Effect of physical therapy interventions on spatiotemporal gait parameters in children with cerebral palsy: a systematic review

Autor(es)

Corsi, Carolina ^{[1, 2]} ; Santos, Mariana M. ^[1] ; Moreira, Roberta F. C. ^[1] ; dos Santos, Adriana N. ^[3] ; de Campos, Ana C. ^[1] ; Galli, Manuela ^{[2, 4]} ; Rocha, Nelci A. C. F. ^[1]

Afiliação do(s) autor(es)

^[1] Univ Fed Sao Carlos, Dept Phys Therapy, Sao Carlos, SP - Brazil

^[2] Politecn Milan, Bioengn Dept, Milan - Italy

^[3] Univ Fed Santa Catarina, Dept Phys Therapy, Ararangua - Brazil

^[4] Inst Ricovero & Cura Carattere Sci IRCCS San Raff, Rome - Italy

• Tipo de documento: Artigo de Revisão
• Fonte: DISABILITY AND REHABILITATION; v. 43, n. 11 OCT 2019.
• Citações Web of Science: 0

Resumo

Aim: To investigate the effect of physical therapy interventions on spatiotemporal gait parameters in children with cerebral palsy. Methods: Six databases were searched: PubMed, Embase, Web of Science, Science Direct, Lilacs, and Scopus. Two independent reviewers worked on primary study selection based on titles, abstracts, and full text reading. We included randomized controlled trials investigating the role of therapeutic interventions on gait kinematics in children with cerebral palsy. The independent reviewers extracted information about study population, intervention type, main outcomes, and methodological quality according to PEDro Scale. The body of evidence was synthesized through GRADE. Results: Twenty-six studies were found addressing the following treatment categories: functional electrical stimulation, transcranial stimulation, gait training, muscular strengthening, vibratory platform training, and serial casting. A moderate level of evidence was identified for vibratory platform training, gait training, transcranial stimulation (positive effect), and isolated muscle strengthening (negative effect) in relation to gait velocity. Electrical stimulation showed a moderate level of evidence regarding stride length. The evidence for other outcomes was of low or very low quality. Conclusion: Vibratory platform, gait training, electrical stimulation, and transcranial stimulation were effective to improve spatiotemporal gait parameters, especially velocity in children with cerebral palsy. (AU)

• Processo FAPESP: 16/21309-8 - Análise não linear das forças de reação do solo durante a marcha de crianças com Paralisia Cerebral: O impacto da aplicação do Kinesiotaping
• Beneficiário: Carolina Corsi
• Modalidade de apoio: Bolsas no Exterior - Estágio de Pesquisa - Doutorado Direto
• Processo FAPESP: 15/08811-3 - Efeito do kinesiotaping nas características espaço temporais, angulares, oscilação postural e ativação muscular na marcha de crianças com paralisia cerebral
• Beneficiário: Carolina Corsi
• Modalidade de apoio: Bolsas no Brasil - Doutorado Direto