Children aged 6-12 years with cerebral palsy (CP) presenting with a crouch gait pattern and classified as Gross Motor Function Classification System - Expanded and Revised (GMFCS-ER) Levels I-III. Cerebral palsy, energy expenditure, Ankle-Foot Orthosis - Footwear Combination tuning, gait
Conditions
Interventions
Walking with flexible, non-supportive textile shoes simulating barefoot walking,Walking with the participants'
own solid ankle foot orthoses paired with flat-soled shoes with zero heel elevation,Walking with heel height adjusted using a wedge to achieve a shank-to-vertical angle of 7 degrees,Walking with heel
Flat-Shoes (Baseline Condition),Flat Ankle Foot Orthosis Footwear combination ,Tuned Ankle Foot Orthosis Footwear combination with 7 degrees degrees, Ankle Foot Orthosis Footwear combination with 7 de
Sponsors
Faculty of Medicine Siriraj Hospital Mahidol University
Eligibility
Sex/Gender
All
Age
6 Years to 12 Years
Inclusion criteria
Inclusion criteria: 1. A diagnosis of bilateral spastic cerebral palsy (spastic diplegia). 2. Age between 6 and 12 years inclusive. 3. Presence of a crouch gait pattern. 4. The ability to understand and follow verbal instructions. 5. The capability to walk independently for at least 4 minutes continuously without rest, which typically corresponds to GMFCS Levels I, II, or III. 6. Current users of custom-made solid or ground reaction AFOs. 7. Properly fitting solid or ground reaction AFOs free from any damage.
Exclusion criteria
Exclusion criteria: 1. Presence of a flexion contracture greater than 10 degrees at the hip, knee, or both. 2. Children with underlying health conditions that may affect their ability to participate in the study. 3. Non-compliance or inability to attend all scheduled sessions of the study protocol. 4. Children with cerebral palsy who present with severe spasticity, defined as a score of 3 and above on the Modified Ashworth Scale (MAS) in the affected lower limb, will be excluded from the study. 5. History of lower limb surgery within the past 6 months.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Energy Expenditure During each intervention condition at each study visit Oxygen cost of walkingm | — |
Secondary
| Measure | Time frame |
|---|---|
| Gait performance During each intervention condition at each study visit Joint kinematic/ Measured using three-dimensional motion capture system | — |
Countries
Thailand
Contacts
Public ContactSunday Ndomba
Sirindhorn School of Prosthetics and Orthotics, Faculty of Medicine Siriraj Hospital Mahidol University
Outcome results
None listed