PMID- 36679366
OWN - NLM
STAT- MEDLINE
DCOM- 20230124
LR  - 20230201
IS  - 1424-8220 (Electronic)
IS  - 1424-8220 (Linking)
VI  - 23
IP  - 2
DP  - 2023 Jan 4
TI  - AFOs Improve Stride Length and Gait Velocity but Not Motor Function for Most with 
      Mild Cerebral Palsy.
LID - 10.3390/s23020569 [doi]
LID - 569
AB  - Ankle-foot orthoses (AFOs) are prescribed to children with cerebral palsy (CP) in 
      hopes of improving their gait and gross motor activities. The purpose of this 
      retrospective study was to examine if clinically significant changes in gross 
      motor function occur with the use of AFOs in children and adolescents diagnosed 
      with CP (Gross Motor Function Classification System levels I and II). Data from 
      124 clinical assessments were analyzed. Based on minimum clinically important 
      difference (MCID), 77% of subjects demonstrated an increase in stride length, 45% 
      of subjects demonstrated an increase in walking velocity, and 30% demonstrated a 
      decrease in cadence. Additionally, 27% of the subjects demonstrated increase in 
      gait deviation index (GDI). Deterioration in gait was evident by decreases in 
      walking speed (5% of subjects), increases in cadence (11% of subjects), and 15% 
      of subjects demonstrated decreases in gait deviation index. Twenty-two percent of 
      subjects demonstrated no change in stride lengths and one participant 
      demonstrated a decrease in stride length. However, AFOs improved Gross Motor 
      Function Measure (GMFM) scores for a minority (10%) of children with mild CP 
      (GMFCS level I and II), with 82-85% of subjects demonstrating no change in GMFM 
      scores and 5-7% demonstrating decrease in GMFM scores.
FAU - White, Hank
AU  - White H
AD  - Shriners Children's Lexington, 110 Conn Terrace, Lexington, KY 40508, USA.
FAU - Barney, Brian
AU  - Barney B
AD  - Division of Physical Therapy, College of Health Sciences, University of Kentucky, 
      900 South Limestone, Lexington, KY 40536, USA.
FAU - Augsburger, Sam
AU  - Augsburger S
AD  - Shriners Children's Lexington, 110 Conn Terrace, Lexington, KY 40508, USA.
FAU - Miller, Eric
AU  - Miller E
AD  - Pediatric Orthotic & Prosthetic Services-Midwest, 110 Conn Terrace, Lexington, KY 
      40508, USA.
FAU - Iwinski, Henry
AU  - Iwinski H
AD  - Shriners Children's Lexington, 110 Conn Terrace, Lexington, KY 40508, USA.
AD  - Department of Orthopaedic Surgery, University of Kentucky, 740 S Limestone St., 
      Room K423, Lexington, KY 40536, USA.
LA  - eng
PT  - Journal Article
DEP - 20230104
PL  - Switzerland
TA  - Sensors (Basel)
JT  - Sensors (Basel, Switzerland)
JID - 101204366
SB  - IM
MH  - Child
MH  - Adolescent
MH  - Humans
MH  - Retrospective Studies
MH  - *Cerebral Palsy
MH  - Gait
MH  - Walking
MH  - Orthotic Devices
PMC - PMC9860799
OTO - NOTNLM
OT  - ankle-foot orthosis
OT  - cerebral palsy
OT  - gait analysis
OT  - minimum clinically important difference
OT  - motor function
OT  - over ground walking
COIS- The authors declare no conflict of interest.
EDAT- 2023/01/22 06:00
MHDA- 2023/01/25 06:00
PMCR- 2023/01/04
CRDT- 2023/01/21 01:53
PHST- 2022/10/20 00:00 [received]
PHST- 2022/12/21 00:00 [revised]
PHST- 2022/12/30 00:00 [accepted]
PHST- 2023/01/21 01:53 [entrez]
PHST- 2023/01/22 06:00 [pubmed]
PHST- 2023/01/25 06:00 [medline]
PHST- 2023/01/04 00:00 [pmc-release]
AID - s23020569 [pii]
AID - sensors-23-00569 [pii]
AID - 10.3390/s23020569 [doi]
PST - epublish
SO  - Sensors (Basel). 2023 Jan 4;23(2):569. doi: 10.3390/s23020569.