Conservative treatment for equinus deformity in children with cerebral palsy using an adjustable splint-assisted ankle-foot orthosis.

ABSTRACT:

Background

A novel splint, the assisting ankle-foot orthoses (AFO), was developed to provide adjustable sustained stretching to improve conservative treatment for equinus deformities in children with cerebral palsy (CP). The treatment effect was validated by follow-up visits.

Methods

This study involved subjects between 2 and 12 years old, including 28 CP children treated with splint-assisted AFO correction, 30 CP children treated with static AFO correction, and 30 normal children with typical development (TD). Quantitative pedobarographic measurements were taken to evaluate the effect of splint-assisted AFO correction. The heel/forefoot ratio was introduced to indicate the degree of the equinus deformity during treatment.

Results

The results showed that the heel/forefoot ratios were 1.41?±?0.26 for the TD children; 0.65?±?0.41, 1.02?±?0.44, and 1.24?±?0.51 for the splint-assisted AFO correction before and after 6-month and 12-month treatments; 0.59?±?0.37, 0.67?±?0.44, and 0.66?±?0.42 for the static AFO correction before and after 6-month and 12-month treatments.

Conclusions

This study suggests that correction with the adjustable splint-assisted AFO is an effective treatment for equinus deformity in CP Children.

SUBMITTER: Chen W 

PROVIDER: S-EPMC5738005 | biostudies-literature | 2017 Oct

REPOSITORIES: biostudies-literature