Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review / Atefeh Aboutorabi in Annals of physical and rehabilitation medicine, Vol. 60, n° 6 (November 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 393-402 Titre : Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review Type de document : texte imprimé Auteurs : Atefeh Aboutorabi, Auteur ; Mokhtar Arazpour, Auteur ; Monireh Ahmadi Bani, Auteur Année de publication : 2017 Article en page(s) : p. 393-402 Langues : Anglais (eng) Français (fre) Mots-clés : Orthèse  Cheville  Pied  Équilibration  Infirmité motrice cérébrale  Ankle foot orthoses,Orthosis,AFO,Gait,Children with cerebral palsy,CP Résumé : Background: Ankle foot orthoses (AFOs) are orthotic devices that can be used to normalize the walking pattern of children with cerebral palsy (CP). One of the aims of orthotic management is to produce a more normal gait pattern by positioning joints in the proper position to reduce pathological reflex or spasticity. Objective: To conduct a systematic review of the literature and establish the effect of treatment with various types of AFOs on gait patterns of children with CP. Methods: PubMed, Scopus, ISI Web of knowledge, Cochrane Library, EMBASE and Google Scholar were searched for articles published between 2007 and 2015 of studies of children with CP wearing the following AFOs: hinged (HAFO), solid (SAFO), floor reaction (FRO), posterior leaf spring (PLS) and dynamic (DAFO). Studies that combined treatment options were excluded. Outcomes investigated were a change in gait pattern and subsequent walking ability. The PEDro scale used to assess the methodological quality of relevant studies. Results: We included 17 studies investigating a total of 1139 children with CP. The PEDro score was poor for most studies (3/10). Only 4 studies, of 209 children in total, were randomized controlled trials, for a good PEDro score (5, 7, 9/10) and an appropriate level of evidence. One study used a case-based series and the remainder a cross-sectional design. In general, the use of AFOs improved speed and stride length. The HAFO was effective for improving gait parameters and decreasing energy expenditure with hemiplegic CP as compared with the barefoot condition. It also improved stride length, speed of walking, single limb support and gait symmetry with hemiplegic CP. The plastic SAFO and FRO were effective in reducing energy expenditure with diplegic CP. With diplegic CP, the HAFO and SAFO improved gross motor function. Conclusion: For children with CP, use of specific types of AFOs improved gait parameters, including ankle and knee range of motion, walking speed and stride length. AFOs reduced energy expenditure in children with spastic CP. However, further studies with good PEDro scores are required for more conclusive evidence regarding the effectiveness of AFOs in children with CP. Permalink : ./index.php?lvl=notice_display&id=53840 [article] Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review [texte imprimé] / Atefeh Aboutorabi, Auteur ; Mokhtar Arazpour, Auteur ; Monireh Ahmadi Bani, Auteur . - 2017 . - p. 393-402. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 6 (November 2017) . - p. 393-402 Mots-clés : Orthèse  Cheville  Pied  Équilibration  Infirmité motrice cérébrale  Ankle foot orthoses,Orthosis,AFO,Gait,Children with cerebral palsy,CP Résumé : Background: Ankle foot orthoses (AFOs) are orthotic devices that can be used to normalize the walking pattern of children with cerebral palsy (CP). One of the aims of orthotic management is to produce a more normal gait pattern by positioning joints in the proper position to reduce pathological reflex or spasticity. Objective: To conduct a systematic review of the literature and establish the effect of treatment with various types of AFOs on gait patterns of children with CP. Methods: PubMed, Scopus, ISI Web of knowledge, Cochrane Library, EMBASE and Google Scholar were searched for articles published between 2007 and 2015 of studies of children with CP wearing the following AFOs: hinged (HAFO), solid (SAFO), floor reaction (FRO), posterior leaf spring (PLS) and dynamic (DAFO). Studies that combined treatment options were excluded. Outcomes investigated were a change in gait pattern and subsequent walking ability. The PEDro scale used to assess the methodological quality of relevant studies. Results: We included 17 studies investigating a total of 1139 children with CP. The PEDro score was poor for most studies (3/10). Only 4 studies, of 209 children in total, were randomized controlled trials, for a good PEDro score (5, 7, 9/10) and an appropriate level of evidence. One study used a case-based series and the remainder a cross-sectional design. In general, the use of AFOs improved speed and stride length. The HAFO was effective for