Impact of ankle-foot orthoses on static foot alignment in children with cerebral palsy
| Autor: | Stephanie L. Tanner, David E. Westberry, Jon R. Davids, J. Christopher Shaver, Roy B. Davis, Dawn W. Blackhurst |
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| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Orthotic Devices Adolescent Barefoot Cerebral palsy Physical medicine and rehabilitation medicine Humans Orthopedics and Sports Medicine Child Retrospective Studies business.industry Foot Forefoot Cerebral Palsy General Medicine medicine.disease Gait Orthotic device medicine.anatomical_structure Child Preschool Orthopedic surgery Physical therapy Surgery Female Ankle business Foot (unit) |
| Zdroj: | The Journal of bone and joint surgery. American volume. 89(4) |
| ISSN: | 0021-9355 |
| Popis: | Background: Children with cerebral palsy who are able to walk are often managed with an ankle-foot orthosis to assist with walking. Previous studies have shown kinematic, kinetic, and energetic benefits during gait with the addition of an ankle-foot orthosis, although the mechanism of this gait improvement is unknown. The ability of orthoses to correct foot malalignment in children with cerebral palsy is not known. The current study was performed to determine the impact of orthoses on static foot alignment in children with cerebral palsy. Methods: A retrospective radiographic review was performed for 160 feet (102 patients). All patients had a diagnosis of cerebral palsy. Standing anteroposterior and lateral radiographs of the foot and ankle were made with the patient barefoot and while wearing the prescribed orthosis and were compared with use of the technique of quantitative segmental analysis of foot and ankle alignment. Results: Analysis of the foot and ankle radiographs made with the patient barefoot and while wearing the brace revealed significant changes in all measurements of segmental alignment (p < 0.05). The magnitudes of these differences were small ( |
| Databáze: | OpenAIRE |
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