Characteristics of dynamic standing balance with and without an insole in patients with spastic diplegia cerebral palsy.

Autor: Kusumoto Y; Department of Physical Therapy, Division of Health Science, Tokyo University of Technology: 5-23-22 Nishikamata, Ohta-ku, Tokyo 144-8635, Japan., Tsuchiya J; Department of Physical Therapy, Division of Health Science, Tokyo University of Technology: 5-23-22 Nishikamata, Ohta-ku, Tokyo 144-8635, Japan., Watanabe Y; Department of Physical Therapy, Division of Health Science, Tokyo University of Technology: 5-23-22 Nishikamata, Ohta-ku, Tokyo 144-8635, Japan., Umeda M; Department of Physical Therapy, Division of Health Science, Tokyo University of Technology: 5-23-22 Nishikamata, Ohta-ku, Tokyo 144-8635, Japan., Matsuda T; Department of Physical Therapy, Faculty of Health Science, Juntendo University, Japan., Takaki K; Department of Physical Therapy, Faculty of Health Sciences, Mejiro University, Japan., Nitta O; Tokyo Metropolitan University, Department of Physical Therapy, Faculty of Health Sciences, Tokyo Metropolitan University, Japan.
Jazyk: angličtina
Zdroj: Journal of physical therapy science [J Phys Ther Sci] 2020 Jan; Vol. 32 (1), pp. 23-26. Date of Electronic Publication: 2020 Jan 22.
DOI: 10.1589/jpts.32.23
Abstrakt: [Purpose] This study examined characteristics of dynamic standing balance, with an without an insole, in patients with spastic diplegia cerebral palsy (CP). [Participants and Methods] This cross-sectional study used a crossover design. Eleven patients with spastic diplegia CP and gross motor levels between I and III with spastic diplegia CP (according to the Gross Motor Function Classification System expanded and revised version) were randomly allocated to either the barefoot or insole groups. The Index of postural stability (IPS) was evaluated while each patient was barefoot and while wearing insoles. The Pediatric Evaluation of Disability Inventory (PEDI) was used to measure functional self-care and mobility domains. [Results] While wearing the insoles, the center movement distance between right and left positions was significantly higher. While barefoot, IPS and area of postural sway correlated with the PEDI subscales for mobility and self-care. [Conclusion] Insoles promote standing balance and dynamic balance to move the center of pressure within the base of support. Such improvements may enhance activities of daily living in patients with spastic diplegia CP.
Competing Interests: The authors declare no conflict of interest.
(2020©by the Society of Physical Therapy Science. Published by IPEC Inc.)
Databáze: MEDLINE