Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review

Dynamic suit orthoses (DSO) are currently used as a complementary treatment method in children with Cerebral Palsy (cwCP). The aim of this review was to assess the effects of interventions with DSO on the altered spatio-temporal gait parameters (STGPs) in cwCP. An electronic search was conducted in...

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Autores principales:	Natalia Belizón-Bravo, Rita Pilar Romero-Galisteo, Fatima Cano-Bravo, Gloria Gonzalez-Medina, Elena Pinero-Pinto, Carlos Luque-Moreno
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	space suits physical therapy modalities cerebral palsy gait disorders neurologic walking speed Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/c774dd633bc04037a81d46a9da98888b
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id	oai:doaj.org-article:c774dd633bc04037a81d46a9da98888b
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spelling	oai:doaj.org-article:c774dd633bc04037a81d46a9da98888b2021-11-25T17:14:33ZEffects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review10.3390/children81110162227-9067https://doaj.org/article/c774dd633bc04037a81d46a9da98888b2021-11-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/1016https://doaj.org/toc/2227-9067Dynamic suit orthoses (DSO) are currently used as a complementary treatment method in children with Cerebral Palsy (cwCP). The aim of this review was to assess the effects of interventions with DSO on the altered spatio-temporal gait parameters (STGPs) in cwCP. An electronic search was conducted in the Web of Science, Scopus, PEDro, Cochrane Library, MEDLINE/PubMed, and CINAHL databases up to July 2021. We included a total of 12 studies, which showed great heterogeneity in terms of design type, sample size, and intervention performed (two employed a Therasuit, three employed the Adeli suit, three employed Theratogs, one employed elastomeric tissue dynamic orthosis, one employed a full-body suit, one employed external belt orthosis, and one employed dynamic orthosis composed of trousers and T-shirt). The Cochrane collaboration’s tool and the Checklist for Measuring Study Quality were used to assess the risk of bias and the methodological quality of the studies. It was variable according to the Checklist for Measuring Study Quality, and it oscillated between eight and 23. The studies of higher methodological quality showed significant post-intervention changes in walking speed (which is the most widely evaluated parameter), cadence, stride length, and step length symmetry. Although the evidence is limited, the intervention with DSO combined with a programme of training/physical therapy seems to have positive effects on the STGPs in cwCP, with the functional improvements that it entails. Despite the immediate effect after one session, a number of sessions between 18 and 60 is recommended to obtain optimum results. Future studies should measure all STGPs, and not only the main ones, such as gait speed, in order to draw more accurate conclusions on the functional improvement of gait after the use of this type of intervention.Natalia Belizón-BravoRita Pilar Romero-GalisteoFatima Cano-BravoGloria Gonzalez-MedinaElena Pinero-PintoCarlos Luque-MorenoMDPI AGarticlespace suitsphysical therapy modalitiescerebral palsygait disordersneurologicwalking speedPediatricsRJ1-570ENChildren, Vol 8, Iss 1016, p 1016 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	space suits physical therapy modalities cerebral palsy gait disorders neurologic walking speed Pediatrics RJ1-570
spellingShingle	space suits physical therapy modalities cerebral palsy gait disorders neurologic walking speed Pediatrics RJ1-570 Natalia Belizón-Bravo Rita Pilar Romero-Galisteo Fatima Cano-Bravo Gloria Gonzalez-Medina Elena Pinero-Pinto Carlos Luque-Moreno Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review
description	Dynamic suit orthoses (DSO) are currently used as a complementary treatment method in children with Cerebral Palsy (cwCP). The aim of this review was to assess the effects of interventions with DSO on the altered spatio-temporal gait parameters (STGPs) in cwCP. An electronic search was conducted in the Web of Science, Scopus, PEDro, Cochrane Library, MEDLINE/PubMed, and CINAHL databases up to July 2021. We included a total of 12 studies, which showed great heterogeneity in terms of design type, sample size, and intervention performed (two employed a Therasuit, three employed the Adeli suit, three employed Theratogs, one employed elastomeric tissue dynamic orthosis, one employed a full-body suit, one employed external belt orthosis, and one employed dynamic orthosis composed of trousers and T-shirt). The Cochrane collaboration’s tool and the Checklist for Measuring Study Quality were used to assess the risk of bias and the methodological quality of the studies. It was variable according to the Checklist for Measuring Study Quality, and it oscillated between eight and 23. The studies of higher methodological quality showed significant post-intervention changes in walking speed (which is the most widely evaluated parameter), cadence, stride length, and step length symmetry. Although the evidence is limited, the intervention with DSO combined with a programme of training/physical therapy seems to have positive effects on the STGPs in cwCP, with the functional improvements that it entails. Despite the immediate effect after one session, a number of sessions between 18 and 60 is recommended to obtain optimum results. Future studies should measure all STGPs, and not only the main ones, such as gait speed, in order to draw more accurate conclusions on the functional improvement of gait after the use of this type of intervention.
format	article
author	Natalia Belizón-Bravo Rita Pilar Romero-Galisteo Fatima Cano-Bravo Gloria Gonzalez-Medina Elena Pinero-Pinto Carlos Luque-Moreno
author_facet	Natalia Belizón-Bravo Rita Pilar Romero-Galisteo Fatima Cano-Bravo Gloria Gonzalez-Medina Elena Pinero-Pinto Carlos Luque-Moreno
author_sort	Natalia Belizón-Bravo
title	Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review
title_short	Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review
title_full	Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review
title_fullStr	Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review
title_full_unstemmed	Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review
title_sort	effects of dynamic suit orthoses on the spatio-temporal gait parameters in children with cerebral palsy: a systematic review
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/c774dd633bc04037a81d46a9da98888b
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Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review

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