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      <dc:title>Effects of Dynamic Suit Orthoses on the Spatio-Temporal Gait Parameters in Children with Cerebral Palsy: A Systematic Review</dc:title>
      <dc:creator>Belizón-Bravo, Natalia</dc:creator>
      <dc:creator>Romero-Galisteo, Rita Pilar</dc:creator>
      <dc:creator>Cano-Bravo, Fátima</dc:creator>
      <dc:creator>González-Medina, Gloria</dc:creator>
      <dc:creator>Pinero‐Pinto, Elena</dc:creator>
      <dc:creator>Luque-Moreno, Carlos</dc:creator>
      <dc:subject>Niños paralíticos cerebrales - Ejercicios terapéuticos</dc:subject>
      <dc:subject>Trastornos motores</dc:subject>
      <dc:description>Dynamic suit orthoses (DSO) are currently used as a complementary treatment method in&#xd;
children with Cerebral Palsy (cwCP). The aim of this review was to assess the effects of interventions&#xd;
with DSO on the altered spatio-temporal gait parameters (STGPs) in cwCP. An electronic search&#xd;
was conducted in the Web of Science, Scopus, PEDro, Cochrane Library, MEDLINE/PubMed,&#xd;
and CINAHL databases up to July 2021. We included a total of 12 studies, which showed great&#xd;
heterogeneity in terms of design type, sample size, and intervention performed (two employed a&#xd;
Therasuit, three employed the Adeli suit, three employed Theratogs, one employed elastomeric&#xd;
tissue dynamic orthosis, one employed a full-body suit, one employed external belt orthosis, and&#xd;
one employed dynamic orthosis composed of trousers and T-shirt). The Cochrane collaboration’s&#xd;
tool and the Checklist for Measuring Study Quality were used to assess the risk of bias and the&#xd;
methodological quality of the studies. It was variable according to the Checklist for Measuring&#xd;
Study Quality, and it oscillated between eight and 23. The studies of higher methodological quality&#xd;
showed significant post-intervention changes in walking speed (which is the most widely evaluated&#xd;
parameter), cadence, stride length, and step length symmetry. Although the evidence is limited, the&#xd;
intervention with DSO combined with a programme of training/physical therapy seems to have&#xd;
positive effects on the STGPs in cwCP, with the functional improvements that it entails. Despite the&#xd;
immediate effect after one session, a number of sessions between 18 and 60 is recommended to obtain&#xd;
optimum results. Future studies should measure all STGPs, and not only the main ones, such as gait&#xd;
speed, in order to draw more accurate conclusions on the functional improvement of gait after the&#xd;
use of this type of intervention.</dc:description>
      <dc:date>2025-07-28T11:33:32Z</dc:date>
      <dc:date>2025-07-28T11:33:32Z</dc:date>
      <dc:date>2021</dc:date>
      <dc:type>journal article</dc:type>
      <dc:identifier>Belizon-Bravo, N., Romero-Galisteo, R. P., Cano-Bravo, F., Gonzalez-Medina, G., Pinero-Pinto, E., &amp; Luque-Moreno, C. (2021). Effects of dynamic suit orthoses on the spatio-temporal gait parameters in children with cerebral palsy: a systematic review. Children, 8(11), 1016.</dc:identifier>
      <dc:identifier>https://hdl.handle.net/10630/39545</dc:identifier>
      <dc:identifier>10.3390/children8111016</dc:identifier>
      <dc:language>eng</dc:language>
      <dc:rights>open access</dc:rights>
      <dc:publisher>MDPI</dc:publisher>
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