Knee Flexion Crouch Gait and Spasticity Characteristics in Spastic Diplegic Cerebral Palsy Patients with Ankle-Foot Orthoses
Date Issued
2010
Date
2010
Author(s)
Liu, Fang-Chun
Abstract
Objective: The aim of this study is to explore the effects of solid and articulated AFO on spasticity and gait dynamics for spastic diplegic cerebral palsy with knee flexion crouch gait.
Design: Experimental gait analysis, one-way repeated ANOVA analysis and non-parametric repeated measure analysis.
Participants: Nine spastic diplegic cerebral palsy patients with knee flexion crouch gait (seven boys and two girls) anticipated in this study. And their Gross Motor Function Classification System is level 2.
Setting: Rehabilitation Engineering Research Center in National Taiwan University with instrumented gait laboratory.
Interventions: Three conditions: shoes only, shoes with the solid AFOs, and shoes with articulated AFOs.
Results:
1.The SAFOs was found to be consistent of hypotheses, which improved the stride length, walking velocity, decreased batter than HAFOs in knee and hip angle, knee extensor moment, and reduce energy consumption.
2.The HAFOs provided more appropriate arc radius of ankle-foot roll-over shape and more stable in medio-lateral excursion of COM.
3.It seems that both of AFOs would not offer better control in spasticity.
Conclusion: For spastic diplegic CP patients with knee flexion crouch gait, overall results showed that SAFOs would provide better functions than HAFOs. Furthermore, these results could provide useful information for orthotists, clinicians, physical therapists, and parents so that could choose the best opinion for their children.
Subjects
Cerebral palsy
Knee flexion crouch gait
Gait analysis
Spasticity
SDGs
Type
thesis
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