The effect of fixed ankle foot orthoses in children with cerebral palsy.
Purpose. To identify the characteristics of children with cerebral palsy who benefited from tuning of their fixed ankle foot orthoses (AFOs) to create a screening tool.Method. A retrospective review was conducted using video records of 21 independently walking children with cerebral palsy who were r...
| Published in: | Disability & Rehabilitation: Assistive Technology Vol. 2; no. 1; pp. 51 - 59 |
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| Main Authors: | , , , , |
| Format: | pictorial research tables/charts Journal Article |
| Published: |
Taylor & Francis Ltd
Jan2007
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106291553&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106291553 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: Jan2007 vid: 2 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 106291553 106291553 2009519283 10.1080/17483100600662009 106291553 ppf: 51 ppct: 8 formats: fmt: @attributes: type: P tig: atl: The effect of fixed ankle foot orthoses in children with cerebral palsy. aug: au: Butler PB Farmer SE Stewart C Jones PW Forward M affil: The Movement Centre, Robert Jones & Agnes Hunt Orthopaedic & District Hospital NHS Trust, Oswestry, Shropshire SY10 7AG, UK; pennybutler@the-movement-centre.co.uk sug: subj: Ankle In Infancy and Childhood Cerebral Palsy In Infancy and Childhood Foot In Infancy and Childhood Kinematics In Infancy and Childhood Kinetics In Infancy and Childhood Orthoses In Infancy and Childhood Walking In Infancy and Childhood Chi Square Test Child Child Health Child, Preschool Comparative Studies Descriptive Statistics Extension In Infancy and Childhood Flexion In Infancy and Childhood Funding Source Gait Analysis In Infancy and Childhood Knee In Infancy and Childhood Logistic Regression Mann-Whitney U Test Posture In Infancy and Childhood Record Review Rehabilitation, Pediatric Retrospective Design ROC Curve Sensitivity and Specificity Spearman's Rank Correlation Coefficient T-Tests Videorecording Human Child: 6-12 years Child, Preschool: 2-5 years ab: Purpose. To identify the characteristics of children with cerebral palsy who benefited from tuning of their fixed ankle foot orthoses (AFOs) to create a screening tool.Method. A retrospective review was conducted using video records of 21 independently walking children with cerebral palsy who were referred to a Gait Laboratory for AFO tuning. All showed a ground reaction vector (GRV) in front of the knee (extending) when barefoot. The stance phase was digitised to obtain kinematic and kinetic parameters. Effectiveness of AFO tuning was judged by optimisation of the GRV at the knee and statistical and scatter plot analysis sought to discriminate between those who tuned and those who did not.Results. Analysis showed clear distinction between the two groups based on knee kinematics. Those who tuned showed flexion of no more than 20 degrees in the first third of stance combined with movement towards extension in the second third of stance to a minimum of 10 degrees flexion or less.Conclusions. This study has created a screening tool to identify children likely to benefit from AFO tuning based on kinematic data and which could be used in the community. pubtype: Academic Journal doctype: pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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