The Efficacy of Ankle-Foot Orthoses on Improving the Gait of Children With Diplegic Cerebral Palsy: A Multiple Outcome Analysis

PM & R : the Journal of Injury, Function, and Rehabilitation
Andrew J RiesMichael H Schwartz

Abstract

Ankle-foot orthosis (AFO) prescriptions are common for patients diagnosed with cerebral palsy (CP). Typical treatment objectives are to improve ankle-foot function and enhance general gait quality. To determine the effectiveness of AFOs for improving the gait of children with diplegic CP. Retrospective analysis. Primary clinical care facility. Data were used from 601 visits for 378 individuals (age at visit: 9.8 ± 3.8 years [mean ± standard deviation]) who wore either a solid, hinged, or posterior leaf spring AFO design. Participants had a diagnosis of diplegic CP, wore the same AFO design bilaterally, and had 3-dimensional gait analysis data collected while walking both barefoot and with AFOs during a single session. Differences between walking with AFOs and walking barefoot were used as outcome measures. Statistical analysis consisted of paired t-tests and multivariate analysis of variance scores to determine significance, main effects, and interactions of AFO design, ambulation type (walking with/without assistive devices), and barefoot level on each outcome. Minimal clinically important differences from the literature determined clinical significance. Gait Deviation Index (GDI), ankle Gait Variable Score, knee Gait Variable...Continue Reading

References

Feb 1, 1988·Developmental Medicine and Child Neurology·C TardieuM D Bret
Feb 25, 1998·Archives of Physical Medicine and Rehabilitation·M F AbelD L Damiano
Jun 21, 2001·Developmental Medicine and Child Neurology·C E BuckonM Aiona
May 15, 2002·Developmental Medicine and Child Neurology·Christopher Morris
Sep 4, 2004·Developmental Medicine and Child Neurology·Cathleen E BuckonMichael Aiona
May 11, 2007·Developmental Medicine and Child Neurology·Elroy SullivanChester Tylkowski
May 10, 2008·Journal of Biomechanics·Michael H SchwartzJoyce P Trost
Jun 21, 2008·Gait & Posture·Michael H Schwartz, Adam Rozumalski
Aug 16, 2008·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Elyonara Mello FigueiredoLinda Fetters
Sep 2, 2008·Journal of Rehabilitation Medicine·Merel-Anne BrehmMichael Schwartz
Jul 28, 2009·Gait & Posture·Richard BakerOren Tirosh
Feb 22, 2011·NeuroRehabilitation·Christopher MorrisDavid Phillips
Jan 10, 2012·Gait & Posture·Richard BakerH Kerr Graham

❮ Previous
Next ❯

Citations

Apr 22, 2016·Developmental Medicine and Child Neurology·Michael H SchwartzKatherine M Steele
Apr 10, 2018·The Bone & Joint Journal·C ChurchF Miller
Apr 28, 2018·Physical & Occupational Therapy in Pediatrics·Kyra J KaneKristin E Musselman
Jul 12, 2017·Prosthetics and Orthotics International·Harald BöhmLeonhard Döderlein
Nov 20, 2016·Journal of Pediatric Orthopedics·John A HeydemannJulieanne P Sees
Sep 28, 2017·Pediatric Physical Therapy : the Official Publication of the Section on Pediatrics of the American Physical Therapy Association·Andrea Fergus
Aug 8, 2018·Prosthetics and Orthotics International·Ingrid SkaaretInger Holm
Feb 1, 2019·Prosthetics and Orthotics International·Alessio IelapiMatthieu De Beule
Apr 9, 2019·Computer Methods in Biomechanics and Biomedical Engineering·Alessio IelapiMatthieu De Beule
Dec 10, 2019·Disability and Rehabilitation. Assistive Technology·Joana FigueiredoCristina P Santos
Mar 29, 2019·American Journal of Physical Medicine & Rehabilitation·Jean P BetancourtNitin B Jain
Mar 23, 2018·Journal of Developmental and Physical Disabilities·Hanneke E BorstLeopold M G Curfs
Jun 23, 2019·Disability and Rehabilitation. Assistive Technology·Egle VasiliauskaiteFrank Plasschaert
Jun 30, 2019·Disability and Rehabilitation·Pegah FirouzehLesley Pritchard-Wiart
Oct 24, 2020·Prosthetics and Orthotics International·Jessica ZistatsisKatherine M Steele
Oct 15, 2020·Journal of the Royal Society, Interface·Michael C RosenbergKatherine M Steele
Apr 5, 2021·Gait & Posture·Kamila Moreira de Freitas GuardiniMauro C de Morais Filho
Jun 8, 2021·Journal of Pediatric Rehabilitation Medicine·Matthew McLaughlin, Didem Inanoglu
Sep 11, 2021·Disability and Rehabilitation·Laura M OudenhovenMarjolein M van der Krogt
Jul 18, 2017·Annals of Physical and Rehabilitation Medicine·Atefeh AboutorabiJohn S Head

❮ 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.

© 2021 Meta ULC. All rights reserved