Measuring wearing time of knee-ankle-foot orthoses in children with cerebral palsy: comparison of parent-report and objective measurement

Maas, Josina C.; Dallmeijer, Annet J.; Oudshoorn, Bodil Y.; Bolster, Eline A. M.; Huijing, P.A.J.B.M.; Jaspers, Richard T.; Becher, Jules G.

doi:10.1080/09638288.2016.1258434

Cited by 9 publications

(16 citation statements)

References 19 publications

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“…In the survey of wearing time of assistive devices, the selected methodology is a significant influencing factor. In 2018 Maas et al described a bidirectional misinformation in the parental interview in a study of the wearing time of knee-ankle-foot orthoses [14]. Compared to objective measurements via temperature sensors, they over- or underestimated the real wearing time.…”

Section: Discussionmentioning

confidence: 99%

“…Study results revealed impressively that on the one hand the compliance regarding wearing time ranged only between 27% and 47%, although, on the other hand, a clear negative correlation between the time in brace and the likelihood of surgery could be demonstrated [17, 22, 23]. In one of the few transductions of this methodology to lower extremity orthotics, Maas et al described relevant differences between sensor based and parental information regarding wearing time, in a study of knee-ankle-foot orthoses (KAFOs) in children with cerebral palsy [14]. In clinical practice, however, at 0.7%, these account for only a very small proportion of all assistive devices [4].…”

Section: Introductionmentioning

confidence: 99%

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Wearing Time of Ankle-Foot Orthoses with Modular Shank Supply in Cerebral Palsy: A Descriptive Analysis in a Clinically Prospective Approach

Schwarze

Horoba

Block

et al. 2019

Rehabilitation Research and Practice

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Objective. To date there is only limited knowledge about the wearing time of orthoses. Ankle-foot orthoses (AFOs) have not been studied with this research question. Additional influences of the orthotic design as well as weekdays and the weekend are also unknown. Design. Monocentric, clinically prospective intervention study. Patients. Inclusion of 10 patients with bilateral spastic cerebral palsy. Methods. Equipment of all subjects with a dynamic ankle-foot orthosis (DAFO) and modular shank supply (MSS, dynamic elastic shank adaptation or ground reaction AFO). Integration of temperature sensors for recording the wearing time for a period of 3 months. Results. The actual wearing time was below the recommendations on actually worn days as well as the average of the entire study period. In addition, the actual usage in terms of days and hours was well below the recommendations. The wearing time showed differences between weekdays and weekend. Differences between DAFO and MSS were not detectable. Conclusion. The actual usage behavior of ankle-foot orthoses differs from the recommendations of the prescriber. This applies to both DAFOs and modular use with shank supplies. Environmental factors may have a significant impact on wearing times on weekdays and the weekend.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Wearing Time of Ankle-Foot Orthoses with Modular Shank Supply in Cerebral Palsy: A Descriptive Analysis in a Clinically Prospective Approach

Schwarze

Horoba

Block

et al. 2019

Rehabilitation Research and Practice

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“…In cerebral palsy Knee Ankle Foot Orthosis (KAFO) is used to maintain posture in standing and during gait training [37]. It is also used to prevent the ankle-foot range of motion in spastic cerebral palsy (SCP) cases [38] and presumed to reduce ankle dorsiflexion ROM at maximum knee extension when applied to six or more than six hours by reducing the muscle-tendon complex stiffness [39].…”

Section: Knee Ankle Foot Orthosis (Kafo)mentioning

confidence: 99%

Orthoses in Conservative Management of Cerebral Palsy and Rehabilitation

Kumar¹,

Vinita²

2021

Prosthetics and Orthotics

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Cerebral palsy is the developmental and postural disorder that combines a group of conditions/disease (neuromuscular), occurs in the developing fetal or infant brain, affects movement and intelligence that are ascribed to non-progressive disturbances. Orthotics is the branch of modern health science and rehabilitation that deals with assessment, prescription, fabrication, fitment, and purposeful gait training to the individual who needs orthosis for optimal independence. Orthoses are external devices that applied to increase function, prevent contracture and deformity, maintain the limbs in a functional position, stabilize the segments of the body, support the weak muscle and its functions, increase motor control, reduce spasticity, protect the limbs, and body segments in the postoperative condition.

