Research
Print page Print page
Switch language
The Capital Region of Denmark - a part of Copenhagen University Hospital
Published

Gait analysis for individually tailored interdisciplinary interventions in children with cerebral palsy: a randomized controlled trial

Research output: Contribution to journalJournal articleResearchpeer-review

Documents

DOI

  1. Anti-dopamine D2 receptor antibodies in chronic tic disorders

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Specialist health care services use in a European cohort of infants born very preterm

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Muscle growth is reduced in 15-month-old children with cerebral palsy

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. The central role of trunk control in the gross motor function of children with cerebral palsy: a retrospective cross-sectional study

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Collection and Reporting of Patient-reported Outcome Measures in Arthroplasty Registries: Multinational Survey and Recommendations

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Thromboembolic and bleeding complications following primary total knee arthroplasty: a Danish nationwide cohort study

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Drug-related challenges following primary total hip and knee arthroplasty

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Helle M Rasmussen
  • Niels W Pedersen
  • Søren Overgaard
  • Lars K Hansen
  • Ulrike Dunkhase-Heinl
  • Yanko Petkov
  • Vilhelm Engell
  • Anders Holsgaard-Larsen
View graph of relations

AIM: To test the hypothesis that improvements in gait and function following individualized interdisciplinary interventions consisting of physical therapy, orthotics, spasticity management, and orthopaedic surgery using instrumented gait analysis are superior to 'usual care' in children with cerebral palsy (CP).

METHOD: This was a prospective, single-blind, parallel-group, randomized controlled trial investigating the effectiveness of interventions based on the use of gait analysis. Primary outcome was gait (Gait Deviation Index) and secondary outcomes were walking and patient-reported outcome measures of function, disability, and health-related quality of life. Follow-ups were done at 26 weeks (questionnaires) and at the primary end point of 52 weeks (all outcomes).

RESULTS: Sixty participants with CP (39 males, 21 females, mean age 6y 10mo, standard deviation 1y 3mo, range 5y-9y 1mo) in Gross Motor Function Classification System levels I or II, were randomized to interventions with or without gait analysis. No significant or clinically relevant between-group differences in change scores of the primary or secondary outcomes were found. The recommended categories of interventions were dominated by non-surgical interventions and were applied in 36% to 86% of the participants.

INTERPRETATION: Interventions using gait analysis were not superior to 'usual care' on gait, walking, or patient-reported outcomes in a sample of relatively young and independently walking children with CP not expected to need surgery.

WHAT THIS PAPER ADDS: Gait analysis in children with cerebral palsy in Gross Motor Function Classification System levels I or II recommends interdisciplinary interventions. Compliance to interventions recommended after gait analysis was low. No statistically significant advantages were identified for the intervention group versus the control group.

Original languageEnglish
JournalDevelopmental Medicine and Child Neurology
Volume61
Issue number10
Pages (from-to)1189-1195
ISSN0012-1622
DOIs
Publication statusPublished - Oct 2019
Externally publishedYes

ID: 66043806