The effects of orthoses, footwear, and walking aids on the walking ability of children and adolescents with spina bifida

Ivanyi, Barbara; Schoenmakers, Marieke; Veen, Natasja van; Maathuis, Karel G. B.; Nollet, Frans; Nederhand, Marc J.

doi:10.1177/0309364614543550

Cited by 30 publications

(27 citation statements)

References 32 publications

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“…The latest version of NSBPR now includes information about assistive device and orthoses which should help drive future research related to ambulation. A recent systematic review 22 revealed that crutches and ankle foot orthoses do provide some benefits for gait pattern, stride, and oxygen cost but research on the functional benefits of orthoses and assistive devices in SB is quite limited.…”

Section: Discussionmentioning

confidence: 99%

Factors Associated with Mobility Outcomes in a National Spina Bifida Patient Registry

Dicianno

Karmarkar

Houtrow

et al. 2015

American Journal of Physical Medicine &Amp; Rehabilitation

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Objective To provide descriptive data on ambulatory ability and muscle strength in a large cohort of individuals with spina bifida enrolled in a National Spina Bifida Patient Registry (NSBPR) and to investigate factors associated with ambulatory status. Design Cross-sectional analysis of data from a multi-site patient registry Results Descriptive analysis of mobility variables for 2604 individuals with spina bifida age 5 and above are presented from 19 sites in the United States. Analysis of a subset of NSBPR data from 380 individuals from three sites accompanied by data from a specialized spina bifida electronic medical record revealed that those with no history of a shunt, lower motor level, and no history of hip or knee contracture release surgery were more likely to be ambulatory at the community level than at the household or wheelchair level. Conclusion This study is the first to examine factors associated with ambulatory status in a large sample of individuals with myelomeningocele and non-myelomeningocele subtypes of SB. Results of this study delineate the breadth of strength and functional abilities within the different age groups and subtypes of SB. The results may inform clinicians of the characteristics of those with varying ambulatory abilities.

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Section: Discussionmentioning

confidence: 99%

Factors Associated with Mobility Outcomes in a National Spina Bifida Patient Registry

Dicianno

Karmarkar

Houtrow

et al. 2015

American Journal of Physical Medicine &Amp; Rehabilitation

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“…Ankle-foot orthosis (AFO) is a specially designed supportive medical device which is intended to i) control the motion of the ankle and subtalar joints, ii) compensate for muscle weakness and drop foot, iii) correct deformities in the ankle and subtalar joints due to injuries [1] and [2], stroke [3] and [4], and congenital anomalies such as cerebral palsy [5] to [7] and spina bifida [8] and [9]. Many different types of AFO are available for different biomechanical and clinical purposes.…”

Section: Introductionmentioning

confidence: 99%

A Novel Dorsal Trimline Approach for Passive-Dynamic Ankle-Foot Orthoses

Sürmen¹,

Akalan²,

Fetvaci³

et al. 2018

SV-JME

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An ankle-foot orthosis (AFO) is an externally applied assistive device that encompasses the lower leg, ankle, and foot of the human body. In the current one-piece passive-dynamic AFO design, the trimming process is performed from lateral and medial parts of the ankle to ensure desired rotational displacement (hereafter referred to as Design I). In most cases, stress concentrations occurring over the trimmed regions during walking can cause permanent damage to the AFO. In this study, to reduce the stress concentration and ensure a homogeneous stress distribution, a new trimming approach is presented, in which the trim zones were transferred from lateral and medial to dorsal (hereafter referred to as Design II). Finite element analyses of the Designs I and II models were carried out. Displacement and von Mises stress values for both models under the same loading and boundary conditions were obtained. Maximum displacement values were 8.51 mm and 9.05 mm for Design I and Design II, respectively. Maximum stress values were 15.19 MPa and 6.70 MPa for Design I and Design II, respectively. For the similar range of motion of ankle joint, the novel design produced less stress and more homogeneous stress distribution than the currently used design, thus indicating that Design II would be more resistant to plastic deformation than Design I.

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“…4 The KAFOs are less frequently used in these populations, and very few publications found report on the efficacy of this modality of orthotic management. 2,4,5 Few reviews or systematic…”

mentioning

confidence: 99%

“…5 In addition, no literature has been found to compare different variants of orthoses (molded and conventional) with barefoot conditions. In this report, we present a case of an ambulant adolescent case of myelomeningocele, who received orthoses and was compared with different bracing conditions.…”

mentioning

confidence: 99%

Comparison of Molded and Conventional Orthosis during Ambulation for Adolescent with Myelomeningocele

Mohanty¹,

Lenka²,

Pattanaik³

et al. 2017

Indian Journal of Physical Medicine and Rehabilitation

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Varying diversities of involvement in adolescent with myelomeningocele make orthotic prescription, evaluation, and fitting highly challenging. A school-going 14-year-old boy presented with extensive weakness and kinematic alterations of both lower limbs and spine. Planovalgoid foot, calcaneal deformity of ankle, knee flexion, anterior pelvic tilt, rotation, and frequent hip dislocation of left side were noticed on examination. Gait comparisons were made between walking with bare foot and with conventional and molded orthosis with auxiliary crutches. Kinetic and kinematic parameters were studied in gait lab by force plate (BTS P-6000) and cameras with reflective markers (BTS SMART-DX 6000). Molded orthosis was found to improve all gait parameters except cadence and walking velocity; however, diversity in the results was observed. Though both variants were effective, a follow-up is necessary to finalize the best orthotic solution for the individual subject.

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The effects of orthoses, footwear, and walking aids on the walking ability of children and adolescents with spina bifida

Cited by 30 publications

References 32 publications

Factors Associated with Mobility Outcomes in a National Spina Bifida Patient Registry

Factors Associated with Mobility Outcomes in a National Spina Bifida Patient Registry

A Novel Dorsal Trimline Approach for Passive-Dynamic Ankle-Foot Orthoses

Comparison of Molded and Conventional Orthosis during Ambulation for Adolescent with Myelomeningocele

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