Use of videographic examination for analysis of efficacy of botulinum toxin in the lower limbs in children with cerebral palsy

J Pediatr Orthop B. 2006 Sep;15(5):339-47. doi: 10.1097/01202412-200609000-00007.

Abstract

The objective of this study was to test the interobserver and intraobserver reproducibility of videographic gait analysis in paediatric cerebral palsy patients following botulinum toxin type-A injections. Standardized videos according to gait-specific functional criteria were assessed for 1 h. For intraobserver reproducibility, 13 of 17 items showed good/moderate correlation, one mediocre and three poor correlation. For interobserver reproducibility, 12 of 17 items showed excellent, good or moderate agreement, five items showed poor agreement. Overall, 9 of 17 items showed good intraobserver or interobserver reproducibility. Mean interobserver scores for sagittal plane items were slightly lower than mean intraobserver scores (kappa=0.509 and 0.536, respectively). In conclusion, video analysis of children with cerebral palsy based on functional criteria is useful.

Publication types

  • Clinical Trial

MeSH terms

  • Botulinum Toxins, Type A / therapeutic use*
  • Cerebral Palsy / drug therapy*
  • Cerebral Palsy / physiopathology
  • Child
  • Child, Preschool
  • Female
  • Gait / drug effects
  • Humans
  • Lower Extremity
  • Male
  • Muscle Spasticity / drug therapy*
  • Muscle Spasticity / physiopathology
  • Neuromuscular Agents / therapeutic use*
  • Observer Variation
  • Reproducibility of Results
  • Treatment Outcome
  • Videotape Recording*

Substances

  • Neuromuscular Agents
  • Botulinum Toxins, Type A