Comparison of effects of lower extremity orthoses on energy expenditure in patients with cerebral palsy

Uçkun, Aslı Çalişkan; Çelik, Canan; Uçan, Halil; Gökkaya, Nilüfer Kutay Ordu

doi:10.3109/17518423.2013.830653

Cited by 18 publications

(18 citation statements)

References 22 publications

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“…It has been shown that a light-weight plastic AFO requires less energy expenditure and provides a higher walking velocity than a heavier AFO (25). A solid AFO is also more beneficial in terms of energy consumption (26). In the current study, there was a higher rate of continued orthosis use with pAFO (4 of 6) than with mAFO (3 of 6).…”

Section: Discussionmentioning

confidence: 63%

The Continuity of Orthosis Use by Paraplegics which Had Been Prescribed During In-Patient Rehabilitation

Alemdaroğlu¹,

Mandıroğlu²,

Uçan³

et al. 2014

Turk J Phys Med Rehab

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ÖzetAmaç: Omurilik yaralanmalı bireylerin rehabilitasyonunda kalça diz ayak bileği ayak ortezi, metal veya plastik ayak bileği-ayak ortezi, posterior shell gibi ortezler, koltuk değneği, kanadyen, walker, baston gibi el destekleri, lokomasyonu sağlayan tekerlekli iskemleler sıkça kullanılmaktadır. Bu çalışmada hastanede rehabilitasyon uygulanmış omurilik yaralanmalı bireylerin, taburculuk sonrasındaki ortez kullanımı alışkanlıklarını değerlendirmeyi ve ortezlerle ilgili yaşanan sorunları ortaya koymayı amaçladık. Gereç ve Yöntemler: İlk olarak yetmiş bir hastanın hastane kayıtları incelendi. Telefonla ulaşılabilen 46 hastayla [34 erkek (%74), 12 kadın (%26)] sorgulama formuna dayanarak görüşüldü. Bulgular: Yaşları (ortalama±SD), 35±12,9 yıl; olay süreleri 43±27 aydı. Ortalama ortez kullanım indeksi (ortez kullanım süresi/ortezin reçete edilme süresi) 0,7±0,3'tü. Ortez verilmiş 41 hastadan ortezini kullananların oranı %73 (n:30), kullanmayanların oranı ise %27 (n:11) idi. Ortez bırakma oranı, inkomplet omurilik yaralanmalı hastalarla (%82) komplet yaralanmalılar (%18) karşılaştırıldığında belirgin olarak yüksekti (p=0,038). Ortezde değişiklik yapma oranı ortezini kullanan grupta (%53) ortezini kullanmayanlara (%9) göre belirgin yüksekti (p=0,014). Lojistik regresyon analizinde sakral korunmanın varlığı ortez kullanımını azaltıcı yönde etkili bulundu (p=0,040). Ortezi bırakma nedenlerinin çoğunluğu spastisite, ortezin sıkı veya eskimiş olması, psikolojik rahatsızlık gibi değiştirilebilir nedenlerdi. Sonuç: Bizim sonuçlarımız, sakral korunması olan hastaların ortez kullanımını sonlandırma ihtimallerinin daha fazla olabildiğini ve ortezlerde yapılan değişikliklerin ortezini düzenli kullanan hastalar için bir gereklilik olduğunu düşündürmektedir. Tekerlekli sandalye, ambulasyonun temel şeklidir ve omurilik yaralanmalı hastalar tarafından düzenli olarak kullanılmaktadır. Anahtar Kelimeler: Omurilik yaralanması, parapleji, ortez, rehabilitasyon AbstractObjective: Orthoses, such as hip-knee-ankle-foot orthosis, metal or plastic ankle-foot orthosis, and posterior shell; and aids, such as crutches, Lofstrand forearm orthosis, walkers, canes, and wheelchairs, providing locomotion are frequently used in the rehabilitation of spinal cord injury. This study aimed to assess orthosis usage habits and to determine the problems related to orthosis in spinal cord injury patients after discharge from inpatient rehabilitation. Material and Methods: Seventy-one patients were reviewed initially from hospital records. Forty-six patients [34 males (74%), 12 females (26%)] were available for telephone interviews to complete a questionnaire. Results: The mean age was 35±12.9 years; the mean duration from injury was 43±27 months. The mean orthosis usage index (duration of orthosis use/the duration of prescription of orthosis) was 0.7±0.3. Among the 41 patients who were given orthoses, 30 patients (73%) used their orthosis, and 11 patients (27%) did not use their orthosis. The ratio of terminating orthosis use was significantly higher in pa...