improving gait parameters and decreasing energy expenditure with hemiplegic CP as compared with the barefoot condition. It also improved stride length, speed of walking, single limb support and gait symmetry with hemiplegic CP. The plastic SAFO and FRO were effective in reducing energy expenditure with diplegic CP. With diplegic CP, the HAFO and SAFO improved gross motor function. Conclusion: For children with CP, use of specific types of AFOs improved gait parameters, including ankle and knee range of motion, walking speed and stride length. AFOs reduced energy expenditure in children with spastic CP. However, further studies with good PEDro scores are required for more conclusive evidence regarding the effectiveness of AFOs in children with CP. Permalink : ./index.php?lvl=notice_display&id=53840

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Gait and energy consumption in adolescent idiopathic scoliosis: A literature review / Aliyeh Daryabor in Annals of physical and rehabilitation medicine, Vol. 60, n° 2 (April 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 107-116 Titre : Gait and energy consumption in adolescent idiopathic scoliosis: A literature review Type de document : texte imprimé Auteurs : Aliyeh Daryabor, Auteur ; Mokhtar Arazpour, Auteur ; Guive Sharifi, Auteur Année de publication : 2017 Article en page(s) : p. 107-116 Langues : Anglais (eng) Français (fre) Mots-clés : Scoliose  Équilibration  Énergie physiologique  Scoliosis,Walking,Gait parameters,Energy consumption Résumé : Background: Adolescent idiopathic scoliosis (AIS) is a progressive growth disease that affects spinal anatomy, mobility, and left-right trunk symmetry. The disease can modify human gait. Objective: We aimed to review articles describing the measurement of gait parameters and energy consumption in AIS during walking without any intervention. Study design: Literature review. Methods: The search strategy was based on the Population Intervention Comparison Outcome method and included all relevant articles published from 1996 to 2015. Articles were searched in MEDLINE via PubMed, Science Direct, Google Scholar, and ISI Web of Knowledge databases. Results: We selected 33 studies investigating the effect of scoliosis deformity on gait parameters and energy expenditure during walking. Most of the studies concluded no significant differences in walking speed, cadence and step width in scoliosis patients and normal participants. However, patients showed decreased hip and pelvic motion, excessive energy cost of walking, stepping pattern asymmetry and ground reaction force asymmetry. Conclusion: We lack consistent evidence of the effect of scoliosis on temporal spatial and kinematic parameters in AIS patients as compared with normal people. However, further research is needed to assess the effect of scoliosis on gait and energy consumption. Permalink : ./index.php?lvl=notice_display&id=51676 [article] Gait and energy consumption in adolescent idiopathic scoliosis: A literature review [texte imprimé] / Aliyeh Daryabor, Auteur ; Mokhtar Arazpour, Auteur ; Guive Sharifi, Auteur . - 2017 . - p. 107-116. Langues : Anglais (eng) Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n° 2 (April 2017) . - p. 107-116 Mots-clés : Scoliose  Équilibration  Énergie physiologique  Scoliosis,Walking,Gait parameters,Energy consumption Résumé : Background: Adolescent idiopathic scoliosis (AIS) is a progressive growth disease that affects spinal anatomy, mobility, and left-right trunk symmetry. The disease can modify human gait. Objective: We aimed to review articles describing the measurement of gait parameters and energy consumption in AIS during walking without any intervention. Study design: Literature review. Methods: The search strategy was based on the Population Intervention Comparison Outcome method and included all relevant articles published from 1996 to 2015. Articles were searched in MEDLINE via PubMed, Science Direct, Google Scholar, and ISI Web of Knowledge databases. Results: We selected 33 studies investigating the effect of scoliosis deformity on gait parameters and energy expenditure during walking. Most of the studies concluded no significant differences in walking speed, cadence and step width in scoliosis patients and normal participants. However, patients showed decreased hip and pelvic motion, excessive energy cost of walking, stepping pattern asymmetry and ground reaction force asymmetry. Conclusion: We lack consistent evidence of the effect of scoliosis on temporal spatial and kinematic parameters in AIS patients as compared with normal people. However, further research is needed to assess the effect of scoliosis on gait and energy consumption. Permalink : ./index.php?lvl=notice_display&id=51676

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