Changes in Walking Performance between Childhood and Adulthood in Cerebral Palsy: A Systematic Review. (17th August 2020)

• Record Type: Journal Article
• Authors: Chiu, Hsiu-Ching; Ada, Louise; Chen, Chiehfeng
• Is Part Of: Developmental neurorehabilitation. Volume 23:Number 6(2020)
• Page Start: 343
• Page End: 348
• Publication Date: 2020-08-17
• Subjects: Cerebral palsy -- cohort study -- walking -- systematic review -- meta-analysis -- children; Children with disabilities -- Rehabilitation -- Periodicals; Developmentally disabled children -- Rehabilitation -- Periodicals; 615.542
• DOI: 10.1080/17518423.2019.1648579
• Languages: English
• ISSNs: 1751-8423

Abstract

ABSTRACT: Purpose : To examine the changes in walking performance between childhood and adulthood in cerebral palsy. Methods : Cohort studies were included if the participants were children with cerebral palsy at Gross Motor Function Classification System (GMFCS) Level I-IV, initial measurement of walking by 13 years of age and follow-up measurement by 30 years of age. Results : At GMFCS Level I+ II, 7% (95% CI 6–8) had declined to GMFCS Level III. At GMFCS Level III, 4% (95% CI 3–6) had declined to GMFCS Level IV and 31% (95% CI 27–34) had improved to GMFCS Level I+ II. At GMFCS Level IV, 2% (95% CI 1–4) had improved to GMFCS Level III and 3% (95% CI 2–4) had improved to GMFCS Level I+ II. Discussion : The results suggest that walking performance is stable from childhood to adulthood at either end of the spectrum of ability but is more changeable for intermediate walkers.