Abstract：
BACKGROUND: Children with cerebral palsy (CP) who walk have complex gait patterns and deviations often requiring physical therapy (PT)/medical/surgical interventions. Walking in children with CP can be assessed with 3-dimensional instrumented gait analysis (3D-IGA) providing kinematics (joint angles), kinetics (joint moments/powers), and muscle activity.
OBJECTIVE: This clinical practice guideline provides PTs, physicians, and associated clinicians involved in the care of children with CP, with 7 action statements on when and how 3D-IGA can inform clinical assessments and potential interventions. It links the action statement grades with specific levels of evidence based on a critical appraisal of the literature.
CONCLUSIONS: This clinical practice guideline addresses 3D-IGA\'s utility to inform surgical and non-surgical interventions, to identify gait deviations among segments/joints and planes and to evaluate the effectiveness of interventions. Best practice statements provide guidance for clinicians about the preferred characteristics of 3D-IGA laboratories including instrumentation, staffing, and reporting practices.Video Abstract: Supplemental digital content available at http://links.lww.com/PPT/A524.
OBJECTIVE: This clinical practice guideline provides PTs, physicians, and associated clinicians involved in the care of children with CP, with 7 action statements on when and how 3D-IGA can inform clinical assessments and potential interventions. It links the action statement grades with specific levels of evidence based on a critical appraisal of the literature.
CONCLUSIONS: This clinical practice guideline addresses 3D-IGA\'s utility to inform surgical and non-surgical interventions, to identify gait deviations among segments/joints and planes and to evaluate the effectiveness of interventions. Best practice statements provide guidance for clinicians about the preferred characteristics of 3D-IGA laboratories including instrumentation, staffing, and reporting practices.Video Abstract: Supplemental digital content available at http://links.lww.com/PPT/A524.
摘要：
背景：行走的脑瘫（CP）儿童具有复杂的步态模式和偏差，通常需要物理治疗（PT）/医疗/手术干预。可以通过提供运动学（关节角度）的三维仪表步态分析（3D-IGA）来评估患有CP的儿童的行走。动力学（关节力矩/功率），和肌肉活动。
目的：本临床实践指南提供了PT，医师,以及参与CP儿童护理的相关临床医生，关于3D-IGA何时以及如何为临床评估和潜在干预提供信息的7个行动声明。它根据对文献的批判性评估，将行动陈述等级与特定级别的证据联系起来。
结论：本临床实践指南针对3D-IGA的实用性，为手术和非手术干预提供信息，识别节段/关节和平面之间的步态偏差，并评估干预措施的有效性。最佳实践声明为临床医生提供有关3D-IGA实验室的首选特征的指导，包括仪器，人员配备，和报告实践。视频摘要：可从http://links获得补充数字内容。www.com/PPT/A524。
目的：本临床实践指南提供了PT，医师,以及参与CP儿童护理的相关临床医生，关于3D-IGA何时以及如何为临床评估和潜在干预提供信息的7个行动声明。它根据对文献的批判性评估，将行动陈述等级与特定级别的证据联系起来。
结论：本临床实践指南针对3D-IGA的实用性，为手术和非手术干预提供信息，识别节段/关节和平面之间的步态偏差，并评估干预措施的有效性。最佳实践声明为临床医生提供有关3D-IGA实验室的首选特征的指导，包括仪器，人员配备，和报告实践。视频摘要：可从http://links获得补充数字内容。www.com/PPT/A524。
