Gait classification in children with cerebral palsy : a systematic review

Dobson, F; Morris, ME; Baker, RJ; Graham, HK

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.

Citation

Dobson, F., Morris, M., Baker, R., & Graham, H. (2007). Gait classification in children with cerebral palsy : a systematic review. Gait & Posture, 25(1), 140-152. https://doi.org/10.1016/j.gaitpost.2006.01.003

• Journal Article Type: Article
• Publication Date: Jan 1, 2007
• Deposit Date: Jul 4, 2011
• Journal: Gait & Posture
• Print ISSN: 0966-6362
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 25
• Issue: 1
• Pages: 140-152
• DOI: https://doi.org/10.1016/j.gaitpost.2006.01.003
• Keywords: Cerebral palsy. gait patterns, classification system, validity, systematic review
• Publisher URL: http://dx.doi.org/10.1016/j.gaitpost.2006.01.003