Effect of hinged ankle-foot orthoses on standing balance control in children with bilateral spastic cerebral palsy.

Yonsei Medical Journal
Dong-wook RhaEun Sook Park

Abstract

To identify the characteristics of static standing balance and its postural control mechanisms during quiet side-by-side standing and the changes in these measures whilst wearing hinged ankle-foot orthoses (AFOs) in children with bilateral spastic cerebral palsy (CP). Twenty-one children with bilateral spastic CP (6.10 +/- 1.09 year-old) and 22 typically developing (TD) children (5.64 +/- 0.49 year-old) were recruited. Pressure data were recorded while subjects with or without AFOs stood on dual force platforms and net body center of pressure (CoP) coordinates were calculated from this data. Net body CoP was traced for measuring mediolateral (ML) and anteroposterior (AP) displacement and path length per second. Correlation coefficients between parameters representing ankle, hip, and transverse body rotation strategies were also analyzed. ML and AP displacement and path length per second of the CoP trajectory were higher in children with CP compared to TD children (p < 0.05). There were no significant improvements in these parameters whilst wearing hinged AFOs. Compared to TD children, children with CP used less ankle strategy though more hip and transverse rotation strategies for postural control during quiet standing. Whilst w...Continue Reading

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Citations

Mar 8, 2013·Research in Developmental Disabilities·Sílvia Leticia PavãoNelci Adriana Cicuto Ferreira Rocha
Jun 19, 2013·Journal of Neuroengineering and Rehabilitation·Diane L DamianoLindsey Curatalo
Apr 20, 2013·Disability and Rehabilitation. Assistive Technology·S M Montero, A Gómez-Conesa
Oct 20, 2012·Disability and Rehabilitation. Assistive Technology·Nilovana Panwalkar, Alexander S Aruin
Sep 24, 2015·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Mahmood BahramizadehSedigheh Sadat Mirbagheri
Jul 8, 2015·Research in Developmental Disabilities·Daiane Lazzeri de MedeirosLilian Gerdi Kittel Ries
Dec 2, 2011·Prosthetics and Orthotics International·Mahmood BahramizadehGjyn O' Toole
Mar 29, 2019·American Journal of Physical Medicine & Rehabilitation·Jean P BetancourtNitin B Jain
Jun 30, 2019·Disability and Rehabilitation·Pegah FirouzehLesley Pritchard-Wiart
Jun 10, 2021·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Rebecca LeonardJulie Ries

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