Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review

Autor: Belizón-Bravo, Natalia, Romero-Galisteo, Rita Pilar, Cano-Bravo, Fatima, Gonzalez-Medina, Gloria, Pinero-Pinto, Elena, Luque-Moreno, Carlos
Přispěvatelé: [Belizón-Bravo,N, Gonzalez-Medina,G, Luque-Moreno,C] Department of Nursing and Physiotherapy, University of Cádiz, Cádiz, Spain. [Romero-Galisteo,RP] Department of Physiotherapy, Biomedical Research Institute of Malaga (IBIMA), University of Málaga, Málaga, Spain. [Cano-Bravo,F] Pediatric Rehabilitation Unit, Virgen del Rocío Hospital, Sevilla, Spain. [Pinero-Pinto,E, Luque-Moreno,C] Department of Physiotherapy, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, Sevilla, Spain.
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Velocidad al caminar
Physical therapy modalities
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Investigative Techniques::Epidemiologic Methods::Epidemiologic Research Design::Sample Size [Medical Subject Headings]

Gait disorders
Disciplines and Occupations::Natural Science Disciplines::Physics::Electronics [Medical Subject Headings]
Trajes espaciales
Walking speed
Information Science::Information Science::Information Services::Bibliography as Topic::Bibliometrics [Medical Subject Headings]
Modalidades de fisioterapia
Diseases::Nervous System Diseases::Central Nervous System Diseases::Brain Diseases::Brain Damage
Chronic::Cerebral Palsy [Medical Subject Headings]

Information Science::Information Science::Information Storage and Retrieval::Databases as Topic::Databases
Bibliographic::PubMed::MEDLINE [Medical Subject Headings]

Analytical
Diagnostic and Therapeutic Techniques and Equipment::Therapeutics::Physical Therapy Modalities [Medical Subject Headings]

Neurologic
Space suits
Cerebral palsy
Parálisis cerebral
Persons::Persons::Age Groups::Child [Medical Subject Headings]
Health Care::Health Care Quality
Access
and Evaluation::Quality of Health Care::Health Care Evaluation Mechanisms::Data Collection::Checklist [Medical Subject Headings]

Phenomena and Processes::Musculoskeletal and Neural Physiological Phenomena::Musculoskeletal Physiological Phenomena::Musculoskeletal Physiological Processes::Movement::Gait [Medical Subject Headings]
Analytical
Diagnostic and Therapeutic Techniques and Equipment::Equipment and Supplies::Surgical Equipment::Orthopedic Equipment::Orthotic Devices [Medical Subject Headings]

Trastornos neurológicos de la marcha
Popis: Dynamic suit orthoses (DSO) are currently used as a complementary treatment method in children with Cerebral Palsy (cwCP). The aim of this review was to assess the effects of interventions with DSO on the altered spatio-temporal gait parameters (STGPs) in cwCP. An electronic search was conducted in the Web of Science, Scopus, PEDro, Cochrane Library, MEDLINE/PubMed, and CINAHL databases up to July 2021. We included a total of 12 studies, which showed great heterogeneity in terms of design type, sample size, and intervention performed (two employed a Therasuit, three employed the Adeli suit, three employed Theratogs, one employed elastomeric tissue dynamic orthosis, one employed a full-body suit, one employed external belt orthosis, and one employed dynamic orthosis composed of trousers and T-shirt). The Cochrane collaboration's tool and the Checklist for Measuring Study Quality were used to assess the risk of bias and the methodological quality of the studies. It was variable according to the Checklist for Measuring Study Quality, and it oscillated between eight and 23. The studies of higher methodological quality showed significant post-intervention changes in walking speed (which is the most widely evaluated parameter), cadence, stride length, and step length symmetry. Although the evidence is limited, the intervention with DSO combined with a programme of training/physical therapy seems to have positive effects on the STGPs in cwCP, with the functional improvements that it entails. Despite the immediate effect after one session, a number of sessions between 18 and 60 is recommended to obtain optimum results. Future studies should measure all STGPs, and not only the main ones, such as gait speed, in order to draw more accurate conclusions on the functional improvement of gait after the use of this type of intervention. Yes
Databáze: OpenAIRE