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Gait classification in children with cerebral palsy: A systematic review

Dobson, F, Morris, ME, Baker, RJ and Graham, HK 2007, 'Gait classification in children with cerebral palsy: A systematic review' , Gait & Posture, 25 (1) , pp. 140-152.

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    Abstract

    This systematic review of the literature evaluates the validity of existing classifications of gait deviations in children with cerebral palsy (CP). Numerous efforts have been made to develop classification systems for gait in CP to assist in diagnosis, clinical decision-making and communication. The internal and external validity of gait classifications in 18 studies were examined, including their sampling methods,content validity, construct validity, reliability and clinical utility. Half of the studies used qualitative pattern recognition to construct the gait classification and the remainder used statistical techniques such as cluster analysis. Few adequately defined their samples or sampling methods. Most classifications were constructed using only sagittal plane gait data. Many did not provide adequate guidelines or evidence of reliability and validity of the classification system. No single classification addressed the full magnitude or range of gait deviations in children with CP. Although gait classification in CP can be useful in clinical and research settings, the methodological limitations of many classifications restrict their clinical and research applicability.

    Item Type: Article
    Uncontrolled Keywords: Cerebral palsy. gait patterns, classification system, validity, systematic review
    Themes: Health and Wellbeing
    Schools: Colleges and Schools > College of Health & Social Care
    Colleges and Schools > College of Health & Social Care > School of Health Sciences
    Journal or Publication Title: Gait & Posture
    Publisher: Elsevier
    Refereed: Yes
    ISSN: 09666362
    Depositing User: RH Shuttleworth
    Date Deposited: 04 Jul 2011 12:23
    Last Modified: 20 Aug 2013 17:59
    URI: http://usir.salford.ac.uk/id/eprint/16532

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