Are Gait Indices Sensitive Enough to Reflect the Effect of Ankle Foot Orthosis on Gait Impairment in Cerebral Palsy Diplegic Patients?

Journal of Pediatric Orthopedics
Barry DaninoShlomo Hayek

Abstract

Neuromuscular impairments may compromise gait function in patients with cerebral palsy (CP). As such, ambulatory children with CP often use ankle foot orthosis (AFO) to facilitate and optimize their ability to walk.The aim of this study was to evaluate whether the different gait indices, the Gillette Gait Index (GGI), the Gait Deviation Index (GDI), and the Gait Profile Score (GPS), reflect the improved gait that was previously shown using AFO. A retrospective analysis of 53 studies on children with spastic diplegic CP. All had undergone a comprehensive gait study and were analyzed while walking, both barefoot and with their braces, in the same session.Kinematic and temporal spatial data were determined and summarized by 3 methods: GPS, GDI, and GGI. Significant differences were found between the barefoot condition and the AFO conditions for temporal and kinematic parameters: changes in GGI, GDI, and GPS were not statistically significant, with an improvement of 9.33% in GGI (P=0.448) and no change in GDI and GPS. The use of AFO in diplegic CP children caused a statistically significant improvement in temporal and kinematic parameters. Interestingly, it was found that this improvement was not reflected by GGI, GDI, or GPS.These...Continue Reading

References

Feb 9, 2000·Gait & Posture·L M SchutteM H Schwartz
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Mar 8, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Jon R DavidsRoy B Davis
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Citations

Nov 20, 2016·Journal of Pediatric Orthopedics·John A HeydemannJulieanne P Sees
Aug 8, 2018·Prosthetics and Orthotics International·Ingrid SkaaretInger Holm
Dec 7, 2018·Sensors·Sam KhamisEli Carmeli
Jun 17, 2020·Acta ortopedica brasileira·Alessandro Giurizatto MelandaSuhaila Mahmoud Smaili
Dec 4, 2020·Journal of Clinical Medicine·Stefanos TsitlakidisMarco Götze
Sep 11, 2021·Disability and Rehabilitation·Laura M OudenhovenMarjolein M van der Krogt

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