Effect of Orthotic Gait Training with Isocentric Reciprocating Gait Orthosis on Walking in Children with Myelomeningocele

Abstract

Mechanical orthoses are used to assist in standing and walking after neurological injury in children with myelomeningocele (MMC). : To evaluate the influence of orthotic gait training with an isocentric reciprocating gait orthosis (IRGO) on the kinematics and temporal-spatial parameters of walking in children with MMC. Five children with MMC were fitted with an IRGO. They walked at their own comfortable cadence using the orthosis. The hip joint angle, spatial temporal parameters, and compensatory motions were measured and analyzed. : Significant increases in walking speed and step length were demonstrated following orthotic gait training during walking with the IRGO. The sagittal plane hip range of motion was also significantly increased; however, the vertical and horizontal compensatory motions were significantly decreased.: This study evaluated the influence of gait training with an IRGO on the kinematics and temporal spatial parameters in MMC children. The findings showed that orthotic gait training improved hip joint range of motion, increased walking speed and step length, and decreased lateral and vertical compensatory motions during level-ground walking trials.

Início Da Marcha Na Mielomeningocele: Uma Revisão Integrativa.

“…O uso de órtese de marcha recíproca isocêntrica (IRGO) demonstrou evolução significativa nos movimentos, melhorando as ações compensatórias em relação à linha de base, e também reduziu o gasto energético. 25 A órtese sólida tornozelo-pé (AFO) é normalmente indicada para crianças com MMC, pois colabora para diminuição do grau de dorsiflexão, e favorece a marcha da criança com lesão elevada. Destacase também a importância do uso de muletas canadenses, como auxílio para a marcha.…”

“…24 As alterações da articulação do quadril, reduzida velocidade média de caminhada e comprimento da passada na criança com MMC foi verificada quando comparado a criança com desenvolvimento típico após um treinamento de marcha. 25 Podemos considerar a fraqueza muscular como umas das intercorrências que mais afetam crianças com mielomeningocele. 22 Se encontram nos pacientes com MMC mais frequentemente deformidades como: escoliose, adução de quadril, joelhos fletidos, pés equinos e contraturas que estão relacionadas a assimetria da marcha.…”

<p>Effect of Gait Training Program with Mechanical Exoskeleton on Body Composition of Paraplegics</p>

“… 24 The 120-min total exercise time included 30 min of upper and lower limb stretching before wearing the EBPGO, 30 min of balance exercise with the orthosis, and 60 min of standing and gait. 25 The break time for each session of 120 min was applied for 10–30 minutes in consideration of the subject’s clinical condition.…”