{Reference Type}: Journal Article
{Title}: Three-Dimensional Instrumented Gait Analysis for Children With Cerebral Palsy: An Evidence-Based Clinical Practice Guideline.
{Author}: States RA;Salem Y;Krzak JJ;Godwin EM;McMulkin ML;Kaplan SL;
{Journal}: Pediatr Phys Ther
{Volume}: 36
{Issue}: 2
{Year}: 2024 Apr 1
{Factor}: 1.452
{DOI}: 10.1097/PEP.0000000000001101
{Abstract}: <B>BACKGROUND: </B>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.<BR><B>OBJECTIVE: </B>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.<BR><B>CONCLUSIONS: </B>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.