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Effects of ankle foot orthoses on the gait patterns in children with spastic bilateral cerebral palsy: a scoping review

2021-10Journal article Open access
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dc.contributor.authorRicardo, Diogo
dc.contributor.authorRaposo, Maria
dc.contributor.authorCruz, Eduardo
dc.contributor.authorOliveira, Raul
dc.contributor.authorCarnide, Filomena
dc.contributor.authorVeloso, António
dc.contributor.authorJoão, Filipa
dc.date.accessioned2021-10-12T09:35:45Z
dc.date.available2021-10-12T09:35:45Z
dc.date.issued2021-10
dc.description.abstractBackground: Cerebral palsy (CP) is the most common cause of motor disability in children and can cause severe gait deviations. The sagittal gait patterns classification for children with bilateral CP is an important guideline for the planning of the rehabilitation process. Ankle foot orthoses should improve the biomechanical parameters of pathological gait in the sagittal plane. Methods: A systematic search of the literature was conducted to identify randomized controlled trials (RCT) and controlled clinical trials (CCT) which measured the effect of ankle-foot orthoses (AFO) on the gait of children with spastic bilateral CP, with kinetic, kinematic, and functional outcomes. Five databases (Pubmed, Scopus, ISI Web of SCIENCE, SciELO, and Cochrane Library) were searched before February 2020. The PEDro score was used to assess the methodological quality of the selected studies and alignment with the Cochrane approach was also reviewed. Prospero registration number: CRD42018102670. Results: We included 10 studies considering a total of 285 children with spastic bilateral CP. None of the studies had a PEDro score below 4/10, including five RCTs. We identified five different types of AFO (solid; dynamic; hinged; ground reaction; posterior leaf spring) used across all studies. Only two studies referred to a classification for gait patterns. Across the different outcomes, significant differences were found in walking speed, stride length and cadence, range of motion, ground force reaction and joint moments, as well as functional scores, while wearing AFO. Conclusions: Overall, the use of AFO in children with spastic bilateral CP minimizes the impact of pathological gait, consistently improving some kinematic, kinetic, and spatial-temporal parameters, and making their gait closer to that of typically developing children. Creating a standardized protocol for future studies involving AFO would facilitate the reporting of new scientific data and help clinicians use their clinical reasoning skills to recommend the best AFO for their patients.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationRicardo D, Raposo MR, Cruz EB, Oliveira R, Carnide F, Veloso AP, et al. Effects of ankle foot orthoses on the gait patterns in children with spastic bilateral cerebral palsy: a scoping review. Children. 2021;8(10):903.pt_PT
dc.identifier.doi10.3390/children8100903pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.21/13860
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relation.publisherversionhttps://www.mdpi.com/2227-9067/8/10/903pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/pt_PT
dc.subjectChildrenpt_PT
dc.subjectCerebral palsypt_PT
dc.subjectGait analysispt_PT
dc.subjectOrthotic devicespt_PT
dc.subjectBiomechanicspt_PT
dc.subjectProsthetics and orthoticspt_PT
dc.titleEffects of ankle foot orthoses on the gait patterns in children with spastic bilateral cerebral palsy: a scoping reviewpt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.issue10pt_PT
oaire.citation.startPage903pt_PT
oaire.citation.titleChildrenpt_PT
oaire.citation.volume8pt_PT
person.familyNameRicardo
person.givenNameDiogo
person.identifier.ciencia-id6613-57F2-AE1B
person.identifier.orcid0000-0002-6990-8813
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication4318241b-dc45-417d-b20f-51d0414faf7d
relation.isAuthorOfPublication.latestForDiscovery4318241b-dc45-417d-b20f-51d0414faf7d

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