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How does applying of one or two orthoses influence gait parameters of children with hemiplegia?

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Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
The aim of this study was to evaluate how wearing one or two orthoses influence the gait parameters in children with hemiplegia. Four children with hemiplegic cerebral palsy participated in the study. Patients were from 3 to 7 years old; one girl and three boys; one patient with right side hemiplegia, three patients with left side hemiplegia. Patients underwent the VICON MX system gait analysis three times (sessions): one with bare feet, the other two with shoes and orthoses: one with orthoses used unilaterally on palsied limb, one with orthoses used bilaterally. The following gait parameters were analyzed: velocity, cadence, pelvis tilt, range of pelvic movement in sagittal plane, separately for affected and non-affected side: step length, stance time (as a percentage of the gait cycle), range of hip movement in sagittal plane, knee flexion at initial contact, maximum knee flexion in swing phase. Results of the study showed which and how many gait parameters changed while wearing one in comparison with two orthoses. The results did not give a clear indication which condition is better: wearing one or two orthoses, however they suggest that when the orthotic devices are considered for patients with hemiplegic cerebral palsy, the objective, instrumented gait analysis can be used to take the best decision whether one or two orthoses should be prescribed.
Rocznik
Strony
95--100
Opis fizyczny
Bibliogr. 26 poz., tab.
Twórcy
  • The Children’s Memorial Health Institute, Warsaw, Poland
  • The Children’s Memorial Health Institute, Warsaw, Poland, m.syczewska@czd.pl
  • Faculty of Rehabilitation, Józef Piłsudski University of Physical Education, Warsaw, Poland
  • The Children’s Memorial Health Institute, Warsaw, Poland
  • Faculty of Rehabilitation, Józef Piłsudski University of Physical Education, Warsaw, Poland
Bibliografia
  • [1] Children’s Hemiplegia and Stroke Association.
  • [2] DESLOOVERE K., MOLENAERS G., VAN GESTEL L., HUENAERST C., VAN CAMPENHOUT A., CALLEWAERT B., VAN DE WALLE P., SEYLER J., How can push-off be preserved during use of an ankle foot orthosis in children with hemiplegia? A prospective controlled tril, Gait & Posture, 2006, 24, 142–151.
  • [3] DIAMOND M., ARMENTO M., Children with disabilities, [in:] J.A. DeLisa, B.M. Gans (Eds.), Physical medicine and rehabilitation principles and practice, 4th ed. Philadelphia, Lippincott Williams & Wilkins, 2005, 2, 1493–1518.
  • [4] DOBSON F., MORRIS M.E., BAKER R., GRAHAM H.K., Gait classification in children with cerebral palsy: a systematic review, Gait & Posture. [Research Support, Non-U.S. Gov’t Review]. 2007 Jan., 25(1), 140–152.
  • [5] DOMAGALSKA-SZOPA M., SZOPA A., A body posture asymmetry differences between children with mild scoliosis and children with unilateral cerebral palsy, Biomed. Res. Int., 2013, 462094.
  • [6] DUBOUSSET J., Pelvic obliquity: a review, Orthopedics, 1991, 14, 479–481.
  • [7] GAEBLER-SPIRA D., OWEN E., FATONE S., MCGOVERN D., The importance of being earnest about shank and thigh kinematics especially when designing, aligning and tuning ankle-foot orthosis footwear combinations, AACPDM 67th Annual Meeting Milwaukee 2013.
  • [8] GAGE J.R., DELUCA P.A., RENSHAW T.S., Gait analysis: principle and applications with emphasis on its use in cerebral palsy, J. Bone Joint Surg. Am., 1995, 77, 1607–1623.
  • [9] GALLI M., CIMOLIN V., RIGOLDI C., ALBERTINI G., Quantitative evaluation of the effects of ankle foot orthosis on gait in children with cerebral palsy using the Gait Profile Score and Gait Variable Scores, J. Dev. Phys. Disabil., 2016, 28, 367–379.
