Efficiency of flexible derotator in walking cerebral palsy children

Marcucci, A.; Édouard, Pascal; Loustalet, Eric; D’Anjou, M.-C.; Gautheron, V.; Degache, Francis

doi:10.1016/j.rehab.2011.07.960

Cited by 5 publications

(7 citation statements)

References 6 publications

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“…All studies in the current systematic review examined the effect of different types of lower limb orthoses (different configurations of AFO [4,[14][15][16][18][19][20][21][22][23], plastic and metallic knee-AFO [17] or the effect of assisted walking aids (anterior and posterior walkers [27,28,30,31], walking sticks [29], robotic-assisted gait training [25], flexible derotator [26] and Walk Aide foot drop stimulator [24]) on energy expenditure in children with CP. All included studies can be classified into the following types: (a) studies that investigated the immediate effect of lower limb orthoses [14,17,18,20,22,23] or assisted walking aids [28,30,31] on energy expenditure, in which energy expenditure was assessed during the wearing of orthotic devices or during the usage of assisted walking aids and (b) studies that examined the longterm or cumulative effect of orthoses [4,15,16,19,21] or assisted walking aids [24][25][26]29] on energy expenditure, in which lower limb orthosis or assisted walking aids were applied for a specific duration (weeks or months). In these studies, energy expenditure was evaluated before and after treatment.…”

Section: Methodsmentioning

confidence: 99%

“…Two authors (Abd El-Hakiem Abd El-Nabie and Abd El-Aziz) extracted the following items from the included articles: (a) the author and year of publication; (b) information on the population, describing numbers of included children by diagnosis, age, and sex; (c) study design; (d) methodology, including the type of intervention or assessment, technique of its application, and its duration; (e) measured outcomes as explained by their authors; and (f) results. The extracted data are grouped into two tables: Table 1 related to articles that evaluated the effect of orthosis on energy expenditure [14][15][16][17][18][19][20][21][22][23], whereas articles investigating the effect of assisted walking aids, for example, a Walk Aide foot drop stimulator, walkers, sticks, a robotic-assisted gait trainer, and a flexible derotator, on energy expenditure [24][25][26][27][28][29][30][31], were presented in Table 2.…”

Section: Data Extractionmentioning

confidence: 99%

“…Although energy expenditure was the outcome of interest in the present systematic review, there were other measured outcomes in the included studies, for example, kinematic and kinetic gait parameters [4,16,[18][19][20][21]23,24,[26][27][28]30,31]; gross motor skills [4,21,22,29]; metabolic and cardiopulmonary responses [22]; upper limb speed, dexterity, and kinematics [9,28]; joint angles, power, daily walking activity, and range of motion [15,21]; bone parameters [26]; joint reaction force and moments [27]; BMI and perceived exertion [14]; brace preference [20]; performance on the 6-min walking test [25]; and hand/forearm position [29].…”

Section: Types Of Outcome Measuredmentioning

confidence: 99%

“…In the present systematic review, all studies were accepted regardless of the method of measuring energy expenditure. Methods of measuring energy expenditure in the included studies were as follows: the energy expenditure index method [17,18,20,26,28] or the Physiological Cost Index method [4,14,23], in which energy expenditure was measured by subtracting the maximum heart rate from the resting heart rate and divided by speed of walking; an open-circuit indirect calorimeter [19,24] or portable breath gas analysis system [15,16,18,22,30,31] which assess energy expenditure by measuring the amount of oxygen consumption; the dilution model [4,21]; and a SenseWear Armband (Table 5) [25]. Table 5 shows methods of measuring energy expenditure in the included studies.…”

Section: Measurement Of Energy Expenditurementioning

confidence: 99%

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Effect of walking aids and foot orthoses on energy expenditure in children with cerebral palsy: a systematic review

2019

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BackgroundWalking aids and ankle-foot orthoses (AFOs) are designed to address gait problems. These devices are common among children with cerebral palsy (CP), as those children's ability to ambulate is a big concern for their parents, and its improvement is considered primary focus of therapeutic modalities addressing motor disorders of this population. However, empirical support for walking aids and AFO is limited. The aim of this review was to assess the quality of research on the effect of walking aids and AFO on energy expenditure in children with CP. Materials and methodsFour electronic databases using predefined terms were searched by two independent reviewers. All study designs except case reports were included. Nineteen studies involving 509 participants met inclusion criteria and were involved in this review. ResultsHeterogeneity was observed across included studies in measurement, implementation, and study rigor. ConclusionThere is a need for high-quality studies to draw a clear conclusion on the effect of walking aids and AFO on energy expenditure in children with CP; the typical flaws of existing studies included weak experimental designs, insubstantial treatment outcomes, and high risk of bias.

