The Effects of Combining High-Top Shoes with Twister Wrap Orthoses on Balance Parameters of Children with Spastic Diplegic Cerebral Palsy

Abstract

Background: Cerebral palsy (CP) is a non-progressive encephalopathy before, during, or after childbirth with almost the most common type, i.e. spastic diplegic, leading to a frequent walking problem, In-toeing. Orthoses can reduce the consequences of CP.Objective: This study aimed to evaluate the effect of combining twister wrap orthoses (TWO) with high-top shoes on the balance parameters of children with spastic diplegic CP. Material and Methods:In this quasi-experimental study, twenty children (aged 6.8 ± 0.5 years) with spastic diplegic CP with in-toeing gait participated. The tests were conducted in three conditions: 1) in bare-foot, 2) with high-top shoes, and 3) with high-top shoes plus TWO and the orthoses effects on balance parameters were compared.Results: High-top shoes positively decreased center of pressure (COP) sway in the anterior-posterior (AP) direction. Both high-top shoes and high-top shoes with TWO conditions compared to bare-foot conditions significantly improved standing balance by decreasing the ellipse area. Pairwise, wearing TWO and high-top shoes significantly reduced the COP sway in the medial-lateral (ML) and AP directions with a significant difference between using the combined orthoses and the shoe without TWO in ML of COP displacement. Conclusion:High-top shoes alone and the combination of high-top shoes with TWO conditions may enhance the stability of children with spastic diplegia more than barefoot. Although the use of combined orthoses induced significant improvement in the ML direction of COP displacement.

Distinction of non-specific low back pain patients with proprioceptive disorders from healthy individuals by linear discriminant analysis

“…Others advocated the importance of considering the sensory inputs, particularly in terms of weighting the various proprioceptive signals, a critical consideration in optimal postural control ( Gandevia et al, 1992 ; Lackner and DiZio, 2005 ; Carver et al, 2006 ). It is indeed well established that musculoskeletal injuries ( Haghighat et al, 2021a ; Haghighat et al, 2021b ; Haghighat et al, 2021c ; Haghighat et al, 2021d ; Davoudi et al, 2022a ), neuromusculoskeletal disease, such as stroke, Parkinson’s, Multiple Sclerosis, Chronic obstructive pulmonary disease ( Davoudi et al, 2022b ) and other psychological factors including anxiety, are associated with disrupting the function of the sensory systems ( Jamali et al, 2019 ; Dehmiyani et al, 2022 ). Change in sensory input function has also been observed among patients with NSLBP ( Newcomer et al, 2000 ).…”