Article

This paper outlines the application of video gait analysis (VGA) for
children with cerebral palsy (CP) when full instrumented three dimensional gait
analysis (3DGA) is either not indicated or not available. SCOPE: Gait analysis is
an important part of the assessment of ambulant children with CP for diagnosing
gait deviations and for evaluating change. Many regard 3DGA as the most
informative method of assessing gait, however, it is not always accessible,
practical, or feasible and the detail obtained is not always indicated. VGA in
conjunction with other carefully selected outcome measures can provide a
comprehensive gait assessment in situations where 3DGA is not available or not
indicated. Indications for VGA use include: documenting change in gait pattern
over time, frequent monitoring in the rehabilitation phase following treatments
and interventions (including surgery, spasticity management, serial casting and
intensive therapy), monitoring orthotic changes, and for very young children and
those with behavioural/cognitive issues that preclude them from cooperating with
a 3DGA. Simple and inexpensive VGA systems can be set up in most settings. In an
effort to make the process more objective and reliable a number of observational
gait scales have been developed. Of these the Edinburgh Gait Score (EGS) has the
strongest psychometric properties and is the most comprehensive by including both
the coronal and the sagittal planes. CONCLUSION: While 3DGA remains an important
part of complex clinical decision-making, there is also an increasingly important
role for VGA. Guidelines need to be developed for its use within the field of
gait analysis.
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Langue : ANGLAIS