Evidence map›Paper›PMID 39289680›Full record

ArticleBMC musculoskeletal disorders2024

Feasibility and usefulness of video-based markerless two-dimensional automated gait analysis, in providing objective quantification of gait and complementing the evaluation of gait in children with cerebral palsy.

Evelina Pantzar-Castilla, Diletta Balta, Ugo Della Croce, Andrea Cereatti, Jacques Riad

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Article in BMC musculoskeletal disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Evelina Pantzar-CastillaDepartment of Orthopedics, Orebro University School of Medical Sciences and Orebro University Hospital, Orebro, Sweden. Evelina.pantzar-castilla@regionorebrolan.se.
Diletta BaltaDepartment of Electronics and Telecommunications, Politecnico di Torino, Corso Castelfidardo, 39, Torino, 10129, Italy.
Ugo Della CroceDepartment of Biomedical Sciences, University of Sassari, Viale San Pietro 43b, Sassari, Italy.
Andrea CereattiDepartment of Electronics and Telecommunications, Politecnico di Torino, Corso Castelfidardo, 39, Torino, 10129, Italy.
Jacques RiadDepartment of Orthopedics, Skaraborg Hospital Skövde, Lovangsvagen 541 42, Skövde, Sweden.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGait analysis aids in evaluation, classification, and follow-up of gait pattern over time in children with cerebral palsy (CP). The analysis of sagittal plane joint kinematics is of special interest to assess flexed knee gait and ankle joint deviations that commonly progress with age and indicate deterioration of gait. Although most children with CP are ambulatory, no objective quantification of gait is currently included in any of the known international follow-up programs. Is video-based 2-dimensional markerless (2D ML) gait analysis with automated processing a feasible and useful tool to quantify deviations, evaluate and classify gait, in children with CP?

methodsTwenty children with bilateral CP with Gross Motor Function Classification Scale (GMFCS) levels I-III, from five regions in Sweden, were included from the national CP registry. A single RGB-Depth video camera, sensitive to depth and contrast, was positioned laterally to a green walkway and background, with four light sources. A previously validated markerless method was employed to estimate sagittal plane hip, knee, ankle kinematics, foot orientation and spatio-temporal parameters including gait speed and step length.

resultsMean age was 10.4 (range 6.8-16.1) years. Eight children were classified as GMFCS level I, eight as II and four as III. Setup of the measurement system took 15 min, acquisition 5-15 min and processing 50 min per child. Using the 2D ML method kinematic deviations from normal could be determined and used to implement the classification of gait pattern, proposed by Rodda et al. 2001.

conclusion2D ML assessment is feasible, since it is accessible, easy to perform and well tolerated by the children. The 2D ML adds consistency and quantifies objectively important gait variables. It is both relevant and reasonable to include 2D ML gait assessment in the evaluation of children with CP.

Indexed as

Cerebral PalsyFeasibility StudiesGait AnalysisVideo RecordingAdolescentBiomechanical PhenomenaChildFemaleGaitGait Disorders, NeurologicHumansMaleSweden2-dimensional markerless gait analysisCerebral palsyFollow-up programGait

Identifiers

PMID39289680
PMCPMC11406781

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