Effects of Hinged versus Floor-Reaction Ankle-Foot Orthoses on Standing Stability and Sit-to-Stand Performance in Children with Spastic Diplegic Cerebral Palsy

Wang, Yulin; Chi, Wen-Chou; Yang, Cheng-Hsieh; Teng, Ya-Ling; Yeung, Kwok-Tak

doi:10.3390/ijerph19010542

Cited by 3 publications

(2 citation statements)

References 45 publications

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“…A large proportion (90%) of studies 7,19-21,25-27,30-64 describe that the rationale for prescribing AFOs to children with CP was to improve very discrete aspects of gait that would be measured in a gait laboratory (eg, normalize knee kinematics).“AFOs are a commonly prescribed medical device given to children with CP in an attempt to improve their gait” by manipulating “the ground reaction force and normalize gait kinetics and kinematics.” 54,p.5 “Rigid ventral ankle–foot orthoses are commonly prescribed in CP to improve knee extension during stance.” 20,p.68 …”

Section: Resultsmentioning

confidence: 99%

Exploring the rationale for prescribing ankle–foot orthoses and supramalleolar orthoses in children with cerebral palsy: A narrative synthesis of rationale statements

Dailey,

Landers,

Anderson

et al. 2023

Prosthetics &Amp; Orthotics International

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Background: To help improve outcomes for children with cerebral palsy (CP), ankle–foot orthoses (AFOs) and supramalleolar orthoses (SMOs) are prescribed. However, it is not clear why one intervention is prescribed over the other. Objectives: To explore the rationale for prescribing AFOs and SMOs in children with CP and its link to the choice of outcome measure used. Study design: Narrative review. Methods: Six databases were searched (eg, Medline) and data extracted from articles that met the inclusion criteria. Data describing the participant demographics, type of orthosis, and outcome measures used were summarized to provide context for the different rationale for orthotic prescription that were thematically analyzed. Discussion: Forty-seven articles were included. Participants were aged 9 ± 2 years, 59% were male, 79% had diplegia, and 38% were classified as Gross Motor Function Classification System level I. All studies included a rationale for prescribing AFOs that, in most cases, reflected the outcome measures used. These rationale statements were synthesized into 5 specific themes (e.g., reduced energy expenditure and metabolic costs). By comparison, 5 of these studies described the rationale for providing SMOs, and of those that did, most of the rationale statements were nonspecific. Conclusions: A large and contemporary body of literature describes the rationale for prescribing AFOs for children with CP. There are opportunities for future research that clearly articulates the rationale for prescribing SMOs for children living with CP and to focus the rational for orthotic intervention on the real-world challenges that are most important to children living with CP, such as the ability to participate among peers.

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Section: Resultsmentioning

confidence: 99%

Exploring the rationale for prescribing ankle–foot orthoses and supramalleolar orthoses in children with cerebral palsy: A narrative synthesis of rationale statements

Dailey,

Landers,

Anderson

et al. 2023

Prosthetics &Amp; Orthotics International

View full text Add to dashboard Cite

show abstract

“…Future research endeavors should explore the long-term sustainability of improvements, optimal intervention durations, and potential variations in treatment effects based on individual patient characteristics. These findings contribute valuable insights to the evolving landscape of cerebral palsy rehabilitation, guiding clinicians toward evidence-based practices that enhance the lives of affected children (36).…”

mentioning

confidence: 87%

Effect of Sit-To-Stand Training versus Manual Strengthening Exercises on Mobility and Function in Children with Cerebral Palsy: A Randomized Controlled Trial

Rasheed,

Asghar,

Ghazal

et al. 2024

JHRR

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Background: Cerebral palsy poses significant challenges to mobility and function in affected children. This study addresses the need for evidence-based rehabilitation interventions by comparing the impact of sit-to-stand training and manual strengthening exercises. Objective: To evaluate and compare the effectiveness of sit-to-stand training and manual strengthening exercises in improving mobility and function in children with cerebral palsy. Method: A randomized controlled trial involving 44 participants (22 in each group) was conducted. Baseline characteristics were assessed, and interventions were implemented over a 12-week period. Regular assessments tracked changes, employing statistical analyses to compare outcomes between the two groups. Results: Both interventions led to positive changes, with a statistically significant superiority favoring the Sit-to-Stand Group at the 12-week mark. Baseline comparability was established, reinforcing the credibility of the findings. Conclusion: Sit-to-stand training, emphasizing weight-bearing activities, demonstrated notable efficacy in enhancing mobility and function. The study provides valuable insights for clinicians, guiding evidence-based practices in pediatric rehabilitation.

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Sit-to-stand performance in children with cerebral palsy: a population-based cross-sectional study

Romin,

Lindgren,

Rodby-Bousquet

et al. 2024

BMC Musculoskelet Disord

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Background Sit-to-stand (STS) is one of the most commonly performed functional movements in a child’s daily life that enables the child to perform functional activities such as independent transfer and to initiate walking and self-care. Children with cerebral palsy (CP) often have reduced STS ability. The aim of this study was to describe STS performance in a national based total population of children with CP and its association with age, sex, Gross Motor Function Classification System (GMFCS) level, and CP subtype. Methods This cross-sectional study included 4,250 children (2,503 boys, 1,747 girls) aged 1–18 years from the Swedish Cerebral Palsy Follow-Up Program (CPUP). STS performance was classified depending on the independence or need for support into “without support,” “with support,” or “unable.” “With support” included external support from, e.g., walls and furniture. Physical assistance from another person was classified as “unable” (dependent). Ordinal and binary logistic regression analyses were used to identify associations between STS and age, GMFCS level, and CP subtype. Results 60% of the children performed STS without support, 14% performed STS with support, and 26% were unable or needed assistance from another person. STS performance was strongly associated with GMFCS level and differed with age and subtype (p < 0.001). For all GMFCS levels, STS performance was lowest at age 1–3 years. Most children with GMFCS level I (99%) or II (88%) performed STS without support at the age of 4–6 years. In children with GMFCS level III or IV, the prevalence of independent STS performance improved throughout childhood. CP subtype was not associated with STS performance across all GMFCS levels when adjusted for age. Conclusions Independent STS performance in children with CP is associated with GMFCS level and age. Children with CP acquire STS ability later than their peers normally do. The proportion of children with independent STS performance increased throughout childhood, also for children with GMFCS level III or IV. These findings suggest the importance of maintaining a focus on STS performance within physiotherapy strategies and interventions for children with CP, including those with higher GMFCS level.

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Effects of Hinged versus Floor-Reaction Ankle-Foot Orthoses on Standing Stability and Sit-to-Stand Performance in Children with Spastic Diplegic Cerebral Palsy

Cited by 3 publications

References 45 publications

Exploring the rationale for prescribing ankle–foot orthoses and supramalleolar orthoses in children with cerebral palsy: A narrative synthesis of rationale statements

Exploring the rationale for prescribing ankle–foot orthoses and supramalleolar orthoses in children with cerebral palsy: A narrative synthesis of rationale statements

Effect of Sit-To-Stand Training versus Manual Strengthening Exercises on Mobility and Function in Children with Cerebral Palsy: A Randomized Controlled Trial

Sit-to-stand performance in children with cerebral palsy: a population-based cross-sectional study

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