, Hempstead, New York (Drs States and Salem); Faculty of Physiotherapy, Cairo University, Cairo, Egypt (Dr Salem); Midwestern University - Physical Therapy Program, Downers Grove, Illinois (Dr Krzak); Shriners Children's Chicago, Gerald F. Harris Motion Analysis Center, Chicago, Illinois (Dr Krzak); Department of Physical Therapy, Long Island University - Brooklyn, Brooklyn, New York (Dr Godwin); Shriners Children's Spokane, Walter E. & Agnes M. Griffin Motion Analysis Center, Spokane, Washington (Dr McMulkin); Department of Rehabilitation & Movement Sciences, Rutgers, The State University of New Jersey, Newark, New Jersey (Dr Kaplan).
Pediatr Phys Ther. 2024 Apr 1;36(2):182-206. doi: 10.1097/PEP.0000000000001101. Epub 2024 Mar 29.
Children with cerebral palsy (CP) who walk have complex gait patterns and deviations often requiring physical therapy (PT)/medical/surgical interventions. Walking in children with CP can be assessed with 3-dimensional instrumented gait analysis (3D-IGA) providing kinematics (joint angles), kinetics (joint moments/powers), and muscle activity.
This clinical practice guideline provides PTs, physicians, and associated clinicians involved in the care of children with CP, with 7 action statements on when and how 3D-IGA can inform clinical assessments and potential interventions. It links the action statement grades with specific levels of evidence based on a critical appraisal of the literature.
This clinical practice guideline addresses 3D-IGA's utility to inform surgical and non-surgical interventions, to identify gait deviations among segments/joints and planes and to evaluate the effectiveness of interventions. Best practice statements provide guidance for clinicians about the preferred characteristics of 3D-IGA laboratories including instrumentation, staffing, and reporting practices.Video Abstract: Supplemental digital content available at http://links.lww.com/PPT/A524.
患有脑瘫的儿童（CP）需要行走，他们的步态模式复杂，常出现偏差，往往需要物理治疗（PT）/医学/手术干预。可以通过三维运动分析（3D-IGA）评估 CP 儿童的步行情况，该方法可提供运动学（关节角度）、动力学（关节力矩/功率）和肌肉活动。
本临床实践指南为从事 CP 儿童护理的物理治疗师、医生和相关临床医生提供 7 项行动声明，阐述何时以及如何使用 3D-IGA 为临床评估和潜在干预提供信息。它将行动声明等级与基于文献批判性评估的特定证据水平联系起来。
本临床实践指南探讨了 3D-IGA 在以下方面的应用：为手术和非手术干预提供信息，识别各节段/关节和平面的步态偏差，并评估干预措施的效果。最佳实践声明为临床医生提供了有关 3D-IGA 实验室的首选特征的指导，包括仪器、人员配备和报告实践。视频摘要：补充数字内容可在 http://links.lww.com/PPT/A524 上获取。
