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https://www.readbyqxmd.com/read/28713039/efficacy-of-ankle-foot-orthoses-types-on-walking-in-children-with-cerebral-palsy-a-systematic-review
#1
REVIEW
Atefeh Aboutorabi, Mokhtar Arazpour, Monireh Ahmadi Bani, Hassan Saeedi, John S Head
BACKGROUND: Ankle foot orthoses (AFOs) are orthotic devices that can be used to normalize the walking pattern of children with cerebral palsy (CP). One of the aims of orthotic management is to produce a more normal gait pattern by positioning joints in the proper position to reduce pathological reflex or spasticity. OBJECTIVE: To conduct a systematic review of the literature and establish the effect of treatment with various types of AFOs on gait patterns of children with CP...
July 13, 2017: Annals of Physical and Rehabilitation Medicine
https://www.readbyqxmd.com/read/28693377/effect-of-floor-reaction-ankle-foot-orthosis-on-crouch-gait-in-patients-with-cerebral-palsy-what-can-be-expected
#2
Harald Böhm, Hösl Matthias, Frank Braatz, Leonhard Döderlein
BACKGROUND: Floor reaction ankle-foot orthoses are commonly prescribed to improve knee extension of children with cerebral palsy having crouch gait. Their effectiveness is debated. Therefore, the objective of this study is to optimize current prescription criteria for the improvement of crouch gait. STUDY DESIGN: Cross-sectional interventional study. METHODS: A total of 22 patients with bilateral spastic cerebral palsy, between 6 and 17 years, Gross Motor Function Classification System II-IV participated in this study...
July 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28649479/functional-outcomes-of-childhood-selective-dorsal-rhizotomy-20-to-28-years-later
#3
T S Park, Jenny L Liu, Caleb Edwards, Deanna M Walter, Matthew B Dobbs
BACKGROUND: Selective dorsal rhizotomy (SDR) is a surgical method used to treat childhood spastic cerebral palsy (CP). However, the effects of early SDR on functional outcomes and quality of life decades later in adulthood remains to be elucidated. OBJECTIVES: To evaluate the long-term outcomes in terms of satisfaction and mobility of adult patients who received childhood SDR. METHODS: Adult patients who received SDR in childhood were surveyed...
May 17, 2017: Curēus
https://www.readbyqxmd.com/read/28401027/beneficial-effects-of-childhood-selective-dorsal-rhizotomy-in-adulthood
#4
T S Park, Caleb Edwards, Jenny L Liu, Deanna M Walter, Matthew B Dobbs
 Selective dorsal rhizotomy (SDR) has been used to treat children with spastic cerebral palsy (CP) for over three decades. However, little is known about the outcomes of childhood SDR in adults.  Objectives: 1) To study the effects of childhood SDR on the quality of life and ambulatory function in adult life. 2) To determine late side effects of SDR in adults.   Methods: Adults (> 17.9 years) who underwent SDR in childhood (2 - 17.9 years) between 1987 and 2013 were surveyed in 2015. Patients completed a survey, including questions on demographic information, quality of life, health, surgical outcomes, motor function, manual ability, pain, braces/orthotics, post-SDR treatment, living situation, education level, work status, and side effects of SDR...
March 5, 2017: Curēus
https://www.readbyqxmd.com/read/28286982/rationale-for-prescription-and-effectiveness-of-upper-limb-orthotic-intervention-for-children-with-cerebral-palsy-a-systematic-review
#5
Simon Garbellini, Yvette Robert, Melinda Randall, Catherine Elliott, Christine Imms
PURPOSE: To explore (i) reasons for upper limb orthosis prescription for children with cerebral palsy (CP), (ii) the link between reason and effect according to intended outcome and outcome measure utilized and (iii) to classify the prescribed orthoses using standard terminology. METHOD: A prospectively registered (center for reviews and dissemination: 42015022067) systematic review searched for experimental and observational studies investigating rigid/thermoplastic upper limb orthotic intervention for children aged 0-18 with CP...
