Background

The use of Instrumented Gait Analysis (IGA) for the clinical management of individuals with cerebral palsy (CP) has increased in recent years. Previous systematic reviews have been completed to evaluate and summarize the evidence related to the efficacy of IGA in general. However, a focused summary of research studies on IGA for children with CP related gait disorders is needed.

Research Question

The purpose of the current work was to perform a scoping review to describe and categorize the range of existing literature about IGA as applied to the clinical management of children with CP related gait disorders.

Method

A health sciences librarian developed a search strategy to include four key inclusion criteria of original research study, population included children with CP, study employed IGA, available in English. The available literature was organized into six study categories: reliability and validity, documentation of subgroups or model development, IGA for clinical decision making, effectiveness of treatments that depend on IGA, cost effectiveness, IGA used to evaluate the outcome of surgical, medical or rehabilitation treatment.

Results

909 studies met the inclusion criteria and were placed into the six study categories. 14 % of studies were in reliability and validity, 33 % in subgroups or modeling, 2% in IGA for clinical decision making, 2% in treatments that depend on IGA, 1% in cost effectiveness, and 49 % of studies had IGA used as an outcome measure for treatment.

Significance

This scoping review has documented the wide range, diversity and extent of original research studies investigating the use of IGA for the clinical management of children with CP related gait disorders. The large volume of studies provides a basis for future work to develop a CPG about the use of IGA for the clinical management of children with CP related gait disorders.

中文翻译：

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用于治疗脑瘫儿童步态障碍的仪器步态分析：范围审查

背景

近年来，仪器步态分析 (IGA) 在脑瘫 (CP) 患者的临床管理中的使用有所增加。之前的系统评价已经完成，以评估和总结与 IGA 总体疗效相关的证据。然而，需要对 CP 相关步态障碍儿童的 IGA 研究进行重点总结。

研究问题

当前工作的目的是进行范围审查，以描述和分类有关 IGA 的现有文献范围，这些文献适用于患有 CP 相关步态障碍的儿童的临床管理。

方法

一位健康科学图书馆员制定了一项搜索策略，将原始研究的四个关键纳入标准包括在内，人口包括患有 CP 的儿童，研究采用 IGA，提供英语版本。现有文献分为六个研究类别：信度和效度、亚组或模型开发的文档、用于临床决策的 IGA、依赖 IGA 的治疗有效性、成本效益、用于评估手术、医疗或康复结果的 IGA治疗。

结果

909 项研究符合纳入标准，并被分为六个研究类别。14% 的研究在信度和效度方面，33% 在亚组或建模中，2% 在 IGA 中用于临床决策，2% 在依赖 IGA 的治疗中，1% 在成本效益方面，49% 的研究将 IGA 用作治疗结果的衡量标准。

意义

该范围界定审查记录了原始研究的广泛范围、多样性和范围，这些研究调查了 IGA 在 CP 相关步态障碍儿童的临床管理中的应用。大量研究为未来制定关于使用 IGA 临床管理 CP 相关步态障碍儿童的 CPG 奠定了基础。