Identification of joint patterns during gait in children with cerebral palsy: a Delphi consensus study

Developmental Medicine and Child Neurology
Angela NieuwenhuysKaat Desloovere

Abstract

This study aims to achieve an international expert consensus on joint patterns during gait for children with cerebral palsy (CP) by means of Delphi surveys. In Stage 1, seven local experts drafted a preliminary proposal of kinematic patterns for each lower limb joint in the sagittal, coronal, and transverse plane. In Stage 2, 13 experts from eight gait laboratories (four in the USA and four in Europe), participated in a Delphi consensus study. Consensus was defined by a pre-set cut-off point of 75% agreement among participants. After the first stage, 44 joint patterns were presented in a first survey and 29 patterns reached consensus. Consensus improved to 47 out of 48 patterns in the third survey. Only one pattern, 'abnormal knee pattern during loading response', did not reach consensus. The expert panel agreed to define six patterns for the knee during swing, most of them representing characteristics of a stiff knee pattern. The defined joint patterns can support clinical reasoning for children with CP as joint patterns during gait might be linked to different treatment approaches. Automating the classification process and incorporating additional trunk, foot, and electromyography features should be prioritized for the near f...Continue Reading

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Citations

Nov 3, 2015·Developmental Medicine and Child Neurology·Henry Chambers
Feb 23, 2017·Developmental Medicine and Child Neurology·Angela NieuwenhuysKaat Desloovere
Nov 20, 2016·Journal of Pediatric Orthopedics·John A HeydemannJulieanne P Sees
Jul 4, 2019·Scientific Reports·Florent MoissenetStéphane Armand
Oct 17, 2019·Journal of Clinical Medicine·Stefanos TsitlakidisMatthias C M Klotz
Dec 4, 2020·Journal of Clinical Medicine·Stefanos TsitlakidisMarco Götze

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