Skip to main content
. 2021 Nov 5;8(11):1016. doi: 10.3390/children8111016

Table 2.

Summary table of articles included in the systematic review.

Authors
Year
GR, LoE
Design Sample Age
(Aver)
Type of CP/GMFCS Measurement/Tools Performance of Evaluation N Sessions,
Temporality
Results
Jung
et al. 2021 [57]
A, 1b
RCT
Cross-over
n = 24
TFB1 = 24
TFB2 = 24
6.17 Spastic diplegia
(I–II)
STV: walking speed, cadence, step length, stride length, single support time, double support time
MT: 3D-MAS
Pre/Post-intervention 1 ses (30 m Post-TFB intervention, showed significant improvements in walking speed, cadence, step length, stride length, single support time, and double support time
Skublewska-Paszkowska
et al. 2018 [58]
C,4
EDS n = 1
TTO = 1
5 Spastic diplegia
(II)
STV: walking speed, cadence, step time,
step length
MT:3D-MAS
Pre/Post-intervention
(w-wh TTO in both cases)
60 ses, 12 week Significant improvement measured post-intervention without TTO in walking speed. Significant improvement measured post-intervention with TTO in stabilisation of step length
Degelaen
et al. 2016 [33]
B,3b
QED n = 31
CP = 15
TDC = 16
7.27 Spastic diplegia
(I–II)
STV: walking speed, cadence, step length
MT:3D-MAS
Own clothes/
wearing FBS
1 ses CP group wearing FBS, showed significant improvements in walking speed (p < 0.003) and cadence (p < 0.001), but not in step length
Kim
et al. 2016 [59]
A, 1b
RCT n = 17
AST/NDT = 8
NDT = 9
5.64 Spastic diplegia, cuadriplegia
(I–II)
STV: walking speed, cadence, step length, stride length, step length, and stride length symmetry
MT:3D-MAS
Pre/Post-intervention AST/NDT: 60 ses
AST: 30 m/ses,1 ses/day,
5 days/week, 6 weeks
NDT: 30 m/ses, 2 ses/day,
5 day/week, 6 weeks
NDT: 60 ses
30 m/ses, 2 ses/day,
5 day/week, 6 weeks
AST + NDT group showed significant increase in walking speed, cadence, and step length symmetry (p < 0.001, 0.003, 0.027)
NDT group improved step length and stride length symmetry (p = 0.006, 0.018)
None of the groups showed improvement in stride length
Lee
2016 [60]
C,4
CS n = 2
AST = 2
4.5 Spastic diplegia
(II)
STV: walking speed, cadence, step length, stride length
MT: 3D-MAS
Pre/Post-intervention 20 ses (60 m),
5 day/week, 4 weeks
Both cases showed improvement in cadence, only one showed improvement in step length symmetry and walking speed. Results for step length and stride length were variable in each case.
Chang
et al. 2015 [61]
A, 1b
RCT
Cross-over
n = 9
ESO 1 = 9
ESO 2 = 9
8.73 Spastic diplegia
(I–II)
STV: walking speed, cadence, stride length
MT: 3D-MAS
Own clothes/
wearing ESO
1 ses (10 m) Significant changes between ESO control, showed an increase in walking speed (p = 0.036), cadence (p = 0.005), and stride length (p = 0.011), wearing ESO
Abd El-Kafy
2014 [62]
A, 1b
RCT n = 57
NO = 18
TTG = 16
TTG +
AFO = 17
7.3 Spastic diplegia
(I–II)
STV: walking speed, cadence, stride length
MT: 3D-MAS
Pre/Post-intervention 60 ses (2 h),
1 ses/day, 5 days/week,
12 weeks
Significant post-intervention differences among three groups in walking speed, stride length, and cadence (p = 0.03, 0.001, 0.011). Best improvements of all gait parameters were shown in group C
Ko
et al. 2014 [63]
C,4
EDS n = 1
AST = 1
8 Spastic diplegia
(III)
STV: walking speed, stride time, stride length, stride width
MT: 3D-MAS, 10-MWT
Pre/Post-intervention
(1–25 ses)
10-MWT: each
ses
18 ses (50 m),
1 ses/day, 1 day/week,
18 weeks
Significant improvement post-treatment in walking speed, stride length, stride width, and step time. 10-MWT improved after each session and growing up until the end of intervention.
Christy
et al. 2012 [35]
C,4
QED
Follow up
n = 17
TST = 17
7.6 Spastic, hypotonic, athetoid, ataxic
diplegia
cuadriplegia
triplegia (I–III)
STV: cadence
MT: step activity monitor
Pre/Post-intervention
(I. effects, 3 months/later)
15 ses (4 h),
1 ses/day, 5 day/week,
3 weeks
Immediate post-intervention and follow-up showed trends of improvements in cadence, but there was no significant improvement immediately after or at 3 months compared to pre-intervention
Bailes
et al. 2010 [34]
C,4
CS n = 2
TST = 2
7.5 Spastic diplegia
(III)
STV: walking speed, cadence, single support time, double support time, step length, stride length
MT: 3D-MAS
Pre/Post-intervention
(4 d/later)
15 ses (4 h),
1 ses/day, 5 days/week,
3 weeks
Both subjects showed post-intervention improvement in walking speed and cadence. Only one had changes in double support time and single support time. No significant changes were reported in stride length or step length in any case
Matthews
et al. 2009 [32]
C,4
CS n = 8
DEFO = 8
5.5 Spastic diplegia
(I–III)
STV: walking speed
MT: 10-MWT
Pre/During/
Post-intervention
(Immediate effects and 6 w/later)
30 ses (8 h)
1 ses/day, 5 day/week
6 weeks
Five subjects showed significant changes in walking time and four in walking time variation, between pre-intervention and during intervention in both cases. However, changes were not uniform
Flanagan
et al. 2009 [31]
C,4
QED n = 5
TTG = 5
7–13 Spastic diplegia
(I)
STV: walking speed, cadence, step length, stride length
MT: 3D-MAS
Pre/Post-intervention (I. effects with/without suit, 2 and 4 months/later without suit) 84 ses,
1 ses/day, 5 days/week,
12 weeks
There were no significant pre/post-intervention changes in spatio-temporal gait parameters

(AFO) Rigid foot and ankle orthosis; (AST) Adeli suit treatment; (CP) Cerebral palsy; (CS) Case series; (d) Day; (DEFO) Elastomeric tissue dynamic orthosis; (EDS) Experimental design of a subject; (ESO1) External strap orthosis evaluation 1; (ESO2): External strap orthosis evaluation 2; (FBS) Full-body suit; (GR) Grade of Recommendation; (GMFCS) Gross Motor Function Classification System; (h) Hours; (LoE) Level of Evidence; (m) Minutes; (3D-MAS) Three-dimensional movement analysis system; (MT) Measurement tool; (10-MWT) Ten-meter walk test; (N) Total number of patients; (NDT) Neurodevelopmental treatment; (NO) No orthosis; (QED) Quasi-experimental design; (RCT) Randomised clinical trial; (ses) sessions; (STV) Spatio-temporal variables; (TDC) Typically developing children; (TFB 1) Theratogs full body evaluation 1; (TBF 2): Theratog full body evaluation 2; (TST) Therasuit; (TTG) Theratog; (TTO) T-shirt and trouser orthosis; (w) Weeks.