Children with diplegic cerebral palsy who use ankle foot orthosis Ankle foot orthosis Hinged ankle foot orthosis Solid ankle foot orthosis walking ability Cerebral Palsy Diplegia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Diagnosed as cerebral palsy with spastic diplegia type - Age 4-16 years - Walk in barefeet with true equinus and jump gait pattern (ankle more than 90 degree during stance phase) according to Rodda’s classification - Use HAFO or SAFO daily with more than 6 hours per day for at least 6 months - Passively move ankle in dorsiflexion at least to 90 degree with knee extended - Able to walk without walking aids at least 5 meters - Classified into levels I, II, III based on GMFCS - Respond to visual and hearing stimuli - Understand simple instructions (stand still, go, and stop)
Exclusion criteria
Exclusion criteria: - Have surgical intervention in the previous 12 months - Have botulism toxin A injections in the previous 6 months - Knee and hip flexion contracture more than 15 degree - Limb length discrepancy >2.5 centimeters - Have a history of migration or dislocation of the hip from medical record - Have a history of serious accident causing bone fracture or dislocation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gross Motor Function Measure (GMFM) 1 interval score,Pediatric Evaluation of Disability Inventory - Computer Adaptive Test (PEDI-CAT) 1 interval score | — |
Secondary
| Measure | Time frame |
|---|---|
| Functional reach test (FRT) 2 centimeters,stride length (cm), cadence (steps/min) and velocity (km/hr) 2 centimeters, step per minute, kilometers per hour,Energy expenditure Index (EEI) 2 index,Cost-Benefit Analysis 1 ratio | — |
Countries
Thailand
Contacts
Faculty of Physical Therapy, Mahidol University