Effects of Orthoses on Standing Postural Control and Muscle Activity in Children With Cerebral Palsy
| Autor: | Julie D. Ries, Jane K. Sweeney, Rebecca Leonard, Diane L. Damiano, Kristie Bjornson |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
030506 rehabilitation
medicine.medical_specialty Gross motor skill Foot Orthoses Physical Therapy Sports Therapy and Rehabilitation Electromyography Article Cerebral palsy Barefoot 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Cog medicine Humans Muscle activity Child Postural Balance Balance (ability) medicine.diagnostic_test business.industry Cerebral Palsy Muscles medicine.disease medicine.anatomical_structure Pediatrics Perinatology and Child Health Ankle 0305 other medical science business 030217 neurology & neurosurgery |
| Zdroj: | Pediatr Phys Ther |
| Popis: | Purpose This exploratory study assessed postural control and muscle activity in children with cerebral palsy while standing barefoot (BF), in prescribed ankle-foot orthoses (AFOs) and in distal control orthoses (DCOs), which stabilized foot-ankle and deliberately aligned the shank. Methods This within-subject study evaluated 10 participants, Gross Motor Functional Classification System level III, across the 3 ankle-foot conditions in: (1) static standing duration and (2) modified Clinical Test of Sensory Interaction on Balance with electromyography (EMG) on 7 muscles. Results Participants had significantly decreased center of gravity (COG) velocity sway in DCO versus BF and AFO, decreased loss of balance (LOB), and increased standing for DCO versus BF. DCO had minimal effect on EMG activity. Conclusions DCO provided significant stabilizing effects on COG sway velocity, standing duration, and LOB. DCO may be effective in balance training. It is unclear whether benefit was derived from stabilization of the ankle joint, the resultant shank alignment, or both. |
| Databáze: | OpenAIRE |
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