@article{ref1,
title="Changes in walking performance between childhood and adulthood in cerebral palsy: a systematic review",
journal="Developmental neurorehabilitation",
year="2019",
author="Chiu, Hsiu-Ching and Ada, Louise and Chen, Chiehfeng",
volume="ePub",
number="ePub",
pages="1-6",
abstract="<b>Purpose</b>: To examine the changes in walking performance between childhood and adulthood in cerebral palsy. <b>Methods</b>: 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. <b>Results</b>: 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. <b>Discussion</b>: 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.<p /> <p>Language: en</p>",
language="en",
issn="1751-8423",
doi="10.1080/17518423.2019.1648579",
url="http://dx.doi.org/10.1080/17518423.2019.1648579"
}