Biomechanical and Clinical Correlates of Swing-Phase Knee Flexion in Individuals With Spastic Cerebral Palsy Who Walk With Flexed-Knee Gait

Rha, Dong-Wook; Cahill‐Rowley, Katelyn; Young, Jeffrey L.; Torburn, Leslie; Stephenson, Katherine; Rose, Jessica

doi:10.1016/j.apmr.2014.09.039

Cited by 15 publications

(13 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Previously, Rha et al have also shown significant correlations between the timing of peak knee flexion during swing and knee flexion angle at initial contact. [20]…”

Section: Discussionmentioning

confidence: 99%

Statistical Parametric Mapping to Identify Differences between Consensus-Based Joint Patterns during Gait in Children with Cerebral Palsy

et al. 2017

View full text Add to dashboard Cite

Experts recently identified 49 joint motion patterns in children with cerebral palsy during a Delphi consensus study. Pattern definitions were therefore the result of subjective expert opinion. The present study aims to provide objective, quantitative data supporting the identification of these consensus-based patterns. To do so, statistical parametric mapping was used to compare the mean kinematic waveforms of 154 trials of typically developing children (n = 56) to the mean kinematic waveforms of 1719 trials of children with cerebral palsy (n = 356), which were classified following the classification rules of the Delphi study. Three hypotheses stated that: (a) joint motion patterns with ‘no or minor gait deviations’ (n = 11 patterns) do not differ significantly from the gait pattern of typically developing children; (b) all other pathological joint motion patterns (n = 38 patterns) differ from typically developing gait and the locations of difference within the gait cycle, highlighted by statistical parametric mapping, concur with the consensus-based classification rules. (c) all joint motion patterns at the level of each joint (n = 49 patterns) differ from each other during at least one phase of the gait cycle. Results showed that: (a) ten patterns with ‘no or minor gait deviations’ differed somewhat unexpectedly from typically developing gait, but these differences were generally small (≤3°); (b) all other joint motion patterns (n = 38) differed from typically developing gait and the significant locations within the gait cycle that were indicated by the statistical analyses, coincided well with the classification rules; (c) joint motion patterns at the level of each joint significantly differed from each other, apart from two sagittal plane pelvic patterns. In addition to these results, for several joints, statistical analyses indicated other significant areas during the gait cycle that were not included in the pattern definitions of the consensus study. Based on these findings, suggestions to improve pattern definitions were made.

show abstract

“…Previously, Rha et al have also shown significant correlations between the timing of peak knee flexion during swing and knee flexion angle at initial contact. [20]…”

Section: Discussionmentioning

confidence: 99%

Statistical Parametric Mapping to Identify Differences between Consensus-Based Joint Patterns during Gait in Children with Cerebral Palsy

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The modified COSMIN scores of three of these eight SCALE papers were 'good', [37][38][39] four were rated as 'fair', [40][41][42] one as 'excellent', 43 and one as 'poor'. The modified COSMIN scores of three of these eight SCALE papers were 'good', [37][38][39] four were rated as 'fair', [40][41][42] one as 'excellent', 43 and one as 'poor'.…”

Section: Hypotheses Testingmentioning

confidence: 99%

“…The modified COSMIN scores of three of these eight SCALE papers were 'good', [37][38][39] four were rated as 'fair', [40][41][42] one as 'excellent', 43 and one as 'poor'. 44 Quality of construct validity was evaluated in accordance to Terwee et al 28 as 'positive (+)' in eight papers, [37][38][39][40][41][42]45 and as mixed 'positive/negative (+)/(-)' in one study. 44 Overall, there was 'moderate positive (++)' evidence for construct validity of the SCALE in terms of (1) its correlation with the Gross Motor Function Classification System, 37,43 and (2) its proximal-distal concordance (SVMC is more often and/or more severely impaired in distal body parts).…”

Section: Hypotheses Testingmentioning

confidence: 99%

“…38,43 A 'limited positive (+)' evidence level was given for its validity testing with the Berg Balance Scale, 45 and for predicting knee flexion during initial contact during stance phase of gait. [39][40][41] Therefore, their level of evidence was rated as 'conflicting (AE)'. Two studies found significant correlations and one did not.…”

Section: Hypotheses Testingmentioning

confidence: 99%

“…Two studies found significant correlations and one did not. [39][40][41] Therefore, their level of evidence was rated as 'conflicting (AE)'. In relation to the poor quality of the Kusumoto et al study, 44 which investigated the relationship between the SCALE and knee extensor strength, its level of evidence was rated as 'unknown (?)'.…”

Section: Hypotheses Testingmentioning

confidence: 99%

See 2 more Smart Citations

Selective voluntary motor control measures of the lower extremity in children with upper motor neuron lesions: a systematic review

Balzer

Linden

Mercer

et al. 2017

Develop Med Child Neuro

View full text Add to dashboard Cite

show abstract

Selective Voluntary Motor Control in Children and Youth with Spastic Cerebral Palsy

Sukal-Moulton¹,

Fowler²

2019

Cerebral Palsy

View full text Add to dashboard Cite

Biomechanical and Clinical Correlates of Swing-Phase Knee Flexion in Individuals With Spastic Cerebral Palsy Who Walk With Flexed-Knee Gait

Cited by 15 publications

References 22 publications

Statistical Parametric Mapping to Identify Differences between Consensus-Based Joint Patterns during Gait in Children with Cerebral Palsy

Statistical Parametric Mapping to Identify Differences between Consensus-Based Joint Patterns during Gait in Children with Cerebral Palsy

Selective voluntary motor control measures of the lower extremity in children with upper motor neuron lesions: a systematic review

Selective Voluntary Motor Control in Children and Youth with Spastic Cerebral Palsy

Contact Info

Product

Resources

About