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

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

Research output: Contribution to journalArticlepeer-review

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.

Original languageAmerican English
Pages (from-to)182-206
Number of pages25
JournalPediatric Physical Therapy
Volume36
Issue number2
DOIs
StatePublished - Apr 1 2024

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Physical Therapy, Sports Therapy and Rehabilitation

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