Effect of posture-control insoles on function in children with cerebral palsy: Randomized controlled clinical trialReport as inadecuate




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BMC Musculoskeletal Disorders

, 13:193

Rehabilitation, physical therapy and occupational health

Abstract

IntroductionCerebral palsy CP is a posture and movement disorder and different therapeutic modalities, such as the use of braces, have sought to favor selective motor control and muscle coordination in such patients. The aim of the proposed study is to determine the effect of the combination of posture-control insoles and ankle-foot orthoses AFOs improving functional limitation in children with CP.

Methods-DesignThe sample will be composed of 24 children with CP between four and 12 years of age. After the signing of the statement of informed consent, the children will be randomly allocated to two groups: a control group using AFOs alone and an experimental group using both posture-control insoles and AFOs. Evaluations will be performed on five occasions: without any accessory insoles or AFOs, immediately after, one month after, six months after and one year after AFOs or insole and AFOs use. The evaluation will involve the analysis of gait, static and functional balance, mobility and hypertonia. The three-dimensional assessment of gait will involve the eight-camera SMART-D SMART-D 140® system BTS Engineering, two Kistler force plates model 9286BA and an eight-channel, wireless FREEEMG® electromyography BTS Engineering. Static balance will be assessed using a Kistler force plate model 9286BA. Clinical functional balance and mobility will be assessed using the Berg Balance Scale, Timed Up-and-Go Test and Six-Minute Walk Test. The posture-control insoles will be made of ethylene vinyl acetate, with thermal molding for fixation. The fixed orthoses will be made of polypropylene and attached to the ankle region AFO. The results will be analyzed statistically, with the level significance set to 5% p < 0.05.

Trial RegistrationTrial Registration Number: RBR6d342s http:-www.ensaiosclinicos.gov.br-news-

KeywordsCerebral palsy Posture-control insoles Ankle-foot orthosis Electromyography Gait Stabilometry Rehabilitation Electronic supplementary materialThe online version of this article doi:10.1186-1471-2474-13-193 contains supplementary material, which is available to authorized users.

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Author: Hugo Pasini Neto - Luanda André Collange Grecco - Thaluanna CL Christovão - Luiz Alfredo Braun - Lilian Chrystiane Gia

Source: https://link.springer.com/







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