scholarly journals The Utility of Gait Deviation Index (GDI) and Gait Variability Index (GVI) in Detecting Gait Changes in Spastic Hemiplegic Cerebral Palsy Children Using Ankle–Foot Orthoses (AFO)

Children ◽  
2020 ◽  
Vol 7 (10) ◽  
pp. 149
Author(s):  
Majewska Joanna ◽  
Szczepanik Magdalena ◽  
Bazarnik-Mucha Katarzyna ◽  
Szymczyk Daniel ◽  
Lenart-Domka Ewa
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Gait Variability ◽  
Therapeutic Interventions ◽  
Walking Ability ◽  
Deviation Index ◽  
Gait Parameters ◽  
Gait Deviation Index ◽  
Variability Index ◽  
Spatio Temporal

Background: Cerebral palsy (CP) children present complex and heterogeneous motor disorders that cause gait deviations. Clinical gait analysis (CGA) is used to identify, understand and support the management of gait deviations in CP. Children with CP often use ankle–foot orthosis (AFO) to facilitate and optimize their walking ability. The aim of this study was to assess whether the gait deviation index (GDI) and the gait variability index (GVI) results can reflect the changes of spatio-temporal and kinematic gait parameters in spastic hemiplegic CP children wearing AFO. Method: The study group consisted of 37 CP children with hemiparesis. All had undergone a comprehensive, instrumented gait analysis while walking, both barefoot and with their AFO, during the same CGA session. Kinematic and spatio-temporal data were collected and GVI and GDI gait indexes were calculated. Results: Significant differences were found between the barefoot condition and the AFO conditions for selected spatio-temporal and kinematic gait parameters. Changes in GVI and GDI were also statistically significant. Conclusions: The use of AFO in hemiplegic CP children caused a statistically significant improvement in spatio-temporal and kinematic gait parameters. It was found that these changes were also reflected by GVI and GDI. These findings might suggest that gait indices, such as GDI and GVI, as clinical outcome measures, may reflect the effects of specific therapeutic interventions in CP children.

Relationship Between Observational Wisconsin Gait Scale, Gait Deviation Index, and Gait Variability Index in Individuals Poststroke

2019 ◽  
Vol 100 (9) ◽  
pp. 1680-1687
Author(s):  
Agnieszka Guzik ◽  
Mariusz Drużbicki ◽  
Lorenza Maistrello ◽  
Andrea Turolla ◽  
Michela Agostini ◽  
...  
Keyword(s):  
Gait Variability ◽  
Deviation Index ◽  
Gait Deviation Index ◽  
Variability Index

CHILDREN WITH CEREBRAL PALSY USING A TRI-AXIAL ACCELEROMETER

2020 ◽  
Vol 18 (4) ◽  
pp. 465-476
Author(s):  
Zmnako Jamal Amen ◽  
Omer Ali Rafiq Barawi ◽  
Shirwan Hamasalh Omer
Keyword(s):  
Cerebral Palsy ◽  
Gait Analysis ◽  
Muscle Tone ◽  
Service Planning ◽  
Motor Dysfunction ◽  
Walking Ability ◽  
Clinical Utilization ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Analysis System

Worldwide children’s walking disabilities that are caused mainly by cerebral palsy display multiple conditions of both permanent and non-developing motor dysfunction that in turn upsets posture, mobility, or muscle tone in general. In order to estimate the influence of instrumented gait analysis on the walking ability in cerebral palsied children the Dynaport Minimod, based on a triaxial accelerometer was employed. A Dynaport Minimod was used for collecting the spatial and temporal gait data. An evaluation of the gait data carried out via online services application for 80 children with cerebral palsies from April 1 st , 2018 to October 30 th , 2019. The Dynaport Minimod is capable of capturing most of the spatiotemporal gait parameters which indicate that this technique is quite cooperative and objective in the detection of gait changes and the evaluation of consequences, respectively. The most useful practice for the managing of children with cerebral palsy is a gait analysis system in which its clinical utilization is considered to be a developing technology especially in providing guidance to service planning centres and hospitals.

scholarly journals Influences of Spatio-Temporal Gait Parameters on Walking Efficiency of Children with Cerebral Palsy

