title: Use of videographic examination for analysis of efficacy of botulinum toxin in the lower limbs in children with cerebral palsy.
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.
authors.affiliation: Physical Medicine and Rehabilitation Unit, Massues Medical and Surgical Rehabilitation Centre, Lyon Cedex 05, France. chaleat-valayer.e@cmcr-massues.com
authors.forename: Emmanuelle
authors.initials: E
authors.lastname: Chaleat-Valayer
authors.forename: Jean-Claude
authors.initials: JC
authors.lastname: Bernard
authors.forename: Edith
authors.initials: E
authors.lastname: Morel
authors.forename: Eric
authors.initials: E
authors.lastname: Loustalet
authors.forename: Muriel
authors.initials: M
authors.lastname: Schneider
authors.forename: Marianne
authors.initials: M
authors.lastname: Bagnol
mesh_terms: D019274:Botulinum Toxins, Type A / Q000627:therapeutic use*; D002547:Cerebral Palsy / Q000188:drug therapy* / Q000503:physiopathology; D002648:Child; D002675:Child, Preschool; D005260:Female; D005684:Gait / Q000187:drug effects; D006801:Humans; D035002:Lower Extremity; D008297:Male; D009128:Muscle Spasticity / Q000188:drug therapy* / Q000503:physiopathology; D009465:Neuromuscular Agents / Q000627:therapeutic use*; D015588:Observer Variation; D015203:Reproducibility of Results; D016896:Treatment Outcome; D014743:Videotape Recording
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A