March 12, 2017: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27927029/measuring-wearing-time-of-knee-ankle-foot-orthoses-in-children-with-cerebral-palsy-comparison-of-parent-report-and-objective-measurement
#6
Josina C Maas, Annet J Dallmeijer, Bodil Y Oudshoorn, Eline A M Bolster, Peter A Huijing, Richard T Jaspers, Jules G Becher
Purpose state: Orthotic wearing time may be an important confounder in efficacy studies of treatment in children with spastic cerebral palsy (SCP). Most studies measure parent-reported wearing time (WTparent) with questionnaires, but it is questionable whether this yields valid results. This study aims to compare WTparent with objectively measured wearing time (WTobj) in children with SCP receiving orthotic treatment. METHOD: Eight children with SCP participated in this observational study...
December 7, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27861211/what-s-new-in-the-management-of-foot-deformities-in-children-with-cerebral-palsy
#7
John A Heydemann, Oussama Abousamra, Jeanne M Franzone, Brian E Kaufman, Julieanne P Sees
BACKGROUND: Foot deformities have been frequently reported in cerebral palsy (CP), and numerous diagnostic modalities and treatment options have recently been developed to achieve a better level of management for children with CP. METHODS: A thorough search of the English literature, published between January 2013 and March 2016, was performed. A summary of the new findings that had not previously described was reported. The review included recent advances regarding clinical and gait evaluation, orthotic management, botulinum toxin A treatment, and surgical correction...
November 17, 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/27822084/the-danish-cerebral-palsy-follow-up-program
#8
REVIEW
Helle Mätzke Rasmussen, Kirsten Nordbye-Nielsen, Bjarne Møller-Madsen, Mette Johansen, Niels Ellitsgaard, Charlotte Reinhardt Pedersen, Gija Rackauskaite, Henriette Engberg, Niels Wisbech Pedersen
AIM OF DATABASE: The Danish Cerebral Palsy Follow-up Program is a combined follow-up program and national clinical quality database that aims to monitor and improve the quality of health care for children with cerebral palsy (CP). STUDY POPULATION: The database includes children with CP aged 0-15 years and children with symptoms of CP aged 0-5 years. MAIN VARIABLES: In the follow-up program, the children are offered examinations throughout their childhood by orthopedic surgeons, physiotherapists, occupational therapists, and pediatricians...
2016: Clinical Epidemiology
https://www.readbyqxmd.com/read/27636551/an-exploratory-study-of-gait-and-functional-outcomes-after-neuroprosthesis-use-in-children-with-hemiplegic-cerebral-palsy
#9
Amy F Bailes, Cailee Caldwell, Mike Clay, Melissa Tremper, Kari Dunning, Jason Long
PURPOSE: To evaluate the immediate orthotic, total and therapeutic effects of functional electrical stimulation (FES) neuroprosthesis use on clinic based measures of gait and function in children with hemiplegic cerebral palsy. METHODS: Eleven children (mean 9 years 11 months) participated in an FES neuroprosthesis (Ness L300) intervention (4 week accommodation period followed by 12 weeks of daily use) and were assessed at baseline and post in stimulation off and stimulation on conditions...
September 16, 2016: Disability and Rehabilitation
https://www.readbyqxmd.com/read/27613590/gastrocnemius-operating-length-with-ankle-foot-orthoses-in-cerebral-palsy
#10
Hwan Choi, Tishya Anne Leong Wren, Katherine Muterspaugh Steele
BACKGROUND: Many individuals with cerebral palsy wear ankle foot orthoses during daily life. Orthoses influence joint motion, but how they impact muscle remains unclear. In particular, the gastrocnemius is commonly stiff in cerebral palsy. Understanding whether orthoses stretch or shorten this muscle during daily life may inform orthosis design and rehabilitation. OBJECTIVES: This study investigated the impact of different ankle foot orthoses on gastrocnemius operating length during walking in children with cerebral palsy...
June 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/27559938/a-cohort-study-of-tibialis-anterior-tendon-shortening-in-combination-with-calf-muscle-lengthening-in-spastic-equinus-in-cerebral-palsy
#11
S T J Tsang, D McMorran, L Robinson, J Herman, J E Robb, M S Gaston
The aim of this study was to evaluate the outcome of combined tibialis anterior tendon shortening (TATS) and calf muscle-tendon lengthening (CMTL) in spastic equinus. Prospectively collected data was analysed in 26 patients with hemiplegic (n=13) and diplegic (n=13) cerebral palsy (CP) (GMFCS level I or II, 14 males, 12 females, age range 10-35 years; mean 16.8 years). All patients had pre-operative 3D gait analysis and a further analysis at a mean of 17.1 months (±5.6months) after surgery. None was lost to follow-up...