  • [10] GESTEL L.V., MOLENAERS G., HUENAERTS C., SEYLER J., DESLOOVERE C., Effect of dynamic orthoses on gait: a retrospective control study in children with hemiplegia, Dev. Med. Child. Neurol., 2008, 50, 63–67.
  • [11] HALAWI M.J., LARK R.K., FITCH R.D., Neuromuscular Scoliosis: Current Concepts, Orthopedics, 2015, 38, e452–e456.
  • [12] KIERNAN S., O’SULLIVAN R., MALONE A., O’BRIEN T., SIMMS C.K., Pathological movements of the pelvis and trunk during gait in children with cerebral palsy: A cross-sectional study with 3-dimensional kinematics and lower lumbar spine loading, Physical Therapy, 2018, 98, 86–94.
  • [13] MADIGAN R.R., WALLACE S.L., Scoliosis in the institutionalized cerebral palsy population, Spine (Phila Pa 1976), 1981, 6, 583–590.
  • [14] MCCARTHY J., D’ANDREA L., BETZ R., CLEMENTS D., Scoliosis in the child with cerebral palsy, Journal of the American Academy of Orthopaedic Surgeons, 2006, 14, 367–375.
  • [15] MORRIS C., Orthotic Management of Children with Cerebral Palsy, J. Prosthetics and Orthotics, 2002, 14, 150–158.
  • [16] MORRIS C., Orthotic management of cerebral palsy, Dev. Med. Child. Neurol., 2007, 49, 791–796.
  • [17] MORRIS C., Orthotic Management of CP, [in:] Paediatric orthotics, Chapter 9, Mac Keith Press, London 2007.
  • [18] MORRIS C., BOWERS R., ROSS K., STEVENS PH., PHILLIPS D., Orthotic management of cerebral palsy: Recommendations from a consensus conference, NeuroRehabilitation, 2011, 28, 37–46.
  • [19] OFLUOĞLU D., Orthotic management in cerebral palsy, Acta Orthop. Traumatol. Turc., 2009, 43, 165–172.
  • [20] PERSSON-BUNKE M., HÄGGLUND G., LAUGE-PEDERSEN H. et al., Scoliosis in a total population of children with cerebral palsy, Spine (Phila Pa 1976), 2012, 37, E708–E713.
  • [21] RODDA J., GRAHAM H.K., Classification of gait patterns in spastic hemiplegia and spastic diplegia: a basis for a management algorithm, Eur. J. Neurol. [Case Reports Review], 2001 Nov., 8, Suppl. 5, 98–108.
  • [22] SCHWEIZER K., BRUNNER R., ROMKES J., Upper body movements in children with hemiplegic cerbral palsy walking with and without an ankle-foot orthosis, Clin. Biomch., 2014, 29, 387–394.
  • [23] The ICF Children and Youth Version (ICF-CY), WHO, 2007, ISBN 978 92 4 1547321.
  • [24] The International Classification of Functioning Disability and Health (ICF), WHO, 2001, ISBN 92 4 154544 5.
  • [25] VAN CRIEKINGE T., TRUIJEN S., HALLEMANS A., SAYES W., The influence of a thoracolumbosacral orthosis on gait performance in healthy adults during walking, Acta Bioeng. Biomech., 2018, 20, 15–21.
  • [26] WINTERS T.F. JR, GAGE J.R., HICKS R., Gait patterns in spastic hemiplegia in children and young adults, J. Bone Joint Surg. Am., 1987, 69, 437–41.
Uwagi
Opracowanie rekordu ze środków MNiSW, umowa Nr 461252 w ramach programu "Społeczna odpowiedzialność nauki" - moduł: Popularyzacja nauki i promocja sportu (2020).
Typ dokumentu
Bibliografia
Identyfikator YADDA
bwmeta1.element.baztech-32b3a00d-248f-402e-ae2c-463de18abdfe
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