Ankle-foot orthoses: effect on gait in children with cerebral palsy.
Abstract: In this study our aim was to evaluate the effectiveness of Ankle-Foot Orthoses (AFOs) on gait function in patients with spastic cerebral palsy for whom orthoses were indicated to control dynamic equines deformity. Methods: Twenty-four spastic cerebral palsied patients with dynamic equines deformity were included in the study. Videotape recordings were performed to each patient on the same day with barefoot and AFOs. Temporal distance factors including velocity, cadence, stride length, stride width and Clinical Gait Assessment Score (CGAS) were compared across two conditions. Results: The use of AFOs during gait, produced a statistically significant increase in velocity (p=0.011) and stride length (p<0.001), no significant difference in cadence (p=0.501), and stride width (p=0.796), and a significant decrease in CGAS (p<0.001), compared to barefoot condition. Conclusions: Cerebral palsied children with dynamic equines deformities can benefit from AFOs for ambulation.
Publication Date: 2002-05-23 PubMed ID: 12022783DOI: 10.1080/0963820110090724Google Scholar: Lookup
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Summary
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This study analyses the impact of Ankle-Foot Orthoses (AFOs) on the walking patterns of children with spastic cerebral palsy. The authors found that the use of AFOs resulted in a significant improvement in walking speed and stride length, with no notable change in cadence or stride width.
Purpose of the Research
- The research sought to assess the efficacy of Ankle-Foot Orthoses (AFOs) on gait function in patients affected by spastic cerebral palsy with dynamic equines deformity. AFOs are commonly indicated for those patients to manage their condition.
Research Methods
- The research comprised 24 participants suffering from spastic cerebral palsy with dynamic equines deformity.
- Videotape recordings were used to observe each patient’s gait while they were barefoot and while using AFOs.
- A number of temporal distance factors – velocity, cadence, stride length, stride width, and the Clinical Gait Assessment Score (CGAS) – were measured and compared across the two conditions.
Research Findings
- The research found that, compared to the barefoot condition, using AFOs during gait resulted in a statistically significant increase in velocity and stride length.
- There was no significant difference in cadence and stride width when the patients used AFOs as opposed to when they were barefoot.
- Furthermore, the use of AFOs resulted in a significant decrease in the Clinical Gait Assessment Score (CGAS), signifying an improvement in the gait function of the patients.
Conclusion of the Research
- The study concluded that children suffering from cerebral palsied with dynamic equines deformities can greatly benefit from AFOs for their ambulation or walking.
- The findings indicate that AFOs can help to enhance the gait function (velocity and stride length) in these patients, making it a potentially effective intervention for improving mobility in children with spastic cerebral palsy.
Cite This Article
APA
Dursun E, Dursun N, Alican D.
(2002).
Ankle-foot orthoses: effect on gait in children with cerebral palsy.
Disabil Rehabil, 24(7), 345-347.
https://doi.org/10.1080/0963820110090724 Publication
Researcher Affiliations
- Kocaeli University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Turkey. erbild@atlas.net.tr
MeSH Terms
- Adolescent
- Cerebral Palsy / therapy
- Child
- Child, Preschool
- Equinus Deformity / therapy
- Female
- Gait
- Humans
- Male
- Orthotic Devices
Citations
This article has been cited 13 times.- Davoudi M, Khosravi Farsani M, Babaee T, Ranjbar H, Shokouhyan SM, Ghaznavi A, Rezaei M. The Effects of Combining High-Top Shoes with Twister Wrap Orthoses on Balance Parameters of Children with Spastic Diplegic Cerebral Palsy.. J Biomed Phys Eng 2022 Feb;12(1):91-100.
- Bahar-Özdemir Y, Ünal-Ulutatar Ç, Karali-Bingül D, Karadağ-Saygı E. Efficacy of foot-ankle orthosis on balance for children with hemiplegic cerebral palsy: An observational study.. Turk J Phys Med Rehabil 2021 Sep;67(3):336-343.
- Conner BC, Remec NM, Michaels CM, Wallace CW, Andrisevic E, Lerner ZF. Relationship between ankle function and walking ability for children and young adults with cerebral palsy: A systematic review of deficits and targeted interventions.. Gait Posture 2022 Jan;91:165-178.
- Wang C, Goel R, Zhang Q, Lepow B, Najafi B. Daily Use of Bilateral Custom-Made Ankle-Foot Orthoses for Fall Prevention in Older Adults: A Randomized Controlled Trial.. J Am Geriatr Soc 2019 Aug;67(8):1656-1661.
- Eid MA, Aly SM, Mohamed RA. Effect of twister wrap orthosis on foot pressure distribution and balance in diplegic cerebral palsy.. J Musculoskelet Neuronal Interact 2018 Dec 1;18(4):543-550.
- Chen W, Liu X, Pu F, Yang Y, Wang L, Liu H, Fan Y. Conservative treatment for equinus deformity in children with cerebral palsy using an adjustable splint-assisted ankle-foot orthosis.. Medicine (Baltimore) 2017 Oct;96(40):e8186.
- Eddison N, Mulholland M, Chockalingam N. Do research papers provide enough information on design and material used in ankle foot orthoses for children with cerebral palsy? A systematic review.. J Child Orthop 2017 Aug 1;11(4):263-271.
- Muzaffar T, Rather AH, Haque KU, Ahmad SJ. To Evaluate the Effectiveness of TBTS - A Novel Device to do Self-Stretching of Gastroc-Soleus Muscle in Patients with Equinus Deformity.. J Clin Diagn Res 2017 Jun;11(6):YC01-YC04.
- Tugui RD, Antonescu D. Cerebral palsy gait, clinical importance.. Maedica (Bucur) 2013 Sep;8(4):388-93.
- Bennett BC, Russell SD, Abel MF. The effects of ankle foot orthoses on energy recovery and work during gait in children with cerebral palsy.. Clin Biomech (Bristol, Avon) 2012 Mar;27(3):287-91.
- Westhoff B, Weimann-Stahlschmidt K, Krauspe R. [Spastic equinus foot].. Orthopade 2011 Jul;40(7):637-47.
- Hayek S, Hemo Y, Chamis S, Bat R, Segev E, Wientroub S, Yzhar Z. The effect of community-prescribed ankle-foot orthoses on gait parameters in children with spastic cerebral palsy.. J Child Orthop 2007 Dec;1(6):325-32.
- Emara KM, Allam MF, Elsayed MN, Ghafar KA. Recurrence after correction of acquired ankle equinus deformity in children using Ilizarov technique.. Strategies Trauma Limb Reconstr 2008 Dec;3(3):105-8.
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