3-D gait analysis in child neurology
Background. Accurate 3D gait analysis has been shown in numer ous previous studies to alter decision-making in the treatment of children with cerebral palsy (CP), with some authors report ing changes in surgical plans in 89% of patients. Other authors have reported that pre-operative gait analysis decreased the reoperation rate in ambulatory children with cerebral palsy from 40% to 20% by 5 years post-op. Aim of the presentation. To describe the role and efficacy of gait analysis in the management of ambulatory children with cerebral palsy and to pres ent it’s use in Kaunas Children’s rehabilitation hospital. Sum mary. The large number of papers de scribes studies that analyze the role and the efficacy of 3D gait analysis. According to Hierarchical Model of Efficacy (Wren T., 2011), efficacy of gait analysis can be divided into several levels: technical efficacy (Level 1 – accuracy and reliability of data), diagnostic accuracy efficacy (Level 2 – consistency of interpretation), diagnostic thinking and treat ment efficacy (Levels 3–4 – change or reinforcement of decision mak ing), patient out come efficacy (Level 5 – improved outcomes), societal efficacy (Level 6 – cost effectiveness). Studies show a strong evidence of the effect on decision making in selecting treat ment methods in cerebral palsy. They also give evidence that gait analysis improves outcomes of surgical treatmeant of CP. There are some proves, that gait analysis does not in crease costs of services for children with CP, but there are not enough proves that it reduces costs. [...].