Clinically prescribed orthoses demonstrate an increase in velocity of gait in children with cerebral palsy: A retrospective study

Hank White, Jennifer Jenkins, William P. Neace, Chester Tylkowski, Janet Walker

Research output: Contribution to journalArticlepeer-review

59 Scopus citations

Abstract

The purpose of this study was to determine the effect clinically prescribed ankle-foot orthoses (AFOs) have on the temporal-spatial parameters of gait, as compared with barefoot walking in children with cerebral palsy. A retrospective chart review of data collected between 1995 and 1999 in our motion analysis laboratory was performed. A retrospective chart review of 700 patients revealed 115 patients (mean age 9 years) who had a primary diagnosis of CP (diplegia n=97, hemiplegia n=18). All were wearing clinically prescribed hinged or solid AFOs at the time of undergoing a three dimensional gait analysis. In line with our standard clinical practice, data for both conditions (braced and barefoot walking) were collected the same day by the same examiner. Statistical analyses indicated the temporal and spatial gait parameters of velocity, stride length, step length, and single limb stance were significantly increased (p<0.001) with the use of AFOs versus barefoot walking. Cadence was the only parameter found to not be statistically different.

Original languageEnglish
Pages (from-to)227-232
Number of pages6
JournalDevelopmental Medicine and Child Neurology
Volume44
Issue number4
DOIs
StatePublished - 2002

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Developmental Neuroscience
  • Clinical Neurology

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