Samenvatting
Background: Dysfunctional postural control and pathological thorax and pelvis motions are often observed in children with cerebral palsy (CP) and can be considered as an indicator of diminished dynamic stability.
Objective: The aim of this study was to identify the differences between children with CP and typically developing children in three-dimensional kinematics of the thorax and the pelvis during walking.
Methods: Three databases (PubMed, Web Of Science and PEDro) were searched until December 3rd 2014, by using different combinations of keywords concerning the PECO-question method. The methodological quality of the studies was assessed by two researchers with the use of the strobe quality checklist. The Cohen's Kappa was calculated to measure the inter-rater reliability.
Results: Ten studies with in total 259 children with CP and 220 typically developing children (mean age 7.6 to 13.6 year) were included. The methodological quality scores of the selected studies were between 32% and 74%, and the Cohen’s Kappa between the results of the two researchers was satisfying (mean score 0.77). In these studies only children with unilateral CP (n=2), only children with bilateral CP (n=7) or children with both types of CP (n=1) participated. Compared to typically developed children, children with bilateral CP showed an increased range of motion of the thorax, pelvis and spine during walking. The results of the children with unilateral CP were less clear.
Conclusion: Only a limited number of studies, with a low to moderate methodological quality, were included in this systematic review. In general, it can be concluded that children with bilateral CP showed larger movement amplitudes of the trunk compared to children without CP. This increase in movement amplitudes could influence the dynamic stability of the body during walking. In children with unilateral CP, the results were less obvious and further research on this topic is required.
Key words: Cerebral palsy, gait analysis, kinematics, thorax, spine
Objective: The aim of this study was to identify the differences between children with CP and typically developing children in three-dimensional kinematics of the thorax and the pelvis during walking.
Methods: Three databases (PubMed, Web Of Science and PEDro) were searched until December 3rd 2014, by using different combinations of keywords concerning the PECO-question method. The methodological quality of the studies was assessed by two researchers with the use of the strobe quality checklist. The Cohen's Kappa was calculated to measure the inter-rater reliability.
Results: Ten studies with in total 259 children with CP and 220 typically developing children (mean age 7.6 to 13.6 year) were included. The methodological quality scores of the selected studies were between 32% and 74%, and the Cohen’s Kappa between the results of the two researchers was satisfying (mean score 0.77). In these studies only children with unilateral CP (n=2), only children with bilateral CP (n=7) or children with both types of CP (n=1) participated. Compared to typically developed children, children with bilateral CP showed an increased range of motion of the thorax, pelvis and spine during walking. The results of the children with unilateral CP were less clear.
Conclusion: Only a limited number of studies, with a low to moderate methodological quality, were included in this systematic review. In general, it can be concluded that children with bilateral CP showed larger movement amplitudes of the trunk compared to children without CP. This increase in movement amplitudes could influence the dynamic stability of the body during walking. In children with unilateral CP, the results were less obvious and further research on this topic is required.
Key words: Cerebral palsy, gait analysis, kinematics, thorax, spine
| Originele taal-2 | English |
|---|---|
| Titel | 3th european congress of neurorehabiliation |
| Subtitel | neurologie & rehabilitation |
| Status | Published - 1 dec. 2015 |
| Evenement | 3rd European Congress on Neurorehabilitation - Vienna, Austria Duur: 1 dec. 2015 → 4 dec. 2015 |
Conference
| Conference | 3rd European Congress on Neurorehabilitation |
|---|---|
| Land/Regio | Austria |
| Stad | Vienna |
| Periode | 1/12/15 → 4/12/15 |