Journal of International Academy of Physical Therapy Research (국제물리치료학회지)

International Academy of Physical Therapy Research (국제물리치료연구학회)
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The Effects of Insoles for Postural Correction on Spatial-temporal Changes of Gait in Spastic Cerebral Palsy Children

  • Kim, Hee Tak (Department of Physical Therapy, Pohang College) ;
  • Lim, Sang Wan (Department of Physical Therapy, Pohang College)
  • Received : 2015.06.15
  • Accepted : 2015.08.18
  • Published : 2015.10.30
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Abstract

Improvement in functional gait is one of treatment goals in treatment of cerebral palsy children. This study intended to examine the effects of insoles for postural correction on gait in spastic cerebral palsy patients by investigating changes in gait temporal spatial parameters. As the subjects, 15 spastic bilateral cerebral palsy patients participated in this study. Temporal spatial parameters of gait were measured using GAITRite system under three gait conditions. Bare foot gait, gait in shoes, and gait in insoles for postural correction were conducted. In order to look at differences in temporal spatial parameters according to three gait conditions, repeated one way analysis of variance was conducted. As post hoc test, Bonferroni was conducted. A significant level was set at ${\alpha}=.05$. According to the result of this study, gait velocity, cadence, step length, stride length of the left lower extremity significantly changed. When the subjects put on customized insoles for postural correction, the effect was greatest. There were no significant changes in stance time, single support time, double support time, swing % of gait, and stance % of cycle. Therefore, gait with insoles for postural correction positively influenced functional gait improvement and will be able to be usefully employed for spastic cerebral palsy children as one of gait assistance devices.

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References

  1. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl 2007; 109(suppl 109): 8-14.
  2. Gage JR, Schwartz MH, Koop SE, et al. The identification and treatment of gait problems in cerebral palsy. John Wiley & Sons 2009.
  3. Wenger DR. The Identification and Treatment of Gait Problems in Cerebral Palsy. Journal of Pediatric Orthopaedics 2010; 30(2): 212. https://doi.org/10.1097/BPO.0b013e3181d07f0c
  4. Thompson A, Jarrett L, Lockley L, et al. Clinical management of spasticity. Journal of Neurology, Neurosurgery & Psychiatry 2005; 76(4): 459-463. https://doi.org/10.1136/jnnp.2004.035972
  5. Flett PJ. Rehabilitation of spasticity and related problems in childhood cerebral palsy. Journal of Paediatrics and child health 2003; 39(1): 6-14. https://doi.org/10.1046/j.1440-1754.2003.00082.x
  6. O'Donnell M. Randomized double-blind placebo controlled trial of the effect of botulinum toxin on walking in cerebral palsy. The Journal of pediatrics 2001; 139(1): 163. https://doi.org/10.1016/S0022-3476(01)99991-3
  7. Ubhi T, Bhakta B, Ives H, et al. Randomised double blind placebo controlled trial of the effect of botulinum toxin on walking in cerebral palsy. Archives of disease in childhood 2000; 83(6): 481-487. https://doi.org/10.1136/adc.83.6.481
  8. Lampe R, Mitternacht J, Schrodl S, et al. Influence of orthopaedic - technical aid on the kinematics and kinetics of the knee joint of patients with neuro-orthopaedic diseases. Brain and Development 2004; 26(4): 219-226. https://doi.org/10.1016/S0387-7604(03)00129-3
  9. Abel MF, Juhl GA, Vaughan CL, et al. Gait assessment of fixed ankle-foot orthoses in children with spastic diplegia. Archives of physical medicine and rehabilitation 1988; 79(2): 126-133. https://doi.org/10.1016/S0003-9993(98)90288-X
  10. Neto HP, Grecco LA, Galli M, et al. Comparison of articulated and rigid ankle-foot orthoses in children with cerebral palsy: a systematic review. Pediatric Physical Therapy 2012; 24(4): 308-312. https://doi.org/10.1097/PEP.0b013e318268a4fc
  11. Ferris DP, Sawicki GS, Domingo A. Powered lower limb orthoses for gait rehabilitation. Topics in spinal cord injury rehabilitation 2005; 11(2): 34-49. https://doi.org/10.1310/6GL4-UM7X-519H-9JYD
  12. Landorf KB, Keenan A-MHerbert RD. Effectiveness of foot orthoses to treat plantar fasciitis: a randomized trial. Archives of internal medicine 2000; 166(12): 1305-1310. https://doi.org/10.1001/archinte.166.12.1305
  13. Powell M, Seid MSzer IS. Efficacy of custom foot orthotics in improving pain and functional status in children with juvenile idiopathic arthritis: a randomized trial. The Journal of rheumatology 2005; 32(5): 943-950.
  14. Kressig RW, Gregor RJ, Oliver A, et al. Temporal and spatial features of gait in older adults transitioning to frailty. Gait Posture 2004; 20(1): 30-35. https://doi.org/10.1016/S0966-6362(03)00089-4
  15. Scholtes VA, Becher JG, Beelen A, et al. Clinical assessment of spasticity in children with cerebral palsy: a critical review of available instruments. Developmental Medicine & Child Neurology 2006; 48(1): 64-73. https://doi.org/10.1017/S0012162206000132
  16. Morris C. A review of the efficacy of lower limb orthoses used for cerebral palsy. Developmental Medicine & Child Neurology 2002; 44(3): 205-211. https://doi.org/10.1017/S0012162201001943
  17. Abel MF, Damiano DL. Strategies for increasing walking speed in diplegic cerebral palsy. Journal of Pediatric Orthopaedics 1996; 16(6): 753-758. https://doi.org/10.1097/01241398-199611000-00010
  18. Grieve D, Gear RJ. The relationships between length of stride, step frequency, time of swing and speed of walking for children and adults. Ergonomics 1966; 9(5): 379-399. https://doi.org/10.1080/00140136608964399
  19. Morita S, Yamamoto HK. Gait analysis of hemiplegic patients by measurement of ground reaction force. Scandinavian journal of rehabilitation medicine 1995; 27(1): 37-42.
  20. Wang RY, Lin PY, Lee CC, et al. Gait and balance performance improvements attributable to ankle-foot orthosis in subjects with hemiparesis. American journal of physical medicine & rehabilitation 2007; 86(7): 556-562. https://doi.org/10.1097/PHM.0b013e31806dd0d3
  21. Kim SG, Ryu YU, Kim HD. The effect of insole supporting medial longitudinal arch while in spastic cerebral palsy with pes planus. Journal of the Korean Society of Physical Medinice 2012; 7(4): 471-480. https://doi.org/10.13066/kspm.2012.7.4.471
  22. Eisenhardt JR, Cook D, Pregler I, et al. Changes in temporal gait characteristics and pressure distribution for bare feet versus various heel heights. Gait Posture 1996; 4(4): 280-286. https://doi.org/10.1016/0966-6362(95)01053-X
  23. Crowe A, Samson MM, Hoitsma MJ, et al. The influence of walking speed on parameters of gait symmetry determined from ground reaction forces. Human movement science 1996; 15(3): 347-367. https://doi.org/10.1016/0167-9457(96)00005-X
  24. Carison W, Damiano D, Abel M, et al. Biomechanics of orthotic management of gait in spastic diplegia. Gait Posture 1995; 3(2): 102-112.
  25. Holt KG, Fonseca ST, LaFiandra ME. The dynamics of gait in children with spastic hemiplegic cerebral palsy: theoretical and clinical implications. Human Movement Science 2000; 19(3): 375-405. https://doi.org/10.1016/S0167-9457(00)00019-1