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Actualities in Treatment of Gait Disorders in Children with Hemiplegia

Table 1:

No. Intervention Intervention outcome Author Design
Assessment
1 Movement Assessment in Infants (MAI) Early diagnosis BurnsHarrisRose-Jacobs Randomized controlled trialsReviewCase series
2 Gross Motor Function Classification Scale (GMFCS) Defines the severity of the dysfunctionEstimates the patient’s future locomotor potential PalisanoAlgra Randomized controlled trialsBook
3 Gross Motor Function Measure (GMFM) Evaluates changes in the motor function Russell Book
4 Functional Mobility Scale (FMS) Distinguishes the levels between the assistance devices Graham Randomized controlled trials
5 Functional Assessment Questionnaire (FAQ) or Gillette Scale Functional report regarding the degree of ambulation of the patient in the environment Novacheck Randomized controlled trials
6 Physician Rating Scale (PRS) and Observational Gait Scale (OGS) Measures different stages of development and progress of the gait Hausdorff Book
7 Modified Ashworth Scale (MAS) Spasticity assessment GageYam Randomized controlled trials
8 Tardieu Scale Spasticity assessment GageYamHodgkinson BookRandomized controlled trialsRandomized controlled trials
9 The Selective Motor Control Scale (SMCS) Measures selective dorsiflexion and ankle dexterity Boyd Case series
10 Isokinetic dynamometer Measures the muscle power generated in a controlled movement GageBohannonPierce BookReviewRandomized controlled trials
11 Muscular tests (Silverskiöld test, Thomas test, Adductor muscle test, Ober test) Assesses the ability to perform movement PalmerGageHausdorffPalastangaBuckup BookBookBookBookBook
12 Range of motion tests (popliteal angle, Netter angle, Patella Alta, tibial torsion angle) Assesses the range of motion PalmerGageHausdorffPalastangaBuckup Book----
13 Computerized gait analysis lab Multifactorial analysis of gait (kinematics, kinetics, EMG, GRF, spatial and temporal parameters) Gage Book
14 GAITRite Measures the spatial and temporal parameters of gait McDonough Case study
Treatment
1 Strength training Improved lower limb strength via progressive resistance trainingImproved lower limb strength can improve gait parameters MortonEekMockford Case seriesCase seriesSystematic review
2 Manual stretching Contracture prevention PinTardieu ReviewCase series
3 Proprioceptive neuromuscular facilitation Decontracting with awareness of the patient’s situation Anderson Book
4 Neuro-developmental therapy (Bobath, DDPT, Feldenkrais) Normalized movementPrevents the contracture developmentImproved function CristeaZoltanHinesJamesConnors Case seriesBookReviewCase seriesValidation studies
5 Proprioception (Margaret Rood, Frankel, Kabat) Modulation of the motor response DrăganRobănescu BookBook
6 Postural control Stability of the trunk improves the quality of gait – Dolce Method Mircea Case series
7 Therasuit Improved gross motor functionImproved functional walkingImproved weight bearing Bailes Randomized controlled trial
8 Robotic therapy Improved function via robotic trainingImproved gait parameters MagioniKim ReviewRandomized controlled trial
9 Ankle-foot orthosis Improved passive range of motion in the lower limbImproved stride lengthReduced muscle spasticity BlackmoreTeplickyPetrușcăAlgra ReviewReviewBook
10 Essentis therapy Multi-therapy treatment strategy Insufficient evidence
11 Craniosacral therapy Improved mobility, quality of life and general health Wyatt Randomized controlled trialInsufficient evidence
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