Effect of Dynamic Elastomeric Fabric Orthoses on Postural Control in Children With Cerebral Palsy.

Pediatr Phys Ther

Department of Orthotics and Prosthetics (Drs Bahramizadeh and Aminian), Pediatric Neurorehabilitation Research Center (Dr Rassafiani), and Iranian Research Center on Aging (Dr Rashedi), University of Social Welfare and Rehabilitation Sciences, Tehran, Iran; and Department of Orthotics and Prosthetics (Dr Farmani and Mrs Mirbagheri), School of Rehabilitation Sciences, Hamadan University of Medical Sciences, Hamadan, Iran.

Published: December 2016

Purpose: The aim of this study was to evaluate the effect of dynamic elastomeric fabric orthoses (DEFOs) on postural control in children with cerebral palsy (CP).

Methods: Ten children with spastic diplegic CP and 10 children with typical development participated. Knee extension was measured using electrogoniometry. The standard deviation of excursion and phase plane portraits of velocity in the anteroposterior and mediolateral directions were calculated from force platform signals as center of pressure parameters with or without a DEFO.

Results: Maximum standing knee extension for children with CP improved after 6 weeks of wearing DEFOs (P < .05). Center of pressure parameters did not improve when comparing pre- to 6 weeks post-DEFO use (P < .05).

Conclusion: The DEFO can reduce the crouch position without any negative effect on postural stability in children with CP. However, postural control does not improve in a 6-week timeframe.

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Source
http://dx.doi.org/10.1097/PEP.0000000000000171DOI Listing

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