Ground reaction and solid ankle-foot orthoses are equivalent for the correction of crouch gait in children with cerebral palsy

Developmental Medicine and Child Neurology
Andrew J Ries, Michael H Schwartz

Abstract

To investigate any performance differences between the solid ankle-foot orthosis (SAFO) and ground reaction ankle-foot orthosis (GRAFO) designs for correcting crouch gait in children diagnosed with cerebral palsy (CP). We retrospectively analyzed 147 individuals seen at our center who: (1) were diagnosed with diplegic CP, (2) walked with crouch gait, (3) had bilateral SAFO or GRAFO prescription, and (4) had three-dimensional gait analysis collected for both barefoot and orthosis walking conditions. Overall, no performance gap was identified between the SAFO and GRAFO groups (p=0.828). A series of bootstrapped stepwise regression analyses indicated that ankle-foot orthosis (AFO) design was not predictive of crouch gait improvements. Improvements in crouch gait were instead shown to be predicted by AFO neutral angle and four patient factors: amount of dorsiflexion in stance, level of knee flexion contracture, age, and severity of crouch. Our results show that the SAFO and GRAFO designs are equally effective at correcting crouch gait for individuals diagnosed with CP. No performance difference was detected between solid ankle-foot orthoses and ground reaction ankle-foot orthoses designs for crouch gait correction. Crouch gait impr...Continue Reading

References

Feb 1, 1987·Physical Therapy·R W Bohannon, M B Smith
Feb 20, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·J Rodda, H K Graham
Mar 8, 2007·The Journal of the American Academy of Orthopaedic Surgeons·Jon R DavidsRoy B Davis
Nov 4, 2008·The Journal of Bone and Joint Surgery. American Volume·Jean L StoutTom F Novacheck
Jun 13, 2009·Gait & Posture·D J J BregmanJ Harlaar
Jun 19, 2015·Developmental Medicine and Child Neurology·Katherine M SteeleMichael H Schwartz
Jan 3, 2018·Biometrical Journal. Biometrische Zeitschrift·Georg HeinzeDaniela Dunkler

❮ Previous
Next ❯

Citations

Oct 23, 2018·Developmental Medicine and Child Neurology·Marc Degelaen
Nov 7, 2019·Journal of Pediatric Orthopedics·Julieanne P SeesAndrew G Georgiadis
Jun 6, 2020·Journal of Pediatric Orthopedics·Julieanne P SeesAndrew G Georgiadis
Aug 22, 2021·Gait & Posture·Andrew J RiesJennifer Klein

❮ Previous
Next ❯

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.

© 2022 Meta ULC. All rights reserved