August 17, 2016: Gait & Posture
https://www.readbyqxmd.com/read/27543740/orthotic-correction-of-lower-limb-function-during-gait-does-not-immediately-influence-spinal-kinematics-in-spastic-hemiplegic-cerebral-palsy
#12
Stefan Schmid, Jacqueline Romkes, William R Taylor, Silvio Lorenzetti, Reinald Brunner
BACKGROUND AND PURPOSE: Foot equinus and leg length discrepancy (LLD) are common problems in hemiplegic cerebral palsy (hCP), both causing secondary deviations of pelvic motion during gait. It can therefore be assumed that the spinal deviations observed in hCP patients are secondary as a compensation for the position of the pelvis arising from the disturbed leg function. This study investigated the effects of correcting lower extremity function by orthotics on spinal gait kinematics in hCP patients...
September 2016: Gait & Posture
https://www.readbyqxmd.com/read/27506220/medication-rehabilitation-and-health-care-consumption-in-adults-with-cerebral-palsy-a-population-based-study
#13
Christelle Pons, Sylvain Brochard, Philippe Gallien, Benoit Nicolas, Aurélie Duruflé, Marion Roquet, Olivier Rémy-Néris, Ronan Garlantezec
OBJECTIVE: To evaluate medication, rehabilitation and healthcare consumption in adults with CP as a function of Gross Motor Function Classification System (GMFCS) level. DESIGN: Questionnaire-based cross-sectional study. SETTING: Brittany, a French county. SUBJECTS: Adults with cerebral palsy. INTERVENTIONS: Questionnaires relating to drugs, orthotic devices, mobility aids, rehabilitation and medical input were sent to 435 members of a unique regional French network dedicated to adults with cerebral palsy...
July 2017: Clinical Rehabilitation
https://www.readbyqxmd.com/read/27363603/motorized-versus-manual-instrumented-spasticity-assessment-in-children-with-cerebral-palsy
#14
Lizeth H Sloot, Lynn Bar-On, Marjolein M van der Krogt, Erwin Aertbeliën, Annemieke I Buizer, Kaat Desloovere, Jaap Harlaar
AIM: We compared the outcomes of manual and motorized instrumented ankle spasticity assessments in children with cerebral palsy (CP). METHOD: Ten children with spastic CP (three males, seven females; mean age 11y [standard deviation 3y], range 6-14y; Gross Motor Function Classification System levels I-III) were included. During motorized assessments, fast (100°/s) rotations were imposed around the ankle joint by a motor-driven footplate; during manual assessments, rotations of comparable speed were applied by a therapist using a foot orthotic...
February 2017: Developmental Medicine and Child Neurology
https://www.readbyqxmd.com/read/26924985/botulinum-toxin-treatment-for-limb-spasticity-in-childhood-cerebral-palsy
#15
REVIEW
Vito Pavone, Gianluca Testa, Domenico A Restivo, Luca Cannavò, Giuseppe Condorelli, Nicola M Portinaro, Giuseppe Sessa
CP is the most common cause of chronic disability in childhood occurring in 2-2.5/1000 births. It is a severe disorder and a significant number of patients present cognitive delay and difficulty in walking. The use of botulinum toxin (BTX) has become a popular treatment for CP especially for spastic and dystonic muscles while avoiding deformity and pain. Moreover, the combination of physiotherapy, casting, orthotics and injection of BTX may delay or decrease the need for surgical intervention while reserving single-event, multi-level surgery for fixed musculotendinous contractures and bony deformities in older children...
