Three-dimensional lumbar segment movement characteristics during paediatric cerebral palsy gait

Kiernan, Damien; Malone, Ailish; O’Brien, Tim; Simms, Ciaran

doi:10.1016/j.gaitpost.2017.01.001

Cited by 3 publications

(7 citation statements)

References 27 publications

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“…The selected articles with characteristics findings have been shown in Tables 2 and 3. [13] 2018 Cross-sectional 52 30 22 9.1-11.7 1-3 [14] 2017 Cross-sectional 72 52 20 8.5-14.5 1-2 [15] 2016 Cross-sectional 52 30 22 9.1-11.7 1-3 [16] 2016 Cross-sectional 40 20 20 2-9 1-3 [4] 2016 Cross-sectional 50 26 24 4-12 -17] 2014 Cross-sectional 36 16 20 8-14 - [18] 2014 Cross-sectional 40 23 17 8-18 - [19] 2014 Cross-sectional 34 17 17 5-18 1-3 [20] 2014 Cross-sectional 114 92 22 0-25 1-3 [6] 2014 Cross-sectional 32 16 16 9-13 1-2 [21] 2014 Cross-sectional 70 41 29 5-18 1-3 [22] 2014 Cross-sectional 107 92 15 5-30 1-3 [23] 2014 Cross-sectional 20 20 0 5-15 1-2 [24] 2013 Cross-sectional 100 100 0 8-15 1-3 [12] 2013 Cross-sectional 40 20 20 2-10 1-2 [25] 2011 Cross-sectional 56 26 30 8-15 1-3 [26] 2013 Cross-sectional 48 31 17 11-26 1-2 [27] 2013 Cross-sectional 149 122 27 17-23 1-3…”

Section: Resultsmentioning

confidence: 99%

“…Due to lateral leaning, the normal loading response could be altered. Also, the study done by Kiernan et al [14] found a correlation between lumbar L5 and sacral S1 reactive force and moment. As the lumbar ROM increased, the loading increased on the lumbo-pelvic segment.…”

Section: Kineticsmentioning

confidence: 87%

“…The movement analysis of lumbar and pelvic segments among CP children has been scarce in previous studies. In this regards, only one study conducted by Kiernan et al [14] provided deeper insights to CP gait characteristics. The study found that children with CP and GMFCS II and III showed a statistically significant increased flexion ROM in the lumbar segment compared to both GMFCS I and TD in the sagittal plane (6.3° and 8°, respectively) [14].…”

Section: D) Lumbo-pelvic Kinematicsmentioning

confidence: 99%

“…Due to the developmental changes that occur in children as they grow, longitudinal studies are needed to identify the relationship between age and postural control and its impact on gait. Most of the studies compared CP children with age-matched TD children [4,6,7,12,[14][15][16][17][18][19][20][21][22][27][28][29][30][31][32]34,35] except two studies did not have TD as a comparable group [11,33]. Considering age-matched TD children in the gait analysis could provide accurate and effective measures of comparison regarding functional capacity and postural deviation from the baseline.…”

Section: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

“…The participants were assessed for their functional capacity and categorised according to Gross Motor Function Classification System (GMFCS). Six studies included participants with a GMFCS score of I-II [7,12,14,23,27,29] whereas nine authors categorised their participants under GMFCS score of I-III [13,15,16,[19][20][21][22]24,25,28,30]. However, nine studies did not use GMFCS for functional classification and categorisation of the studied sample population [4,6,11,17,18,31,32,34,35].…”

Section: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

See 4 more Smart Citations

Head and trunk kinematics and kinetics in normal and cerebral palsy gait: a systematic review

Hazari

Agouris

Wakode

et al. 2019

European Journal of Physiotherapy

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Background: Cerebral palsy (CP) is a neuromuscular disability characterised by a persistent disorder of movement and posture due to a non-progressive lesion in a developing brain. In children with CP, gait is compromised in a variety of ways. A number of studies have suggested that there is a higher degree of biomechanical variations including kinematics and kinetics at head and trunk while analysing a CP gait. Since coordinated movements of head and trunk are important to analyse a typical gait, it is important to determine these biomechanical changes among children with CP for altered movements such as decreased head and trunk stability. Studies have also reported a variety of outcome measures for clinical use. However, the results among the studies are not consistent as there is variability for altered biomechanics based on type and level of the disorder which requires further investigation. Although clinically very useful, the data regarding the head and trunk biomechanics in children with CP is limited. In this study, a systematic review was done to determine the head and trunk kinematic and kinetics variations in CP gait compared to TD children of the same age-group.Methodology: Scientific articles were obtained by a search in databases including Science Direct, Cinahl, Springer Link, Sport discuss, Web of Science and Pubmed. Limitations used were AND/OR. Full-text articles from 1999 to 2017 in English were selected. Results:A total of 3029 records were identified that included Science Direct (n = 1854), Cinahl (n = 176), Springer Link (n = 121), Sports Discuss (n = 101), Web of Science (n = 14) and Pubmed (n = 763). After removing the duplicates, 1786 records were obtained. Fifty-one full text articles were selected for the eligibility and 27 were included in the study. Conclusions:In this review study, we conclude that children with CP have a significant difference in head and trunk kinetics and kinematics compared to age-matched TD children

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Section: Resultsmentioning

confidence: 99%

Section: Kineticsmentioning

confidence: 87%

Section: D) Lumbo-pelvic Kinematicsmentioning

confidence: 99%

Section: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

Section: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

See 3 more Smart Citations

Head and trunk kinematics and kinetics in normal and cerebral palsy gait: a systematic review

Hazari

Agouris

Wakode

et al. 2019

European Journal of Physiotherapy

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Reliability and measurement error of multi-segment trunk kinematics and kinetics during cerebral palsy gait

Kiernan

Simms

2020

Medical Engineering & Physics

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Three-Dimensional Instrumented Gait Analysis for Children With Cerebral Palsy: An Evidence-Based Clinical Practice Guideline

States,

Salem,

Krzak

et al. 2024

Pediatric Physical Therapy

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Background: 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. Purpose: 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. Conclusions: 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.

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Three-dimensional lumbar segment movement characteristics during paediatric cerebral palsy gait

Cited by 3 publications

References 27 publications

Head and trunk kinematics and kinetics in normal and cerebral palsy gait: a systematic review

Head and trunk kinematics and kinetics in normal and cerebral palsy gait: a systematic review

Reliability and measurement error of multi-segment trunk kinematics and kinetics during cerebral palsy gait

Three-Dimensional Instrumented Gait Analysis for Children With Cerebral Palsy: An Evidence-Based Clinical Practice Guideline

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