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The effects of robotic-assisted gait training on upper and lower body strategy during gait in diplegic children with Cerebral Palsy (CP) were quantified using summary parameters (Upper Body Profile Score (UBPS) and Gait Profile Score (GPS)). Firstly, the upper body strategy during gait was assessed in 73 children with CP and 15 healthy children (Control Group: CG): patients with CP exhibited higher values of most of the summary parameters of the upper body position than the CG. Then, the effects of a robotic-assisted gait training in a sub-group of 35 children by means of UBPS were evaluated. After robotic-assisted gait training program, no significant differences as for the summary parameters (UBPS and GPS). However, considering the specific variables scores, significant improvements are displayed as for the upper body parameter on the sagittal plane (Upper Body Ant/Pst index) and the lower limbs, in particular pelvis (Pelvic Ant/Pst and Pelvic Int/Ext indices) and as for walking velocity. A sort of reorganization of full-body kinematics, especially at upper body and proximal level (pelvis) seems to appear, with a new gait approach, characterised by a better strategy of the upper body associated with a significant improvement of the pelvis movement. [ABSTRACT FROM AUTHOR]

C has a typical crouch gait characterized by excessive hip and knee flexion and ankle dorsiflexion, especially in the stance phase. The hip orientation is expressed w.r.t. the pelvis and the anterior pelvis tilt of C was around 20° more than the one of H. Hip and knee flexions of C are stiffer (H-C - average ROM: 8.74°). The right hip adduction and internal rotation behaviour of C in the stance phase can be influenced by the higher right ankle eversion that pushes the leg inward. [Extracted from the article]

Keywords: Femoral osteotomy; clinical gait analysis; orthopaedic surgery; cerebral palsy EN Femoral osteotomy clinical gait analysis orthopaedic surgery cerebral palsy S235 S237 3 01/29/21 20191002 NES 191002 1. Are corrections of internal hip rotation, foot progression, or pelvic rotation proportional to the femoral derotation angle? Asymmetric pelvic and hip rotation in children with bilateral cerebral palsy: Uni- or bilateral femoral derotation osteotomy?. [Extracted from the article]

The article offers information on the predictive simulation of surgery effect on cerebral palsy gait. It discusses statistical significance of the procedures on the kinematic variables. It further discusses surgical procedure in the global surgery outcome and differences for all nine considered kinematic angles.

The article discusses assessment of the effect of rectus femoris transfer by propensity score matching in cerebral palsy. It discusses determination of the role of rectus femoris transfer in improving stiff knee gait and its prophylactic benefit. it also discusses interest of the RFT to improve kinematic variables and oscillation of the knee.

The article discusses improving multilevel surgery planning and predicting post-operative outcome in cerebral palsy. It discusses an analytical study of the surgeries and of the postoperative results and prediction of the probable kinematic outcome of the patient under consideration. It also discusses estimation of the possible outcome of surgery.