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Section: Discussionmentioning

confidence: 63%

The Continuity of Orthosis Use by Paraplegics which Had Been Prescribed During In-Patient Rehabilitation

Alemdaroğlu¹,

Mandıroğlu²,

Uçan³

et al. 2014

Turk J Phys Med Rehab

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“…The ankle foot orthoses are widely used for children with cerebral palsy and could improve the gait efficiency [ 25 ]. The orthosis structure, which restricts range of motion of ankle, could increase the ankle joint stability and position control [ 9 ]. In spatiotemporal findings of the study of Buckon et al [ 26 ], a solid ground reaction ankle foot orthosis for children with cerebral palsy produced a significant increase of 0.06 m in stride length, but decreases of 0.04 m/s and 18 steps/min in gait speed and cadence, respectively.…”

Section: Discussionmentioning

confidence: 99%

“…Therefore, the use of walking aids is very important for children with cerebral palsy when walking. In previous study, solid ground reaction ankle foot orthoses have been used to help children with cerebral palsy to walk [ 9 ]. Solid ground reaction ankle foot orthoses are devices designed to increase the knee extension.…”

Section: Discussionmentioning

confidence: 99%

“…They often used a solid ground reaction ankle foot orthosis, which is formed from polypropylene and was a molded plastic and custom fabricated orthosis. It could increase ankle dorsiflexion and hip and knee flexion during the stance phase of gait and was used more commonly in children with cerebral palsy [ 9 ]. Currently, transverse plane corrective orthoses are provided, such as TheraTogs, which is one kind of dynamic elastomeric fabric orthoses and could increase lateral torque in gait [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Plantar pressure reliably indicated problems of lower limb alignment and can be used as a tool to assess toe-in gait in a child with cerebral palsy [ 13 ]. Some studies indicated that outcomes of using lower extremities orthoses could present the changes of spatiotemporal gait analysis and represent the improvement of gait function [ 9 , 10 ]. The current report is a preliminary study exploring the changes in plantar pressure and spatiotemporal gait parameters (gait speed, cadence, and stride length) while using the proposed customized external strap orthosis.…”

Section: Introductionmentioning

confidence: 99%

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Changes of Plantar Pressure and Gait Parameters in Children with Mild Cerebral Palsy Who Used a Customized External Strap Orthosis: A Crossover Study

Chang

Lin

et al. 2015

BioMed Research International

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Toe-in gait and crouch gait can make children with mild cerebral palsy fall and suffer improper balance during walking or ambulation training. A customized external strap orthosis for correcting leg alignment was used to resolve this problem. The purpose of this study was to research the immediate effects while wearing the customized external strap orthosis. Pressure platform was used to assess the plantar pressure through static and dynamic assessments and to record the changes in path of pressure trajectory. Motion image analysis system was used to record the gait parameters, which included gait speed, stride length, and cadence. The influence of both wearing and removing the orthosis on the dominant leg of children with mild cerebral palsy was analyzed. Nine children with mild cerebral palsy, who all had a dominant right leg, were recruited. After wearing the orthosis, all gait parameters improved, and foot motion changed in the stance phase of the gait cycle. The path of pressure trajectory closing to the midline was also observed during dynamic assessment. Changes in plantar pressure and path of pressure trajectory were observed and the orthosis device could provide immediate assistance to correct the leg alignment and improve the gait performance in children with mild cerebral palsy.

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Lower Extremity Orthoses for Children and Youth with Cerebral Palsy

Hudson¹,

Michalowski²,

Miller³

2018

Cerebral Palsy

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Comparison of effects of lower extremity orthoses on energy expenditure in patients with cerebral palsy

Abstract: It was concluded that especially solid PAFO can be more beneficial in terms of energy consumption in CP patients. In rehabilitation phase, the EEI measurement was seen to be a useful and practical method for choosing the proper orthosis type.

Cited by 18 publications

References 22 publications

The Continuity of Orthosis Use by Paraplegics which Had Been Prescribed During In-Patient Rehabilitation

The Continuity of Orthosis Use by Paraplegics which Had Been Prescribed During In-Patient Rehabilitation

Changes of Plantar Pressure and Gait Parameters in Children with Mild Cerebral Palsy Who Used a Customized External Strap Orthosis: A Crossover Study

Lower Extremity Orthoses for Children and Youth with Cerebral Palsy

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