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Read, Heather S.; Hazlewood, M. Elizabeth; Hillman, Susan J.; Prescott, R. J.; Robb, James

doi:10.1097/00004694-200305000-00005

Cited by 69 publications

(32 citation statements)

References 6 publications

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“…H2 : Compared to group physiotherapy, individual physiotherapy will result in greater improvement in quality of gait (mean score change of ≥ 4.0 points on the Edinburgh Visual Gait Score) at T2 (10 weeks-efficacy) and T3 (26 weeks-retention) [57-59]. …”

Section: Methodsmentioning

confidence: 99%

“…The EVGS is a tabulated scoring system that records 17 joint angles or movements of the trunk and lower limbs during a representative stride. EVGS total score ranges from 0 (best) to 68 (worst) [57]. The EVGS has excellent criterion validity (64% agreement with instrumented gait analysis), repeatability (least significant difference = 3.20 points) and sensitivity to change following surgical intervention (minimal clinically important change: mean score reduction of 4.2 points, range +0.3-8.5) [57-59].…”

Section: Methodsmentioning

confidence: 99%

“…EVGS total score ranges from 0 (best) to 68 (worst) [57]. The EVGS has excellent criterion validity (64% agreement with instrumented gait analysis), repeatability (least significant difference = 3.20 points) and sensitivity to change following surgical intervention (minimal clinically important change: mean score reduction of 4.2 points, range +0.3-8.5) [57-59]. It has good intra-observer reliability which is higher with more experienced observers [23,57,80,81].…”

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

GRIN: “GRoup versus INdividual physiotherapy following lower limb intra-muscular Botulinum Toxin-A injections for ambulant children with cerebral palsy: an assessor-masked randomised comparison trial”: study protocol

et al. 2014

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BackgroundCerebral palsy is the most common cause of physical disability in childhood. Spasticity is a significant contributor to the secondary impairments impacting functional performance and participation. The most common lower limb spasticity management is focal intramuscular injections of Botulinum Toxin-Type A accompanied by individually-delivered (one on one) physiotherapy rehabilitation. With increasing emphasis on improving goal-directed functional activity and participation within a family-centred framework, it is timely to explore whether physiotherapy provided in a group could achieve comparable outcomes, encouraging providers to offer flexible models of physiotherapy delivery. This study aims to compare individual to group-based physiotherapy following intramuscular Botulinum Toxin-A injections to the lower limbs for ambulant children with cerebral palsy aged four to fourteen years.Methods/DesignAn assessor-masked, block randomised comparison trial will be conducted with random allocation to either group-based or individual physiotherapy. A sample size of 30 (15 in each study arm) will be recruited. Both groups will receive six hours of direct therapy following Botulinum Toxin-A injections in either an individual or group format with additional home programme activities (three exercises to be performed three times a week). Study groups will be compared at baseline (T1), then at 10 weeks (T2, efficacy) and 26 weeks (T3, retention) post Botulinum Toxin-A injections. Primary outcomes will be caregiver/s perception of and satisfaction with their child’s occupational performance goals (Canadian Occupational Performance Measure) and quality of gait (Edinburgh Visual Gait Score) with a range of secondary outcomes across domains of the International Classification of Disability, Functioning and Health.DiscussionThis paper outlines the study protocol including theoretical basis, study hypotheses and outcome measures for this assessor-masked, randomised comparison trial comparing group versus individual models of physiotherapy following intramuscular injections of Botulinum Toxin-A to the lower limbs for ambulant children with cerebral palsy.Trial registrationACTRN12611000454976

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

GRIN: “GRoup versus INdividual physiotherapy following lower limb intra-muscular Botulinum Toxin-A injections for ambulant children with cerebral palsy: an assessor-masked randomised comparison trial”: study protocol

et al. 2014

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“…The Physician Rating Scale45 and the Edinburgh Visual Gait Scale46 are the most commonly used observational gait assessment tools. The Edinburgh Visual Gait Scale has good reliability and concurrent validity.…”

Section: Assessments and Outcome Measures Of Cerebral Palsymentioning

confidence: 99%

Orthopedic surgery in cerebral palsy: Instructional course lecture

Sharan¹

2017

IJOO

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Orthopedic surgery (OS) plays an important role in the management of cerebral palsy (CP). The objectives of OS are to optimize functions and prevent deformity. Newer developments in OS for CP include emphasis on hip surveillance, minimally invasive procedures, use of external fixators instead of plates and screws, better understanding of lever arm dysfunctions (that can only be corrected by bony OS), orthopedic selective spasticity-control surgery, and single-event multilevel lever arm restoration and anti spasticity surgery, which have led to significant improvements in gross motor function and ambulation, especially in spastic quadriplegia, athetosis, and dystonia. The results of OS can be dramatic and life altering for the person with CP and their caregivers if it is performed meticulously by a specialized surgical team, at the appropriate age, for the correct indications, employing sound biomechanical principles and is followed by physician-led, protocol based, intensive, multidisciplinary, institutional rehabilitation, and long term followup. However, OS can be a double-edged sword, and if performed less than optimally, and without the supporting multidisciplinary medical and rehabilitation team, expertise and infrastructure, it often leads to significant functional worsening of the person with CP, including irretrievable loss of previous ambulatory capacity. OS must be integrated into the long term management of the person with CP and should be anticipated and planned at the optimal time and not viewed as a “last resort” intervention or failure of rehabilitation. This instructional course lecture reviews the relevant contemporary principles and techniques of OS in CP.

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“…This is especially true for clinical diagnosis, such as Parkinson disease identification, Huntington disease diagnosis and Alzheimer's early detection [1,2]. Existing gait analysis practices are mainly in controlled environment using multiple video cameras, such as Vicon [3]. Markers are attached at critical points of junctions such as legs and trunk.…”

Section: Introductionmentioning

confidence: 99%

Ambulatory Hip Angle Estimation using Gaussian Particle Filter

Zhang

Huang

2009

J Sign Process Syst Sign Image Video Technol

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Hip angle is a major parameter in gait analysis while gait analysis plays an important role in healthcare, animation and other applications. Accurate estimation of hip angle using wearable inertial sensors in ambulatory environment remains a challenge because 1) the non-linear nature of thigh movement has not been well addressed, and 2) the variation of micro-inertial sensor measurement noise has not been studied yet. We propose to use Hybrid Dynamic Bayesian Network (HDBN) to model the nonlinear hip angle dynamics and variation of measurement noise levels, and Gaussian Particle Filter (GPF) to estimate the hip angle during gait cycles from the measurements of the wearable accelerometers that are attached to the thighs. The experiments have been conducted and the results have shown that the proposed method can achieve significant accuracy improvement over the previous work on the ambulatory hip angle estimation.

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Untitled

Cited by 69 publications

References 6 publications

GRIN: “GRoup versus INdividual physiotherapy following lower limb intra-muscular Botulinum Toxin-A injections for ambulant children with cerebral palsy: an assessor-masked randomised comparison trial”: study protocol

GRIN: “GRoup versus INdividual physiotherapy following lower limb intra-muscular Botulinum Toxin-A injections for ambulant children with cerebral palsy: an assessor-masked randomised comparison trial”: study protocol

Orthopedic surgery in cerebral palsy: Instructional course lecture

Ambulatory Hip Angle Estimation using Gaussian Particle Filter

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