A systematic review of the effects of single-event multilevel surgery on gait parameters in children with spastic cerebral palsy

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dc.contributor.authorLamberts, Robert Pen_ZA
dc.contributor.authorBurger, Marletteen_ZA
dc.contributor.authorToit, Jacques duen_ZA
dc.contributor.authorLangerak, Nelleke Gen_ZA
dc.date.accessioned2016-10-31T07:35:08Z
dc.date.available2016-10-31T07:35:08Z
dc.date.issued2016en_ZA
dc.description.abstractBACKGROUND: Three-dimensional gait analysis (3DGA) is commonly used to assess the effect of orthopedic single-event multilevel surgery (SEMLS) in children with spastic cerebral palsy (CP). Purpose The purpose of this systematic review is to provide an overview of different orthopedic SEMLS interventions and their effects on 3DGA parameters in children with spastic CP. METHODS: A comprehensive literature search within six databases revealed 648 records, from which 89 articles were selected for the full-text review and 24 articles (50 studies) included for systematic review. The Oxford Centre for Evidence-Based Medicine Scale and the Methodological Index for Non-Randomized Studies (MINORS) were used to appraise and determine the quality of the studies. RESULTS: Except for one level II study, all studies were graded as level III according to the Oxford Centre for Evidence-Based Medicine Scale. The MINORS score for comparative studies (n = 6) was on average 15.7/24, while non-comparative studies (n = 18) scored on average 9.8/16. Nineteen kinematic and temporal-distance gait parameters were selected, and a majority of studies reported improvements after SEMLS interventions. The largest improvements were seen in knee range of motion, knee flexion at initial contact and minimal knee flexion in stance phase, ankle dorsiflexion at initial contact, maximum dorsiflexion in stance and in swing phase, hip rotation and foot progression angles. However, changes in 3DGA parameters varied based on the focus of the SEMLS intervention. DISCUSSION: The current article provides a novel overview of a variety of SEMLS interventions within different SEMLS focus areas and the post-operative changes in 3DGA parameters. This overview will assist clinicians and researchers as a potential theoretical framework to further improve SEMLS techniques within different SEMLS focus groups. In addition, it can also be used as a tool to enhance communication with parents, although the results of the studies can't be generalised and a holistic approach is needed when considering SEMLS in a child with spastic CP.en_ZA
dc.identifier.apacitationLamberts, R. P., Burger, M., Toit, J. d., & Langerak, N. G. (2016). A systematic review of the effects of single-event multilevel surgery on gait parameters in children with spastic cerebral palsy. <i>PLoS One</i>, http://hdl.handle.net/11427/22342en_ZA
dc.identifier.chicagocitationLamberts, Robert P, Marlette Burger, Jacques du Toit, and Nelleke G Langerak "A systematic review of the effects of single-event multilevel surgery on gait parameters in children with spastic cerebral palsy." <i>PLoS One</i> (2016) http://hdl.handle.net/11427/22342en_ZA
dc.identifier.citationLamberts, R. P., Burger, M., du Toit, J., & Langerak, N. G. (2016).A systematic review of the effects of single-event multilevel surgery on gait parameters in children with spastic cerebral palsy. PloS one, 11(10), e0164686. doi:10.1371/journal.pone.0164686en_ZA
dc.identifier.ris TY - Journal Article AU - Lamberts, Robert P AU - Burger, Marlette AU - Toit, Jacques du AU - Langerak, Nelleke G AB - BACKGROUND: Three-dimensional gait analysis (3DGA) is commonly used to assess the effect of orthopedic single-event multilevel surgery (SEMLS) in children with spastic cerebral palsy (CP). Purpose The purpose of this systematic review is to provide an overview of different orthopedic SEMLS interventions and their effects on 3DGA parameters in children with spastic CP. METHODS: A comprehensive literature search within six databases revealed 648 records, from which 89 articles were selected for the full-text review and 24 articles (50 studies) included for systematic review. The Oxford Centre for Evidence-Based Medicine Scale and the Methodological Index for Non-Randomized Studies (MINORS) were used to appraise and determine the quality of the studies. RESULTS: Except for one level II study, all studies were graded as level III according to the Oxford Centre for Evidence-Based Medicine Scale. The MINORS score for comparative studies (n = 6) was on average 15.7/24, while non-comparative studies (n = 18) scored on average 9.8/16. Nineteen kinematic and temporal-distance gait parameters were selected, and a majority of studies reported improvements after SEMLS interventions. The largest improvements were seen in knee range of motion, knee flexion at initial contact and minimal knee flexion in stance phase, ankle dorsiflexion at initial contact, maximum dorsiflexion in stance and in swing phase, hip rotation and foot progression angles. However, changes in 3DGA parameters varied based on the focus of the SEMLS intervention. DISCUSSION: The current article provides a novel overview of a variety of SEMLS interventions within different SEMLS focus areas and the post-operative changes in 3DGA parameters. This overview will assist clinicians and researchers as a potential theoretical framework to further improve SEMLS techniques within different SEMLS focus groups. In addition, it can also be used as a tool to enhance communication with parents, although the results of the studies can't be generalised and a holistic approach is needed when considering SEMLS in a child with spastic CP. DA - 2016 DB - OpenUCT DO - 10.1371/journal.pone.0164686 DP - University of Cape Town J1 - PLoS One LK - https://open.uct.ac.za PB - University of Cape Town PY - 2016 T1 - A systematic review of the effects of single-event multilevel surgery on gait parameters in children with spastic cerebral palsy TI - A systematic review of the effects of single-event multilevel surgery on gait parameters in children with spastic cerebral palsy UR - http://hdl.handle.net/11427/22342 ER - en_ZA
dc.identifier.urihttp://dx.doi.org/10.1371/journal.pone.0164686en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/22342
dc.identifier.vancouvercitationLamberts RP, Burger M, Toit Jd, Langerak NG. A systematic review of the effects of single-event multilevel surgery on gait parameters in children with spastic cerebral palsy. PLoS One. 2016; http://hdl.handle.net/11427/22342.en_ZA
dc.language.isoengen_ZA
dc.publisherPublic Library of Scienceen_ZA
dc.publisher.departmentMRC/UCT RU for Exercise and Sport Medicineen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.en_ZA
dc.rights.holder© 2016 Lamberts et alen_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/4.0en_ZA
dc.sourcePLoS Oneen_ZA
dc.source.urihttp://journals.plos.org/plosoneen_ZA
dc.subject.otherGait analysisen_ZA
dc.subject.otherKneesen_ZA
dc.subject.otherOrthopedic surgeryen_ZA
dc.subject.otherHipen_ZA
dc.subject.otherWalkingen_ZA
dc.subject.otherKinematicsen_ZA
dc.subject.otherSystematic reviewsen_ZA
dc.subject.otherDatabase searchingen_ZA
dc.titleA systematic review of the effects of single-event multilevel surgery on gait parameters in children with spastic cerebral palsyen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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