Postural insoles on gait in children with cerebral palsy: Randomized controlled double-blind clinical trial.

Autor: Pasin Neto H; University Nove de Julho, São Paulo, SP, Brazil; University Sorocaba - UNISO and Brazilian College of Osteopathy - CBO, Brazil. Electronic address: hugo.pasini@cbosteopatia.com.br., Grecco LAC; Center of Pediatric Neurosurgery - CENEPE-Rehabilitation, Avenue Dr. Veiga Filho, 350.Cj 604, 01229-001, São Paulo, SP, Brazil; NANI - Educação e Saúde na Infãncia e Adolescência, Unifesp, São Paulo, SP, Brazil. Electronic address: luandacollange@hotmail.com., Ferreira LAB; Physiotherapy department Guairacá College, State University Midwest (UNICENTRO), Guarapuava, Paraná, Brazil. Electronic address: luiz_braun@hotmail.com., Duarte NAC; Doctoral Program in Rehabilitation Sciences, Movement Analysis Lab, University Nove de Julho, Avenue Francisco Matarazzo, 612, 05001-000, São Paulo, SP, Brazil. Electronic address: natycarvalho_fisio@hotmail.com., Galli M; Department of Electronic Information and Bioengineering, Politecnico di Milano, Via Giuseppe Colombo, 40, 20133, Milan, Italy. Electronic address: manuela.galli@polimi.it., Oliveira CS; Master and Doctoral Programs in Rehabilitation Sciences, Movement Analysis Lab, University Nove de Julho, Avenue Francisco Matarazzo, 612, 05001-000, São Paulo, SP, Brazil. Electronic address: csantos@uninove.br.
Jazyk: angličtina
Zdroj: Journal of bodywork and movement therapies [J Bodyw Mov Ther] 2017 Oct; Vol. 21 (4), pp. 890-895. Date of Electronic Publication: 2017 Mar 04.
DOI: 10.1016/j.jbmt.2017.03.005
Abstrakt: The aim of the present study was to assess the effect of postural insoles on gait performance in children with Cerebral Palsy (CP). Twenty four children between four and 12 years of age were randomly allocated either the control group (n = 12) or experimental group (n = 12). The control group used placebo insoles and the experimental group used postural insoles. Three-dimensional gait analysis was performed under three conditions: barefoot, in shoes and in shoes with insoles. Three evaluations were carried out: 1)immediately following placement of the insoles; 2)after three months of insole use; and 3)one month after suspending insole use. Regarding the immediate effects and after three months use of insole, significant improvements in gait velocity and cadence were found in the experimental group, along with an increase in foot dorsiflexion, a reduction in knee flexion and a reduction in internal rotation. Conversely, these changes were not maintained in the third assessment, one month after withdrawal of the insoles. The use of postural insoles led to improvements in gait performance in children with CP.
(Copyright © 2017 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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