Efficacy of foot-ankle orthosis on balance for children with hemiplegic cerebral palsy: An observational study

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dc.contributor.authorBahar-Ozdemir, Yeliz
dc.contributor.authorUnal-Ulutatar, Cagri
dc.contributor.authorKarall-Bingul, Duygu
dc.contributor.authorKaradag-Saygi, Evrim
dc.date.accessioned2021-11-01T15:05:55Z
dc.date.available2021-11-01T15:05:55Z
dc.date.issued2021
dc.department[Belirlenecek]
dc.description.abstractObjectives: The aim of this study was to investigate the impact of ankle-foot orthoses (AFOs) on the balance and gait and to compare the effects of hinged AFOs with solid AFOs on balance in patients with cerebral palsy (CP). Patients and methods: Between January 2015 and January 2016, 19 hemiplegic children with CP (11 males, 8 females; mean age: 9.5 +/- 2.2 years; range, 6 to 15 years) and 23 sex- and age-matched controls (8 males, 15 females; mean age: 10 +/- 1.6 years; range, 6 to 13 years) were included in this study. All patients were using either solid or hinged AFO. Hemiplegic patients were attended to specific tests with orthoses and barefoot. Pediatric Balance Scale (PBS) and Five Times Sit to Stand Test (FTSST) were used for functional evaluation. The quantitative balance was evaluated using the device-assisted balance tests, Limits of Stability (LOS), Walk Across (WA), and Sit to Stand (STS) tests. Results: The control group had a better functional balance than the CP group (p<0.001 for PBS and p<0.001 for FTSST) and the CP group with AFO had a better balance than the barefoot (p=0.001 for PBS and p=0.009 for FTSST). Children with CP also showed a higher sway velocity in STS (p<0.001) than the control group. In patients with AFO, a decrease in the sway velocity in STS (p=0.037) and an increase in directional control in LOS (p=0.044) were observed, compared to barefoot. Conclusion: The AFO use offers a significant contribution to the functional balance in CP. Prescribing AFOs are usually required in ambulatory CP patients in combined with a well-designed standard physiotherapy.
dc.identifier.doi10.5606/tftrd.2021.5175
dc.identifier.endpage343en_US
dc.identifier.issn2587-1250
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85115957957
dc.identifier.scopusqualityQ2
dc.identifier.startpage336en_US
dc.identifier.urihttps://doi.org/10.5606/tftrd.2021.5175
dc.identifier.urihttps://hdl.handle.net/11491/7441
dc.identifier.volume67en_US
dc.identifier.wosWOS:000692197000010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthor[Belirlenecek]
dc.language.isoen
dc.publisherBaycinar Medical Publ-Baycinar Tibbi Yayincilik
dc.relation.ispartofTurkish Journal Of Physical Medicine And Rehabilitation
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectBalanceen_US
dc.subjecthemiplegic cerebral palsyen_US
dc.subjectpostural stabilityen_US
dc.titleEfficacy of foot-ankle orthosis on balance for children with hemiplegic cerebral palsy: An observational study
dc.typeArticle

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