2016: Frontiers in Pharmacology
https://www.readbyqxmd.com/read/26643822/the-use-of-instrumented-gait-analysis-for-individually-tailored-interdisciplinary-interventions-in-children-with-cerebral-palsy-a-randomised-controlled-trial-protocol
#16
RANDOMIZED CONTROLLED TRIAL
Helle Mätzke Rasmussen, Niels Wisbech Pedersen, Søren Overgaard, Lars Kjaersgaard Hansen, Ulrike Dunkhase-Heinl, Yanko Petkov, Vilhelm Engell, Richard Baker, Anders Holsgaard-Larsen
BACKGROUND: Children with cerebral palsy (CP) often have an altered gait. Orthopaedic surgery, spasticity management, physical therapy and orthotics are used to improve the gait. Interventions are individually tailored and are planned on the basis of clinical examinations and standardised measurements to assess walking ('care as usual'). However, these measurements do not describe features in the gait that reflect underlying neuro-musculoskeletal impairments. This can be done with 3-dimensional instrumented gait analysis (IGA)...
December 7, 2015: BMC Pediatrics
https://www.readbyqxmd.com/read/26589084/neuromuscular-foot-spastic-cerebral-palsy
#17
REVIEW
Mara S Karamitopoulos, Lana Nirenstein
Foot and ankle deformities in cerebral palsy can be effectively treated with surgery. Surgery should be considered in patients with significant deformity and those who have pain or difficulty with orthotic and shoe wear. Equinus contracture of both gastrocnemius and soleus can be treated with open tendoachilles lengthening; ankle valgus with medial epiphysiodesis. Equinovarus is more commonly seen in hemiplegic patients and this deformity can usually be treated with tendon transfers. Triple arthrodesis is an option in children with severe degenerative changes...
December 2015: Foot and Ankle Clinics
https://www.readbyqxmd.com/read/26459358/the-orthotic-and-therapeutic-effects-following-daily-community-applied-functional-electrical-stimulation-in-children-with-unilateral-spastic-cerebral-palsy-a-randomised-controlled-trial
#18
RANDOMIZED CONTROLLED TRIAL
Dayna Pool, Jane Valentine, Natasha Bear, Cyril J Donnelly, Catherine Elliott, Katherine Stannage
BACKGROUND: The purpose of this study was to determine the orthotic and therapeutic effects of daily community applied FES to the ankle dorsiflexors in a randomized controlled trial. We hypothesized that children receiving the eight-week FES treatment would demonstrate orthotic and therapeutic effects in gait and spasticity as well as better community mobility and balance skills compared to controls not receiving FES. METHODS: This randomized controlled trial involved 32 children (mean age 10 yrs 3 mo, SD 3 yrs 3 mo; 15 females, 17 males) with unilateral spastic cerebral palsy and a Gross Motor Function Classification System of I or II randomly assigned to a FES treatment group (n = 16) or control group (n = 16)...
2015: BMC Pediatrics
https://www.readbyqxmd.com/read/26300497/childhood-cerebral-palsy-and-the-use-of-positioning-systems-to-control-body-posture-current-practices
#19
S Pérez-de la Cruz
INTRODUCTION: One of the consequences of poor postural control in children with cerebral palsy is hip dislocation. This is due to the lack of weight-bearing in the sitting and standing positions. Orthotic aids can be used to prevent onset and/or progression. OBJECTIVE: The aim of this study is to analyse the effectiveness of positioning systems in achieving postural control in patients with cerebral palsy, and discuss these findings with an emphasis on what may be of interest in the field of neurology...
August 20, 2015: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/26035652/comparison-of-2-orthotic-approaches-in-children-with-cerebral-palsy
#20
RANDOMIZED CONTROLLED TRIAL
Tishya A L Wren, James W Dryden, Nicole M Mueske, Sandra W Dennis, Bitte S Healy, Susan A Rethlefsen
PURPOSE: To compare dynamic ankle-foot orthoses (DAFOs) and adjustable dynamic response (ADR) ankle-foot orthoses (AFOs) in children with cerebral palsy. METHODS: A total of 10 children with cerebral palsy (4-12 years; 6 at Gross Motor Function Classification System level I, 4 at Gross Motor Function Classification System level III) and crouch and/or equinus gait wore DAFOs and ADR-AFOs, each for 4 weeks, in randomized order. Laboratory-based gait analysis, walking activity monitor, and parent-reported questionnaire outcomes were compared among braces and barefoot conditions...
2015: Pediatric Physical Therapy
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