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“…karakteristiğindeki duyu kaybı, ortez memnuniyetinin en önemli ölçütlerinden olan ağrıyı kişinin hissetmemesini sağlayarak daha fazla ortez memnuniyetine neden olabileceğini öngörmekteyiz. Ortez kullanım süresinin ölçümü için daha objektif metodlar tercih eden çalışmalarda mevcuttur [16,17]. Ortotik cihaza monteli ısıya sensörlü olarak çalışan küçük aletlerin kullanımının, ebeveynlere sorularak öğrenilen ortez kullanım süresinden daha doğru sonuç verdiği bildirilirken, ebeveyne sorularak öğrenilen ortez kullanım süresi ile sensörden alınan ortez kullanım süresi arasında anlamlı fark saptanmıştır [17].…”

Section: İstatistiksel Analizunclassified

Kronik Engelli Bireylerde Ortez Ve Yardımcı Cihaz Memnuniyetinin Araştırılması

Çankaya

Özel

Taş³

et al. 2020

Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi

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Bu çalışmanın amacı yardımcı cihaz/ortez tavsiye edilen kronik engelli bireylerin ortez kullanım memnuniyetlerinin araştırılmasıdır. Bu çalışmanın bir diğer amacı, tanı grupları ve serebral palsili bireylerin motor fonksiyon seviyeleri ile ortez kullanım memnuniyetleri arasındaki ilişkinin araştırılmasıdır. Gereç ve Yöntem: Çalışmaya 105 kronik engelli birey (64 serebral palsili, 13 spina bifidalı, 14 musküler distrofili ve 14 farklı nörolojik tanılı birey) ve aileleri dahil edildi. Çalışmaya katılan bireylere yardımcı cihaz/ortez günlük kullanım süreleri ve eğer yardımcı cihaz/ortezlerini kullanmıyorlarsa nedenleri sorgulandı. Bireylerin ortez kullanım memnuniyetleri araştırmacılar tarafından literatüre dayanarak oluşturulmuş Ortez Kullanım Memnuniyet Anketi ile değerlendirildi. Bulgular: Serebral palsili bireylerin motor fonksiyon düzeyleri ile ortez kullanım memnuniyeti arasında ilişki olmadığı bulundu (p=0.779). Ortez Kullanım Memnuniyet Anketi toplam skoru ve günlük ortez kullanma süreleri arasında pozitif yönlü zayıf bir ilişki saptandı (r=0.242, p=0.015). Ortez Kullanım Memnuniyet Anketi toplam skoru ve ne kadar zamandır ortez kullanıldığına ait veriler arasında bir ilişki bulunmadı (p=0.811). Çalışmaya katılan bireylerin tanılarının (p=0.236) ve yardımcı cihaz/ortez tipinin ortez kullanma memnuniyeti skorları ile ilişkili olmadığı saptandı (p=0.979). Sonuç: Sonuç olarak, kronik engelli bireylerde yardımcı cihaz/ortez günlük kullanım süresi arttıkça kullanım memnuniyetinin arttığı görüldü. Yardımcı cihaz/ortez tipinin ortez kullanma memnuniyeti ile ilişkili olmadığı gözlemlendi. Ayrıca serebral palsi, spina bifida, musküler distrofi ve diğer tanı gruplarının ortez memnuniyetlerinin benzer olduğu görüldü.

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Measuring wearing time of knee-ankle-foot orthoses in children with cerebral palsy: comparison of parent-report and objective measurement

Abstract: 1Background Orthotic wearing time may be an important confounder in efficacy studies of treatment in 2

Cited by 9 publications

References 19 publications

Wearing Time of Ankle-Foot Orthoses with Modular Shank Supply in Cerebral Palsy: A Descriptive Analysis in a Clinically Prospective Approach

Wearing Time of Ankle-Foot Orthoses with Modular Shank Supply in Cerebral Palsy: A Descriptive Analysis in a Clinically Prospective Approach

Orthoses in Conservative Management of Cerebral Palsy and Rehabilitation

Kronik Engelli Bireylerde Ortez Ve Yardımcı Cihaz Memnuniyetinin Araştırılması

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