Do children with cerebral palsy change their gait when walking over uneven ground?

Malone, Ailish; Kiernan, Damien; French, Helen; Saunders, Valerie; OʼBrien, Timothy M.

doi:10.1016/j.gaitpost.2015.02.001

Cited by 31 publications

(13 citation statements)

References 23 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 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%

“…Regarding recruitment source and strategy, it could be suggested that many studies failed to report this information. Three authors reported hospital outpatient clinic as the recruitment source [19,21,35] whereas other five authors found their participants from the university and hospital laboratory database [12,13,15,22,29].…”

Section: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

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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: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

Section: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

Section: Study Design Sample Size and Recruitment Detailsmentioning

confidence: 99%

See 2 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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“…Understanding changes in gait dynamics and accompanying compensatory techniques under both internal (posture) and/or external (surface) perturbations can shed light into functional demands of bipedalism in various scientific areas. For example, improved knowledge of the role of the trunk orientation in gait is of clinical interest as age or some pathological conditions alter trunk posture and adaptive capacity of the locomotor system ( Farcy and Schwab, 1997 ; Lin et al, 2000 ; Sarwahi et al, 2002 ; Potter et al, 2004 ; Malone et al, 2015 ). Furthermore, the study of human gait with a crouched posture, i.e.…”

Section: Introductionmentioning

confidence: 99%

Effects of altered sagittal trunk orientation on kinetic pattern in able-bodied walking on uneven ground

Aminiaghdam

Rode

2017

Biology Open

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Studies of disturbed human locomotion often focus on the dynamics of the gait when either posture, movement or surface is perturbed. Yet, the interaction effects of variation of trunk posture and ground level on kinetic behaviour of able-bodied gait have not been explored. For 12 participants we investigated the kinetic behaviour, as well as velocity and contact time, across four steps including an unperturbed step on level ground, pre-perturbation, perturbation (10-cm drop) and post-perturbation steps while walking with normal speed with four postures: regular erect, with 30°, 50° and maximal sagittal trunk flexion (70°). Two-way repeated measures ANOVAs detected significant interactions of posture×step for the second peak of the vertical ground reaction force (GRF), propulsive impulse, contact time and velocity. An increased trunk flexion was associated with a systematic decrease of the second GRF peak during all steps and with a decreased contact time and an increased velocity across steps, except for the perturbation step. Pre-adaptations were more pronounced in the approach step to the drop in regular erect gait. With increased trunk flexion, walking on uneven ground exhibited reduced changes in GRF kinetic parameters relative to upright walking. It seems that in trunk-flexed gaits the trunk is used in a compensatory way during the step-down to accommodate changes in ground level by adjusting its angle leading to lower variations in centre of mass height. Exploitation of this mechanism resembles the ability of small birds in adjusting their zig-zag-like configured legs to cope with changes in ground level.

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Assessment of gait quality and efficiency after undergoing a single-event multilevel surgery in children with cerebral palsy presenting an intoeing gait pattern

et al. 2022

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Do children with cerebral palsy change their gait when walking over uneven ground?

Cited by 31 publications

References 23 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

Effects of altered sagittal trunk orientation on kinetic pattern in able-bodied walking on uneven ground

Assessment of gait quality and efficiency after undergoing a single-event multilevel surgery in children with cerebral palsy presenting an intoeing gait pattern

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