NDLI: Real-time feedback to improve gait in children with cerebral palsy.

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Real-time feedback to improve gait in children with cerebral palsy.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Van Gelder, Linda Booth, Adam T. C. Van De Port, Ingrid Buizer, Annemieke I. Harlaar, Jaap Van Der Krogt, Marjolein M.
Description	Country affiliation: Netherlands Author Affiliation: van Gelder L ( Department of Rehabilitation Medicine, MOVE Research Institute Amsterdam, VU University Medical Center, 1007 MB Amsterdam, The Netherlands.); Booth AT ( Department of Rehabilitation Medicine, MOVE Research Institute Amsterdam, VU University Medical Center, 1007 MB Amsterdam, The Netherlands); van de Port I ( Revant Rehabilitation Center, Brabantlaan 1, 4817 JW Breda, The Netherlands.); Buizer AI ( Department of Rehabilitation Medicine, MOVE Research Institute Amsterdam, VU University Medical Center, 1007 MB Amsterdam, The Netherlands.); Harlaar J ( Department of Rehabilitation Medicine, MOVE Research Institute Amsterdam, VU University Medical Center, 1007 MB Amsterdam, The Netherlands.); van der Krogt MM ( Department of Rehabilitation Medicine, MOVE Research Institute Amsterdam, VU University Medical Center, 1007 MB Amsterdam, The Netherlands.)
Abstract	Real-time feedback may be useful for enhancing information gained from clinical gait analysis of children with cerebral palsy (CP). It may also be effective in functional gait training, however, it is not known if children with CP can adapt gait in response to real-time feedback of kinematic parameters. Sixteen children with cerebral palsy (age 6-16; GMFCS I-III), walking with a flexed-knee gait pattern, walked on an instrumented treadmill with virtual reality in three conditions: regular walking without feedback (NF), feedback on hip angle (FH) and feedback on knee angle (FK). Clinically relevant gait parameters were calculated and the gait profile score (GPS) was used as a measure of overall gait changes between conditions. All children, except one, were able to improve hip and/or knee extension during gait in response to feedback, with nine achieving a clinically relevant improvement. Peak hip extension improved significantly by 5.1±5.9° (NF: 8.9±12.8°, FH: 3.8±10.4°, p=0.01). Peak knee extension improved significantly by 7.7±7.1° (NF: 22.2±12.0°, FK: 14.5±12.7°, p<0.01). GPS did not change between conditions due to increased deviations in other gait parameters. Responders to feedback were shown to have worse initial gait as measured by GPS (p=0.005) and functional selectivity score (p=0.049). In conclusion, ambulatory children with CP show adaptability in gait and are able to respond to real-time feedback, resulting in significant and clinically relevant improvements in peak hip and knee extension. These findings show the potential of real-time feedback as a tool for functional gait training and advanced gait analysis in CP.
File Format	HTM / HTML
ISSN	09666362
Journal	Gait & Posture
Volume Number	52
e-ISSN	18792219
Language	English
Publisher	Elsevier
Publisher Date	2016-11-11
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Orthopedics
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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