Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy

Gait analysis is one aspect of evaluation in ambulatory children with cerebral palsy (CP). Ankle-foot orthoses (AFOs) improve gait and alignment through providing support. An alternative and under-researched orthosis are sensomotoric orthoses (SMotOs). The Edinburgh Visual Gait Score (EVGS) is a val...

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Main Authors: Clare MacFarlane, Wayne Hing, Robin Orr
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/7/6/54
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author Clare MacFarlane
Wayne Hing
Robin Orr
author_facet Clare MacFarlane
Wayne Hing
Robin Orr
author_sort Clare MacFarlane
collection DOAJ
description Gait analysis is one aspect of evaluation in ambulatory children with cerebral palsy (CP). Ankle-foot orthoses (AFOs) improve gait and alignment through providing support. An alternative and under-researched orthosis are sensomotoric orthoses (SMotOs). The Edinburgh Visual Gait Score (EVGS) is a valid observational gait analysis scale to measure gait quality. The aim of this study was to use the EVGS to determine what effect AFOs and SMotOs have on gait in children with CP. The inclusion criteria were: mobilizing children with a CP diagnosis, no surgery in the past six weeks, and currently using SMotOs and AFOs. Eleven participants were videoed walking 5 m (any order) barefoot, in SMotOs and AFOs. Of the participants (age range 3–13 years, mean 5.5 ± 2.9), two were female and six used assistive devices. Seven could walk barefoot. Participants had spastic diplegia (4), spastic quadriplegia (6), and spastic dystonic quadriplegia (1). Gross Motor Functional Classification System (GMFCS) levels ranged I–IV. The total score for SMotOs (7.62) and AFOs (14.18) demonstrated improved gait when wearing SMotOs (no significant differences between barefoot and AFOs). SMotOs may be a viable option to improve gait in this population. Additional study is required but SMotOs may be useful in clinical settings.
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spelling doaj.art-1b23b42605b94dfcaa01931e6e72a4742023-11-20T02:29:25ZengMDPI AGChildren2227-90672020-06-01765410.3390/children7060054Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral PalsyClare MacFarlane0Wayne Hing1Robin Orr2Faculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD 4226, AustraliaFaculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD 4226, AustraliaFaculty of Health Sciences and Medicine, Bond University, Gold Coast, QLD 4226, AustraliaGait analysis is one aspect of evaluation in ambulatory children with cerebral palsy (CP). Ankle-foot orthoses (AFOs) improve gait and alignment through providing support. An alternative and under-researched orthosis are sensomotoric orthoses (SMotOs). The Edinburgh Visual Gait Score (EVGS) is a valid observational gait analysis scale to measure gait quality. The aim of this study was to use the EVGS to determine what effect AFOs and SMotOs have on gait in children with CP. The inclusion criteria were: mobilizing children with a CP diagnosis, no surgery in the past six weeks, and currently using SMotOs and AFOs. Eleven participants were videoed walking 5 m (any order) barefoot, in SMotOs and AFOs. Of the participants (age range 3–13 years, mean 5.5 ± 2.9), two were female and six used assistive devices. Seven could walk barefoot. Participants had spastic diplegia (4), spastic quadriplegia (6), and spastic dystonic quadriplegia (1). Gross Motor Functional Classification System (GMFCS) levels ranged I–IV. The total score for SMotOs (7.62) and AFOs (14.18) demonstrated improved gait when wearing SMotOs (no significant differences between barefoot and AFOs). SMotOs may be a viable option to improve gait in this population. Additional study is required but SMotOs may be useful in clinical settings.https://www.mdpi.com/2227-9067/7/6/54ankle-foot orthosessensorimotor orthosesgaitEdinburgh Visual Gait Scorecerebral palsychildren
spellingShingle Clare MacFarlane
Wayne Hing
Robin Orr
Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy
Children
ankle-foot orthoses
sensorimotor orthoses
gait
Edinburgh Visual Gait Score
cerebral palsy
children
title Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy
title_full Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy
title_fullStr Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy
title_full_unstemmed Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy
title_short Using the Edinburgh Visual Gait Score to Compare Ankle-Foot Orthoses, Sensorimotor Orthoses and Barefoot Gait Pattern in Children with Cerebral Palsy
title_sort using the edinburgh visual gait score to compare ankle foot orthoses sensorimotor orthoses and barefoot gait pattern in children with cerebral palsy
topic ankle-foot orthoses
sensorimotor orthoses
gait
Edinburgh Visual Gait Score
cerebral palsy
children
url https://www.mdpi.com/2227-9067/7/6/54
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