The effect of tuning ankle foot orthoses–footwear combination on the gait parameters of children with cerebral palsy

@article{Eddison2013TheEO,
  title={The effect of tuning ankle foot orthoses–footwear combination on the gait parameters of children with cerebral palsy},
  author={N. Eddison and N. Chockalingam},
  journal={Prosthetics and Orthotics International},
  year={2013},
  volume={37},
  pages={107 - 95}
}
Background: There are a wide variety of ankle foot orthoses used in clinical practice which are characterised by their design, the material used and the stiffness of that material. Changing any of these three components will alter the effect of the ankle foot orthosis on gait. Objectives: The purpose of this article is to provide an overview on the available research on ankle foot orthosis–footwear combination tuning on the gait characteristics of children with cerebral palsy through a… Expand
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Effects of tuning of ankle foot orthoses-footwear combination using wedges on stance phase knee hyperextension in children with cerebral palsy – Preliminary results
TLDR
The findings of this study clearly indicate the potential clinical utility of tuning using wedges to correct knee hyperextension during the stance phase in children with cerebral palsy, however, observations support the need for an adequately powered study to assess the long-term effects of tuning on gait parameters, activity level and quality of life. Expand
Changes in joint kinematics in children with cerebral palsy while walking with and without a floor reaction ankle-foot orthosis.
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To improve the extension of the knees and ankle in the stance of the CP patients floor reaction ankle-foot orthosis was effective, compared to barefoot walking on children with cerebral palsy. Expand
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This study has created a screening tool to identify children likely to benefit from AFO tuning based on kinematic data and which could be used in the community. Expand
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The appropriate comparative baseline for assessing the efficacy of an AFO is subjects walking with existing footwear and not barefoot. Expand
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The HAFO was themost effective in controlling knee hyperextension in stance, while PLS was the most effective in promoting knee extension in children with >10 degree knee flexion in stance. Expand
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Although both orthoses would be recommended for children with spastic CP and excessive ankle plantar flexion during stance, additional individual factors should be considered when selecting either orthosis. Expand
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Evaluating the effectiveness of Ankle-Foot Orthoses (AFOs) on gait function in patients with spastic cerebral palsy for whom orthoses were indicated to control dynamic equines deformity found them to benefit from AFOs for ambulation. Expand
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The results of this study indicated a substantial functional flexibility of the CFO®, which allowed a more physiological third ankle rocker compared with the Orteam®/PLS, and created a significantly higher maximal hip flexion moment in stance. Expand
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The hinged AFO is useful in controlling dynamic equinus deformity and reducing the energy expenditure of gait in children with hemiplegic spastic cerebral palsy. Expand
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The different supports had various but little effects on the kinematics and kinetics of the knee joint, depending on the type of orthoses used and the kind of handicap of the youths. Expand
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