Abstract
This study compared the functional efficacy of three commonly prescribed ankle-foot orthosis (AFO) configurations (solid [SAFO], hinged [HAFO], and posterior leaf spring [PLS]). Sixteen independently ambulatory children (10 males, six females; mean age 8 years 4 months, SD 2 years 4 months; range 4 years 4 months to 11 years 6 months) with spastic diplegia participated in this study. Four children were classified at level I of the Gross Motor Function Classification System (GMFCS; Palisano et al. 1997); the remaining 12 were at level II. Children were assessed barefoot (BF) at baseline (baseline assessment of energy consumption was performed with shoes on, no AFO) and in each orthotic configuration after three months of use, using gait analysis, oxygen consumption, and functional outcome measures. AFO use did not markedly alter joint kinematics or kinetics at the pelvis, hip, or knee. All AFO configurations normalized ankle kinematics in stance, increased step/stride length, decreased cadence, and decreased energy cost of walking. Functionally, all AFO configurations improved the execution of walking/running/jumping skills, upper extremity coordination, and fine motor speed/dexterity. However, the quality of gross motor skill p...Continue Reading
Citations
Feb 5, 2013·BMC Pediatrics·Yvette L KerkumMerel-Anne Brehm
Oct 5, 2012·BMC Musculoskeletal Disorders·Hugo Pasini NetoClaudia Santos Oliveira
Aug 21, 2013·Seminars in Pediatric Neurology·Virginia WrightHeidi Sanders
Oct 25, 2011·Clinical Biomechanics·Bradford C BennettMark F Abel
May 1, 2016·Gait & Posture·Yvette L KerkumMerel-Anne Brehm
Jun 27, 2007·Developmental Medicine and Child Neurology·Scott M PaulRobert J Jaeger
Sep 21, 2007·Developmental Medicine and Child Neurology·E BeckungP Uvebrant
Mar 22, 2008·Developmental Medicine and Child Neurology·Patricia ThompsonF Virginia Wright
Jul 17, 2010·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·S C LoveUNKNOWN Cerebral Palsy Institute
Apr 8, 2014·Developmental Medicine and Child Neurology·F Virginia WrightMarie Kim
Jan 1, 2014·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Xue-Cheng LiuJohn Thometz
Jun 9, 2015·Gait & Posture·Yvette L KerkumJaap Harlaar
Mar 17, 2015·PM & R : the Journal of Injury, Function, and Rehabilitation·Andrew J RiesMichael H Schwartz
Apr 10, 2015·Clinical Biomechanics·Yvette L KerkumAnnemieke I Buizer
Jun 19, 2013·Gait & Posture·Emily RidgewellRichard Baker
Jul 30, 2014·Gait & Posture·Andrew J RiesMichael H Schwartz
May 6, 2014·Gait & Posture·A LeardiniS Giannini
Dec 8, 2015·BioMed Research International·Wen-Dien ChangPing-Tung Lai
Nov 26, 2015·PloS One·Yvette L KerkumMerel-Anne Brehm
May 24, 2020·Journal of Pediatric Rehabilitation Medicine·Kyra J KaneJoel Lanovaz