Publication: Multidimensional Effects of Solid and Hinged Ankle-Foot Orthosis in Children with Cerebral Palsy
Issued Date
2021-10-01
Resource Type
ISSN
1538005X
08985669
08985669
Other identifier(s)
2-s2.0-85113142414
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Mahidol University
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SCOPUS
Bibliographic Citation
Pediatric Physical Therapy. Vol.33, No.4 (2021), 227-235
Suggested Citation
Sivaporn Limpaninlachat, Saipin Prasertsukdee, Robert J. Palisano, Joshua Burns, Jaranit Kaewkungwal, Rumrada Inthachom Multidimensional Effects of Solid and Hinged Ankle-Foot Orthosis in Children with Cerebral Palsy. Pediatric Physical Therapy. Vol.33, No.4 (2021), 227-235. doi:10.1097/PEP.0000000000000826 Retrieved from: https://repository.li.mahidol.ac.th/handle/20.500.14594/77088
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Title
Multidimensional Effects of Solid and Hinged Ankle-Foot Orthosis in Children with Cerebral Palsy
Abstract
Purpose: To compare the effect of solid (SAFO) and hinged (HAFO) ankle-foot orthoses in children with cerebral palsy spastic diplegia and true equinus and jump gait. Methods: Participants were 26 children (13 wore SAFO and 13 wore HAFO) aged 4 to 14 years classified as Gross Motor Function Classification System levels I to III. Children were tested on standardized measures of body structure and function, activity, and participation. Results: Children wearing HAFO reached further in standing than those wearing SAFO. Among children who walked without an assistive device, children wearing HAFO had greater stride length and faster velocity. Mean Gross Motor Function Measure and Pediatric Evaluation of Disability Inventory mobility scores did not differ between groups. The cost-to-benefit ratios showed parents preferred HAFO. Conclusions: Among children with true equinus and jump gait, the effects of HAFO were greater in children who walked without an assistive mobility device.