Comparison between visual and three-dimensional gait analysis in patients with spastic diplegic cerebral palsy.

نویسندگان

  • Catia Miyuki Kawamura
  • Mauro César de Morais Filho
  • Milena Moreira Barreto
  • Sabrina Kyoko de Paula Asa
  • Yara Juliano
  • Neil Ferreira Novo
چکیده

Fifty patients with spastic diplegic cerebral palsy were included in this retrospective study which compared visual assessment of gait to three-dimensional (3D) gait analysis. Inter-observer variability was evaluated as well. Inclusion criteria comprehended independent ambulation (i.e. without assistive devices or orthoses). All subjects went through 3D gait analysis at the Gait Analysis Laboratory of the AACD Hospital. Four observers, viewing videotaped gait cycles, evaluated 10 specific points of interest of the cycle: hip flexion at terminal stance; knee flexion at initial contact; knee extension at terminal stance; knee flexion at initial swing; ankle dorsiflexion at initial contact; pelvic obliquity at mid stance; hip adduction at loading response; pelvic rotation; hip rotation at mid stance and foot progression angle, in relation to the lower limb, at mid stance. Their evaluation was then compared to the 3D kinematics data. A statistical analysis of the results was performed using kappa and McNemar's test in order to determine inter-observer and visual/3D analysis agreement. Results showed that inter-observer agreement was high but on the other hand, only two points of the gait cycle (knee flexion at initial contact and pelvic obliquity) were shown to have been similarly evaluated visually and with the 3D analysis. In conclusion, this study indicates that only knee flexion at initial contact and pelvic obliquity appear to be reliably evaluated on a visual basis alone. Visual observation is therefore inadequate for the evaluation of the other eight selected points of the gait cycle which require some form of quantitative assessment.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Dynamic Balance During Gait in Children With Spastic Diplegic Cerebral Palsy Versus Normal Children

Purpose: Cerebral Palsy (CP) can negatively affect dynamic stability in children with spastic diplegic Cerebral Palsy during walking. This condition results in a high risk of falling. There is limited evidence regarding the dynamic stability of children with Cerebral Palsy. Thus, this study aimed to investigate the dynamic stability of children with spastic diplegic Cerebral Palsy, compared to ...

متن کامل

Are the recommendations from three-dimensional gait analysis associated with better postoperative outcomes in patients with cerebral palsy?

This study was performed to check if recommendations based on three-dimensional gait analysis (3DGA) are associated with better postoperative outcomes in patients with cerebral palsy (CP). Thirty-eight patients who underwent orthopedic surgery and assessment at the Gait Analysis Laboratory were evaluated retrospectively. The patients were divided in four groups according to the agreement betwee...

متن کامل

Efficacy of Cold Therapy and Passive Stretching to Improve Gait in Spastic Diplegic Cerebral Palsy Children

Background One of the most common causes of severe physical disability in childhood is cerebral palsy (CP). Mobility is one of the most important functions to fulfill the activities of daily living. We aimed to determine the effectiveness of cold application to improve ...

متن کامل

Percutaneous Versus Open Hamstring Lengthening in Spastic Diplegic Cerebral Palsy

Background: Open hamstring lengthening (oHSL) is commonly performed to decrease knee contracture and improvegait and posture for children with spastic diplegia. Furthermore, percutaneous hamstring lengthening (pHSL) is alsogaining popularity as an alternative to the open approach. This study aimed to compare the results of pHSL versusoHSL and to determine the efficacy and safe...

متن کامل

Evaluation of the Effect of Kinesio Taping on the Plantar Arch Index of Children with Spastic Diplegic Cerebral Palsy

Background and Objective: Cerebral palsy is a non-progressive disorder of posture and motor status caused by various factors and can cause childhood disabilities and abnormalities like flat foot deformity. Kinesio Taping is a typical technique that helps relieve pain, relax muscles, and increase proprioception. The purpose of this study was to evaluate the effectiveness of Kinesio Taping on the...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Gait & posture

دوره 25 1  شماره 

صفحات  -

تاریخ انتشار 2007