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

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-04-01 Epub Date: 2024-03-29 DOI:10.1097/PEP.0000000000001101

Rebecca A States, Yasser Salem, Joseph J Krzak, Ellen M Godwin, Mark L McMulkin, Sandra L Kaplan

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Abstract

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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脑瘫儿童的三维仪器步态分析：循证临床实践指南》。

背景：脑性瘫痪（CP）患儿行走时步态复杂，步态偏差大，通常需要物理治疗（PT）/医疗/手术干预。目的：本临床实践指南为从事 CP 儿童护理的物理治疗师、医生和相关临床医师提供了 7 项行动声明，说明何时以及如何使用 3D-IGA 为临床评估和潜在干预措施提供依据。它将行动声明等级与基于文献批判性评估的具体证据等级联系起来：本临床实践指南阐述了 3D-IGA 在为手术和非手术干预提供信息、识别节段/关节和平面之间的步态偏差以及评估干预效果方面的作用。最佳实践声明为临床医生提供了有关 3D-IGA 实验室首选特征的指导，包括仪器设备、人员配备和报告实践。视频摘要：补充数字内容可在 http://links.lww.com/PPT/A524 上获取。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.