2009 ◽  
Vol 24 (2) ◽  
pp. 155-159
Author(s):  
Minoru KIMOTO ◽  
Yasuko NORO ◽  
Chizuru KATOU ◽  
Takanori KONDO ◽  
Hiroaki NAKANO ◽  
...  
Keyword(s):  
Cerebral Palsy ◽  
Gait Parameters ◽  
Children With Cerebral Palsy ◽  
Spatio Temporal ◽  
Walking Efficiency

Gait Deviation Index, Gait Profile Score and Gait Variable Score in children with spastic cerebral palsy: Intra-rater reliability and agreement across two repeated sessions

2015 ◽  
Vol 42 (2) ◽  
pp. 133-137 ◽  
Author(s):  
Helle Mätzke Rasmussen ◽  
Dennis Brandborg Nielsen ◽  
Niels Wisbech Pedersen ◽  
Søren Overgaard ◽  
Anders Holsgaard-Larsen
Keyword(s):  
Cerebral Palsy ◽  
Spastic Cerebral Palsy ◽  
Rater Reliability ◽  
Deviation Index ◽  
Gait Deviation Index ◽  
Profile Score ◽  
Gait Variable

scholarly journals Repeatability and validation of Gait Deviation Index in children: Typically developing and cerebral palsy

2014 ◽  
Vol 39 (1) ◽  
pp. 354-358 ◽  
Author(s):  
Abir Massaad ◽  
Ayman Assi ◽  
Wafa Skalli ◽  
Ismat Ghanem
Keyword(s):  
Cerebral Palsy ◽  
Typically Developing ◽  
Deviation Index ◽  
Gait Deviation Index

Gait Deviation Index and Gross Motor Function in children with cerebral palsy

2012 ◽  
Vol 36 ◽  
pp. S52
Author(s):  
A. Massaad ◽  
A. Assi ◽  
M. Schwartz ◽  
W. Skalli ◽  
I. Ghanem
Keyword(s):  
Cerebral Palsy ◽  
Motor Function ◽  
Gross Motor ◽  
Gross Motor Function ◽  
Deviation Index ◽  
Children With Cerebral Palsy ◽  
Gait Deviation Index

scholarly journals Comparative Efficacy of Open-chain Kinematics and Closed-chain Kinematics on Walking Proficiency and Societal Integration in Post-stroke Individuals: a Pretest- Post-test Experimental Study

2021 ◽  
Author(s):  
Obianuju Nwaedozie ◽  
Caleb Gbiri ◽  
Olajide Olawale ◽  
Ukamaka Mgbeojedo ◽  
Caleb Adeagbo
Keyword(s):  
Experimental Study ◽  
Bicycle Ergometer ◽  
Stroke Survivors ◽  
Walking Ability ◽  
Open Chain ◽  
Post Stroke ◽  
Gait Parameters ◽  
Closed Chain ◽  
Significant Difference ◽  
Spatio Temporal

Abstract Background Post-stroke hemiplegic gait is a mixture of deviations and compensatory motion dictated by residual function. To improve stroke survivors' walking ability, it is necessary to evaluate different rehabilitation approaches and identify those that have a greater effect on locomotor recovery of stroke patients. Objectives This study was designed to compare the effect of open-chain kinematics (bicycle ergometry) and closed-chain kinematics (treadmill) on walking proficiency in post-stroke individuals and their societal integration. Methods This was a pretest- posttest- experimental study involving 35 ambulatory hemiplegic stroke survivors (18males and 17 females) with a mean age of 53.77±10.95 undergoing rehabilitation at the two Teaching Hospitals in Lagos. Patients went through a 10-week rehabilitation and were randomly assigned to two intervention groups. Spatio-temporal gait parameters were measured by the six-metre walkway and community integrated questionnaire was used to examine home integration, social integration and productive activities. Data were subjected to inferential and descriptive statistics. The level of significance was set at p<0.05. Results Results showed significant difference between baseline and post intervention scores for all the gait parameters in the bicycle ergometer group except for stride length (p = 0.078). There was also a significant difference in the mean change in cadence between the treadmill and bicycle ergometer group (p = 0.04). Conclusions Both open-chain and closed-chain kinematics are effective, but closed- chain is most effective in re-educating ambulation and re-gaining spatio-temporal gait parameters after stroke and should be structured into the patients’ treatment regimen to effectively improve functional capability in post-stroke individuals.

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