Category: Pediatric Rehabilitation; Limb Restoration Rehabilitation; Clinical Practice (assessment, diagnosis, treatment, knowledge translation/EBP, implementation science, program development)
Are there any changes in the range of motion (ROM) of pelvis and trunk when children with spastic diplegia walk with AFO are compared to those without AFO?
An APDM wearable gait analyzer was used to perform a 2-minute walking test on the unworn and the worn ankle orthotic respectively. Finally, the paired sample t test was carried out for statistical analysis.
Setting : Shandong Sanpo rehabilitation hospital rehabilitation treatment hall
Participants (or Animals, Specimens, Cadavers) :
Children diagnosed with spastic diplegia were recruited, aged between 3 and 6 years old, and the motor function classification system (GMFCS) was level I or level II.Five participants completed the study.
An APDM wearable gait analyzer was used to perform a 2-minute walking test on the unworn and the worn ankle orthotic respectively
Main Outcome Measure(s) :
The range of motion of the trunk and pelvis.
Compared with non-wearing an AFO, walking with AFO resulted in an increase in the ROM of trunk on the coronal and sagittal planes.The ROM on the coronal plane of the pelvis increased, while that on the sagittal plane decrease(P＜0.1).In transverse section, the ROM of pelvis and trunk increased, but the difference was not statistically significant. In addition, when walking with ankle foot orthosis, the swinging speed of both upper limbs decreased, and ROM increased (P＜0.05).
Compared with non-wearing AFO, wearing AFO has an influence on the improvement of pelvis and trunk postures. The increase in the ROM of pelvis and trunk deviates the movement pattern of children with bilateral spastic cerebral palsy from that of children with normal development.