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Volumn 19, Issue 1, 2007, Pages 38-43

The role of gait analysis in the orthopaedic management of ambulatory cerebral palsy

Author keywords

Cerebral palsy; Decision making; Gait analysis; Orthopaedic surgery

Indexed keywords

AMBULATORY CARE; CEREBRAL PALSY; DECISION MAKING; ECONOMIC ASPECT; EVIDENCE BASED PRACTICE; GAIT; GENETIC VARIABILITY; HEALTH CARE MANAGEMENT; HUMAN; LABORATORY TEST; MEDICAL LITERATURE; OBSERVATIONAL STUDY; ORTHOPEDICS; PATHOLOGY; PATIENT ASSESSMENT; PRIORITY JOURNAL; REVIEW; STATISTICAL ANALYSIS; TREATMENT OUTCOME; TREATMENT PLANNING;

EID: 33846278739     PISSN: 10408703     EISSN: None     Source Type: Journal    
DOI: 10.1097/MOP.0b013e3280118a6d     Document Type: Review
Times cited : (69)

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    • Chang FM, Seidl AJ, Muthusamy M, et al. Effectiveness of instrumented gait analysis in children with cerebral palsy: comparison of outcomes. J Pediatr Orthop 2006; 26:612-616. Twenty children with ambulatory CP were recommended orthopaedic surgery after undergoing gait analysis. Ten children did not follow through with these recommendations and underwent unspecified alternative non-operative treatments, while the other 10 completed the surgical procedures recommended. The surgical group experienced 'a higher percentage' of positive (44%) gait outcomes compared with the group that did not follow the gait analysis-based surgical recommendations (26%). The data are insufficient to support the authors' conclusion that 'gait performance can be significantly improved when gait analysis is used to determine the appropriate surgical intervention'. Little information exists about the comparability of the two groups at baseline other than the similarity of the surgical recommendations based on gait analysis. The 'outcomes' are based on desired or expected changes in the gait kinematics, but we have no knowledge of how these changes relate to physical function. In this retrospective case-control study, patients treated with surgery did better than patients treated by the nonoperative methods based on the authors' definition of gait outcomes. The actual contribution of gait analysis to these outcomes is speculative.
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