Motorized versus manual instrumented spasticity assessment in children with cerebral palsy

Sloot, Lizeth H.; Bar‐On, Lynn; Krogt, Marjolein M. van der; Aertbeliën, Erwin; Buizer, Annemieke I.; Desloovere, Kaat; Harlaar, Jaap

doi:10.1111/dmcn.13194

Cited by 28 publications

(31 citation statements)

References 22 publications

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“…Instrumented spasticity assessment was carried out using a motor‐driven footplate (MOOG, Nieuw‐Vennep, The Netherlands) . The patient was seated in an adjustable chair with the right foot fixed onto a custom designed adjustable footplate (Figure C).…”

Section: Investigationsmentioning

confidence: 99%

“…Instrumented spasticity assessment was carried out using a motor-driven footplate (MOOG, Nieuw-Vennep, The Netherlands). 11,18 The patient was seated in an adjustable chair with the right foot fixed onto a custom designed adjustable footplate 15,19 ( Figure 1C). This footplate allowed adjustments targeted to fix the talocalcaneal joint during foot plate rotations (for details see Huijing et al 15 ) The motor-driven footplate applied two slow (15°/s) and two fast (150°/s) speed controlled dorsiflexion movements over the patient's maximum ankle ROM (determined manually).…”

Section: Instrumented Spasticity Assessmentmentioning

confidence: 99%

See 1 more Smart Citation

Comprehensive evaluation of gait, spasticity, and muscle morphology: A case report of a child with spastic paresis treated with Botulinum NeuroToxin‐A, serial casting, and physiotherapy

Weide

Sloot

Oudenhoven

et al. 2019

Clinical Case Reports

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Comprehensive instrumented muscle and joint assessments should be considered when prescribing Botulinum NeuroToxin‐A (BoNT‐A) treatment in spastic paresis. In a child with spastic paresis, comprehensive evaluation following treatment with BoNT‐A, serial casting, and physiotherapy showed that short‐term improvements in gait occurred without changes in muscle morphology. Rather, foot flexibility increased.

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Section: Investigationsmentioning

confidence: 99%

Section: Instrumented Spasticity Assessmentmentioning

confidence: 99%

Comprehensive evaluation of gait, spasticity, and muscle morphology: A case report of a child with spastic paresis treated with Botulinum NeuroToxin‐A, serial casting, and physiotherapy

Weide

Sloot

Oudenhoven

et al. 2019

Clinical Case Reports

Self Cite

View full text Add to dashboard Cite

show abstract

“…This type of musculoskeletal modeling combined with spasticity measurement may allow for individually tailored spasticity treatments. Further, investigation of fast and slow passive rotations imposed during manual and motorized assessments may yield greater insights into the development of movement profiles to better mimic spasticity imposed during functional tasks such as walking (Sloot et al, 2016). …”

Section: Neuromuscular Deficits Of Cerebral Palsymentioning

confidence: 99%

Neurologic Correlates of Gait Abnormalities in Cerebral Palsy: Implications for Treatment

Zhou

Butler

Rose

2017

Front. Hum. Neurosci.

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Cerebral palsy (CP) is the most common movement disorder in children. A diagnosis of CP is often made based on abnormal muscle tone or posture, a delay in reaching motor milestones, or the presence of gait abnormalities in young children. Neuroimaging of high-risk neonates and of children diagnosed with CP have identified patterns of neurologic injury associated with CP, however, the neural underpinnings of common gait abnormalities remain largely uncharacterized. Here, we review the nature of the brain injury in CP, as well as the neuromuscular deficits and subsequent gait abnormalities common among children with CP. We first discuss brain injury in terms of mechanism, pattern, and time of injury during the prenatal, perinatal, or postnatal period in preterm and term-born children. Second, we outline neuromuscular deficits of CP with a focus on spastic CP, characterized by muscle weakness, shortened muscle-tendon unit, spasticity, and impaired selective motor control, on both a microscopic and functional level. Third, we examine the influence of neuromuscular deficits on gait abnormalities in CP, while considering emerging information on neural correlates of gait abnormalities and the implications for strategic treatment. This review of the neural basis of gait abnormalities in CP discusses what is known about links between the location and extent of brain injury and the type and severity of CP, in relation to the associated neuromuscular deficits, and subsequent gait abnormalities. Targeted treatment opportunities are identified that may improve functional outcomes for children with CP. By providing this context on the neural basis of gait abnormalities in CP, we hope to highlight areas of further research that can reduce the long-term, debilitating effects of CP.

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“…Sloot 18 reported a battery of manual instrumentation-based tests, including measurements of joint velocity, imposed force, and muscle activity, used to objectively measure spasticity in CP. 18 The authors of that study verified that the measurements matched the subjects' gait profiles. Furthermore, Russian investigators have reported the use of an ultrasonographic technique to objectively evaluate the degree of muscle degeneration related to spasticity.…”

Section: Which Was Developed Bymentioning

confidence: 62%

“…It is also invasive and may be resisted by some children. Sloot reported a battery of manual instrumentation‐based tests, including measurements of joint velocity, imposed force, and muscle activity, used to objectively measure spasticity in CP . The authors of that study verified that the measurements matched the subjects’ gait profiles.…”

Section: Behavioral Assessments Of Pmdsmentioning

confidence: 86%

Current behavioral assessments of movement disorders in children

et al. 2018

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Pediatric movement disorders (PMDs) are common and have recently received increasing attention. As these disorders have special clinical features, the selection of appropriate behavioral assessment tools that can clearly distinguish movement disorders from other diseases (eg, epilepsy and neuromuscular disorders) is crucial for achieving an accurate diagnosis and treatment. However, few studies have focused on behavioral assessments in children. The present report attempts to provide a critical review of the available subjective and objective assessment tests for common PMDs. We believe that the principles of objectification, multi-purpose use, and simplification are also applicable to the selection and development of satisfactory pediatric behavioral assessment tools. We expect that the development of wearable sensors, virtual reality, and augmented reality will lead to the establishment of more reliable and simple tests. In addition, more rigorous randomized controlled trials that have been specifically designed to evaluate behavioral testing in children are also expected in the future.

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Motorized versus manual instrumented spasticity assessment in children with cerebral palsy

Cited by 28 publications

References 22 publications

Comprehensive evaluation of gait, spasticity, and muscle morphology: A case report of a child with spastic paresis treated with Botulinum NeuroToxin‐A, serial casting, and physiotherapy

Comprehensive evaluation of gait, spasticity, and muscle morphology: A case report of a child with spastic paresis treated with Botulinum NeuroToxin‐A, serial casting, and physiotherapy

Neurologic Correlates of Gait Abnormalities in Cerebral Palsy: Implications for Treatment

Current behavioral assessments of movement disorders in children

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