Brace Evaluation in Children with Diplegic Cerebral Palsy with a Jump Gait Pattern

Smith, Peter A.; Hassani, Sahar; Graf, Adam; Flanagan, Ann; Reiners, K.; Kuo, Ken N.; Roh, Jaehoon; Harris, Gerald F.

doi:10.2106/jbjs.g.01369

Cited by 22 publications

(44 citation statements)

References 23 publications

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“…Twenty-three of the articles (38 studies) were of moderate quality, [19][20][21][22][23][24][29][30][31]33,37,[39][40][41][42][43][44][45][46][47][48][49][50] nine articles (18 studies) were of good quality [25][26][27][28]32,34,36,51,52 and no article was classified as excellent quality (Supplemental material 2). Fifteen of the 32 articles reported multiple follow-up assessments or different study coho rts, [19][20][21][24][25][26][27][28][29][30][31][32]34,39,40,50 resulting in a total of 56 different studies. Data from 35 studies could be pooled in the meta-analysis and data from the 21 remaining studies were included in the ...…”

Section: Resultsmentioning

confidence: 99%

Effect of ankle-foot orthoses on gait, balance and gross motor function in children with cerebral palsy: a systematic review and meta-analysis

et al. 2018

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Section: Resultsmentioning

confidence: 99%

Effect of ankle-foot orthoses on gait, balance and gross motor function in children with cerebral palsy: a systematic review and meta-analysis

et al. 2018

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“…Nineteen of the 41 studies made a clear attempt at describing a common pattern of abnormality or indication that was demonstrated by all participants. One study 29 clearly described a homogenous gait characteristic demonstrated by all participants. A homogenous mode of ankle movement was described most frequently (14/41), followed by knee movement (10/41) and three papers described a common pattern of hip movement.…”

Section: Participant Detailsmentioning

confidence: 95%

A Systematic Review to Determine Best Practice Reporting Guidelines for AFO Interventions in Studies Involving Children with Cerebral Palsy

Ridgewell

Dobson

Bach

et al. 2010

Prosthetics &Amp; Orthotics International

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Studies which have examined the effects of ankle-foot orthoses (AFOs) on children with cerebral palsy (CP) often report insufficient detail about the participants, devices and testing protocols. The aim of this systematic review was to evaluate the level and quality of detail reported about these factors in order to generate best practice guidelines for reporting of future studies. A systematic search of the literature was conducted to identify studies which examined any outcome measure relating to AFO use in children with CP. A customized checklist was developed for data extraction and quality assessment. There was substantial variability in the level and quality of detail reported across the 41-paper yield. Many papers reported insufficient detail to allow synthesis of outcomes across studies. The findings of this review have been used to generate guidelines for best practice of reporting for AFO intervention studies. It is important to ensure homogeneity of gait pattern in a subject sample or to subdivide a sample to investigate the possibility that heterogeneity affected results. It is also important to describe the orthosis in sufficient detail that the device can be accurately replicated because differences in designs have been shown to affect outcomes. These guidelines will help researchers provide more systematic and detailed reports and thereby permit future reviewers to more accurately assess both the reporting and quality of orthotic interventions, and will facilitate synthesis of literature to enhance the evidence base.

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“…Many of these studies find a small but significant improvement in gait with the use of AFOs. Studies of both spastic di- and hemiplegic subjects have found that wearing AFOs, compared to walking barefoot, resulted in increases in stride length (Abel et al 1998;Balaban et al 2007;Buckon et al 2001;Buckon et al 2004;Carlson et al 1997;Dursun et al 2002;Lam et al 2005;Romkes & Brunner 2002;Smith et al 2009;White et al 2002), and increases in comfortable walking velocity(Abel et al 1998;Balaban et al 2007;Brehm et al 2008;Dursun et al 2002;Franceschini et al 2003;Smith et al 2009;Van de Walle et al 2009;White et al 2002). Studies have also found AFO use can reduce the metabolic cost of walking(Balaban et al 2007;Buckon et al 2004;Franceschini et al 2003;Maltais et al 2001).…”

Section: Introductionmentioning

confidence: 99%

The effects of ankle foot orthoses on energy recovery and work during gait in children with cerebral palsy

Bennett¹,

Russell²,

Abel³

2012

Clinical Biomechanics

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Background Studies suggest that 50% of children with cerebral palsy are prescribed ankle foot orthoses. One of the aims of ankle foot orthosis use is to aid in walking. This research examined the effects that ankle foot orthoses have on the energy recovery and the mechanical work performed by children with cerebral palsy during walking. Methods Twenty-one children with spastic diplegia walked with and without their prescribed bilateral ankle foot orthoses. Ten of the subjects wore articulated (hinged) orthoses and 11 subjects wore solid orthoses. Three dimensional kinematic data were collected and between and within group repeated measures ANOVAs were applied to the dependent measures. Findings The results were similar for both groups. There was an increase in stride length, energy recovery, and potential energy and the kinetic energy variation. There was no change in the mechanical work performed to walk or the normalized center of mass vertical excursion. Unfortunately, the increase in energy recovery did not alter the external work, as it was offset by increased variation in the potential and kinetic energies of the center of mass. There was a great deal of variability in the measured work, with both large increases and decreases in the work of individual subjects when wearing orthoses. Interpretation These results suggest that current ankle foot orthoses can reduce the work to walk, but do not do so for many children with cerebral palsy. This research suggests that ankle foot orthosis prescription could be aided by measuring the mechanical work during walking.

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Brace Evaluation in Children with Diplegic Cerebral Palsy with a Jump Gait Pattern

Cited by 22 publications

References 23 publications

Effect of ankle-foot orthoses on gait, balance and gross motor function in children with cerebral palsy: a systematic review and meta-analysis

Effect of ankle-foot orthoses on gait, balance and gross motor function in children with cerebral palsy: a systematic review and meta-analysis

A Systematic Review to Determine Best Practice Reporting Guidelines for AFO Interventions in Studies Involving Children with Cerebral Palsy

The effects of ankle foot orthoses on energy recovery and work during gait in children with cerebral palsy

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