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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MDPI AG
2020-06-01
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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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issn | 2227-9067 |
language | English |
last_indexed | 2024-03-10T19:26:27Z |
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series | Children |
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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