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Disability and rehabilitation2002; 24(7); 345-347; doi: 10.1080/0963820110090724

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.
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Publication Date: 2002-05-23 PubMed ID: 12022783DOI: 10.1080/0963820110090724Google Scholar: Lookup
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Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

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

Disability and rehabilitation
ISSN: 0963-8288
NlmUniqueID: 9207179
Country: England
Language: English
Volume: 24
Issue: 7
Pages: 345-347

Researcher Affiliations

Dursun, Erbil
  • Kocaeli University Faculty of Medicine, Department of Physical Medicine and Rehabilitation, Turkey. erbild@atlas.net.tr
Dursun, Nigar
    Alican, Duygu

      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.
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      2. 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.
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        doi: 10.1016/j.gaitpost.2021.10.024pubmed: 34736095google scholar: lookup
      4. 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.
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        pubmed: 30511958
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        pubmed: 24790675
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      13. 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.
        doi: 10.1007/s11751-008-0045-9pubmed: 19020951google scholar: lookup
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