Ankle Foot Orthosis (AFO), Balance, Cerebral Palsy (CP), Gait Analysis, Hemiparatic Cerebral Palsy
Conditions
Brief summary
Background: Ankle-foot orthoses are frequently prescribed to reduce spasticity, position the extremity more properly, and regulate gait during the rehabilitation process of children with cerebral palsy. Objective: To investigate the effects of unilateral or bilateral use of plastic ankle-foot orthoses (AFO) used in children with hemiparetic cerebral palsy (CP) on the child's gait and balance. The aim of this study is to investigate the effects of unilateral and bilateral use of AFOs used in children with hemiparetic cerebral palsy on gait and balance. Methods: 19 cooperative children aged 4-12 years, with gross motor function classification system levels 1 and 2, using bilateral AFOs were included in the study. Children were evaluated with bilateral AFOs, unilateral AFOs, and without AFOs. Trunk sway assessment was performed on the Bertec Balance force platform with eyes open and closed, and time-spatial characteristics of gait were evaluated with the GAITRite electronic walkway.
Interventions
OTHERGAIT AND BALANCE EVALUATION
In our study, participants' walking assessments were made with GAITRite electronic walking path (CIR System INC. Clifton. NJ. USA.). In the postural balance assessments of the participants, the Bertec Balance Check Screener™ BP5050 20x20 inch (Bertec Comporation Columbus, OH, USA) force platform was used. The Bertec force platform is a three-component balance platform that is based on objectively measuring instantaneous changes in vertical force and center of pressure (CoP). Bertec was designed to evaluate the ability to maintain balance while standing. The assessments were made in all participants without an orthosis, with unilateral AFO and with bilateral AFO. In our study, participants were given a 10-minute rest period between assessments.
Sponsors
Istanbul Medipol University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
OTHER
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
4 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Diagnosed with Hemiparatic SP * Cooperative * Classified as 1 or 2 levels in GMFCS * Lower extremity muscles with spasticity severity of up to 2 according to Modified Ashworth * Using Bilateral Plastic AFO Orthosis for the last 6 months
Exclusion criteria
* foot deformity * using walking aids * unable to walk independently
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| balance | From enrollment to the end of treatment at 4 weeks | Balance assessments were conducted using the Bertec Balance Check Screener™ force platform. Oscillations during the assessment were recorded for each participant. For safety reasons, the researcher stood close to the participant without contact during the balance assessment. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| demographic information form | From enrollment to the end of treatment at 4 weeks | Orthosis information, including participants' full name, age, gender, weight, height, affected side, lower extremity length, and duration of orthosis use, was recorded. |
| Gait assessments | From enrollment to the end of treatment at 4 weeks | In our study, participants' gait assessments were conducted using a GAITRite electronic walking path. Participants walked at a self-selected speed on a stable surface, while time and distance characteristics were recorded. |
Countries
Turkey (Türkiye)
Outcome results
None listed