Table 2.
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.