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Section: Methodsmentioning

confidence: 99%

Section: Data Extractionmentioning

confidence: 99%

Section: Types Of Outcome Measuredmentioning

confidence: 99%

Section: Measurement Of Energy Expenditurementioning

confidence: 99%

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Effect of walking aids and foot orthoses on energy expenditure in children with cerebral palsy: a systematic review

2019

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“…However, the long-term use is still controversial (18). If orthopedic procedures are considered, correction of rotational deformities is the first line of treatment for crouch posture in CP patients (2).…”

Section: I) Clinical Assessment Methodsmentioning

confidence: 99%

Assessment of the Hip and Knee Flexion Contractures in Cerebral Palsy Patients with Crouch Gait

Bilgili¹,

Temelli²,

Akalan³

2012

JAREM

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The knee is the most affected joint in children with cerebral palsy. Flexion contracture of the knee is the cause of the crouch gait pattern, instability in stance phase of gait, and difficulties during standing and sitting, and other daily living activities. Hip flexion contracture in crouch gait is mostly compensation of the knee flexion contracture and ankle equines. The psoas muscle is the primary reason for the hip flexion contracture and is known to be associated with increased anterior pelvic tilt, crouching gait, hip instability and lumbar lordosis. Children with cerebral palsy may even give up walking due to the high energy demand in the adult period. The purpose of this article is to review the causes of the knee and hip flexion contractures, clinical evaluations, and treatment principles in children with cerebral palsy. The biomechanical reasons of knee and hip flexion deformity are discussed in detail in the light of previous studies and gait analysis data. (JAREM 2012; 2: 33-7) Key Words: Cerebral palsy, child, contracture, gait, hip joint, knee joint, muscle, skeletal, tendons ÖZET Beyin felcinde en çok etkilenen eklem diz eklemidir. Diz fleksiyon kontraktürü, çömelme pozisyonunda yürümeye, basma fazında stabilite kaybına, ayakta durma ve oturmada ve günlük yaşam aktivitelerinde zorluklara yol açar. Kalça fleksiyon kontraktürü yürüyüş sırasındaki çömelmedeki kalça fleksiyon kontraktürü sıklıkla diz fleksiyonu ve ayak bileği ekinusunun kompansasyonu içindir. Kalça fleksiyon kontraktürünün primer sebebi ise psoas kasıdır ve neticesinde artmış anterior pelvik tilt, çömelme yürüyüşü, kalça instabilitesi ve lomber lordozla ilişkili olduğu bilinmektedir. Bu çocuklar ileri yaşlarda, yüksek enerji gerektirdiği için yürümeden bile vazgeçebilirler. Bu yazıda, beyin felçli çocuklarda diz fleksiyon kontraktürlerinin nedenleri, klinik değerlendirmeler ve tedavi prensipleri gözden geçirildi. Ayrıca, yapılan çalışmalar ve yürüme analizi verileri ışığında diz fleksiyon kontraktürünün biyomekaniksel nedenleri ayrıntılı olarak tartışıldı. (JAREM 2012; 2: 33-7)

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The Effects of Treadmill Gait Training with Flexible Derotator of Femur Orthosis on Postural Alignment of Lower Extremities and Gait in Children with Cerebral Palsy: Single Group Rpeated Measure Design

Yoo¹,

Kim²,

Jang³

2014

Journal of the Korean Society of Physical Medicine

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PURPOSE: The purpose of this study was to investigate the effects of flexible derotator of femur orthosis (FDO) during treadmill gait training on the quadriceps-angle (Q-angle), lateral pelvic tilt, gait speed, and number of steps in children with cerebral palsy. METHODS: Seven children with cerebral palsy who had rotational deformity of the lower extremities participated in this study. We used single group repeated measure design. The procedure consisted of baseline phase, intervention phase, and post-intervention phase. The baseline phase consisted of stretching and strengthening exercise and treadmill gait training without FDO. The treatment phase not only included the same procedures as those for baseline, but also included FDO during treadmill gait training. Postural alignment of the lower extremities was assessed with the Q-angle, and lateral pelvic tilt using the Dartfish software

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Efficiency of flexible derotator in walking cerebral palsy children

Cited by 5 publications

References 6 publications

Effect of walking aids and foot orthoses on energy expenditure in children with cerebral palsy: a systematic review

Effect of walking aids and foot orthoses on energy expenditure in children with cerebral palsy: a systematic review

Assessment of the Hip and Knee Flexion Contractures in Cerebral Palsy Patients with Crouch Gait

The Effects of Treadmill Gait Training with Flexible Derotator of Femur Orthosis on Postural Alignment of Lower Extremities and Gait in Children with Cerebral Palsy: Single Group Rpeated Measure Design

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