Effect of posture-control insoles on function in children with cerebral palsy: Randomized controlled clinical trial
<p>Abstract</p> <p>Introduction</p> <p>Cerebral 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...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2012-10-01
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| Series: | BMC Musculoskeletal Disorders |
| Subjects: | |
| Online Access: | http://www.biomedcentral.com/1471-2474/13/193 |
| _version_ | 1811245752218812416 |
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| author | Pasini Neto Hugo Grecco Luanda André Christovão Thaluanna CL Braun Luiz Giannasi Lilian Salgado Afonso Shiguemi de Moura Renata Calhes de Carvalho Paulo de Tarso Camillo Corrêa João CF Sampaio Luciana MM Galli Manuela Oliveira Claudia |
| author_facet | Pasini Neto Hugo Grecco Luanda André Christovão Thaluanna CL Braun Luiz Giannasi Lilian Salgado Afonso Shiguemi de Moura Renata Calhes de Carvalho Paulo de Tarso Camillo Corrêa João CF Sampaio Luciana MM Galli Manuela Oliveira Claudia |
| author_sort | Pasini Neto Hugo |
| collection | DOAJ |
| description | <p>Abstract</p> <p>Introduction</p> <p>Cerebral 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.</p> <p>Methods/Design</p> <p>The 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).</p> <p>Trial Registration</p> <p>Trial Registration Number: RBR6d342s (<url>http://www.ensaiosclinicos.gov.br/news/</url>)</p> |
| first_indexed | 2024-04-12T14:43:55Z |
| format | Article |
| id | doaj.art-e83d3f6cb8014d9984e74af0c6b7de6f |
| institution | Directory Open Access Journal |
| issn | 1471-2474 |
| language | English |
| last_indexed | 2024-04-12T14:43:55Z |
| publishDate | 2012-10-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Musculoskeletal Disorders |
| spelling | doaj.art-e83d3f6cb8014d9984e74af0c6b7de6f2022-12-22T03:28:44ZengBMCBMC Musculoskeletal Disorders1471-24742012-10-0113119310.1186/1471-2474-13-193Effect of posture-control insoles on function in children with cerebral palsy: Randomized controlled clinical trialPasini Neto HugoGrecco Luanda AndréChristovão Thaluanna CLBraun LuizGiannasi LilianSalgado Afonso Shiguemide Moura Renata Calhesde Carvalho Paulo de Tarso CamilloCorrêa João CFSampaio Luciana MMGalli ManuelaOliveira Claudia<p>Abstract</p> <p>Introduction</p> <p>Cerebral 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.</p> <p>Methods/Design</p> <p>The 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).</p> <p>Trial Registration</p> <p>Trial Registration Number: RBR6d342s (<url>http://www.ensaiosclinicos.gov.br/news/</url>)</p>http://www.biomedcentral.com/1471-2474/13/193Cerebral palsyPosture-control insolesAnkle-foot orthosisElectromyographyGaitStabilometryRehabilitation |
| spellingShingle | Pasini Neto Hugo Grecco Luanda André Christovão Thaluanna CL Braun Luiz Giannasi Lilian Salgado Afonso Shiguemi de Moura Renata Calhes de Carvalho Paulo de Tarso Camillo Corrêa João CF Sampaio Luciana MM Galli Manuela Oliveira Claudia Effect of posture-control insoles on function in children with cerebral palsy: Randomized controlled clinical trial BMC Musculoskeletal Disorders Cerebral palsy Posture-control insoles Ankle-foot orthosis Electromyography Gait Stabilometry Rehabilitation |
| title | Effect of posture-control insoles on function in children with cerebral palsy: Randomized controlled clinical trial |
| title_full | Effect of posture-control insoles on function in children with cerebral palsy: Randomized controlled clinical trial |
| title_fullStr | Effect of posture-control insoles on function in children with cerebral palsy: Randomized controlled clinical trial |
| title_full_unstemmed | Effect of posture-control insoles on function in children with cerebral palsy: Randomized controlled clinical trial |
| title_short | Effect of posture-control insoles on function in children with cerebral palsy: Randomized controlled clinical trial |
| title_sort | effect of posture control insoles on function in children with cerebral palsy randomized controlled clinical trial |
| topic | Cerebral palsy Posture-control insoles Ankle-foot orthosis Electromyography Gait Stabilometry Rehabilitation |
| url | http://www.biomedcentral.com/1471-2474/13/193 |
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