Rockville (MD): Agency for Healthcare Research and Quality (cited 2012 May 01). Guideline summary: Evidence-based care guideline for management of idiopathic toe walking in children and young adults ages 2 through 21 years. National Guideline Clearinghouse. Key outcomes: Both treatments of idiopathic toe walking, AFO and FO, increase patient speed, while an AFO may lead to greater parent satisfaction and quicker reductions in time spent toe walking than the FO.įurther research needed: Bigger sample size. AAOP Annual Meeting, Atlanta, GA (2012 presentation summary). Clinical outcomes after orthotic treatment of idiopathic toe walking: AFO vs. AFOs and FOs produce different effects on gait in these children and may have different implications for long-term carryover from treatment.įurther research needed: Results are preliminary bigger sample size. Key outcomes: Orthoses are effective in prevention of toe walking at initial contact in children with ITW. Is a rigid footplate as effective as an articulated AFO in controlling idiopathic toe walking? AAOP Annual Meeting, Atlanta, GA (2012 presentation summary). Key outcomes: Ankle foot orthoses can reduce the work to walk in children with cerebral palsy. Clinical Biomechanics (Bristol, Avon) March 2012 27 (3) 287-291 (2012 journal article). The effects of ankle foot orthoses on energy recovery and work during gait in children with cerebral palsy. Key outcomes: Gross motor function was improved in all groups however, hinged AFOs appear to improve the gross motor function better than solid AFOs and control groups.īennett B, Russell S, Abel M. The Impacts of Hinged and Solid Ankle-Foot Orthoses on Standing and Walking in Children with Spastic Diplegia. Key outcomes: To compare dynamic ankle-foot orthoses (DAFOs) and adjustable dynamic response (ADR) ankle-foot orthoses (AFOs) in children with cerebral palsy.ĭalvand H, Dehghan L, Awat F, Seyed AH, Amirsalari, S. ![]() Pediatric Physical Therapy (Fall 2015, Volume 27, Issue 3, p 218-226 research article) Comparison of 2 Orthotic Approaches in Children With Cerebral Palsy. Wren T, Dryden J, Mueske N, Dennis S, Bitte S, Rethlefsen S. Read this article online (may require a journal subscription). The dynamic orthosis is a good alternative in clubfoot treatment. High compliance with the orthoses was observed. Gait was similar to gait after treatment with the standard Foot Abduction Orthosis. No relapse occurred during the four years of orthosis treatment. Key outcomes: The use of dynamic custom-made orthoses in clubfoot treatment was analyzed. Evaluation of gait, relapse and compliance in clubfoot treatment with custom-made orthoses, Gait & Posture 50: 8-13 (2016 journal article) Manousaki A, Czuba T, Hägglund G, Mattsson L, Andriesse H. Initial treatment could include a less restrictive orthosis like a foot orthosis (FO) if this is unsuccessful within a set timeframe, then the patient may require a more restrictive form of treatment such as an ankle–foot orthosis (AFO). Key outcomes: This study suggests that sequential orthotic treatment for children with idiopathic toe walking (ITW) may be beneficial. Prosthetics and Orthotics International (2016, volume 40(2) 262-269, original research report). ![]() A comparison of orthoses in the treatment of idiopathic toe walking: A randomized controlled trial. ![]() A rehabilitation program aimed at improving mobility is crucial, since it forms the basis for further improvements in self-care activity, leading to significant improvements in the quality of life. ![]() Key outcomes: Mobility is a significant factor in self-care activities of children with CP aged ≥7 years. Annals of Rehabilitation Medicine (2): 266-272 (April 2017 journal article). Relationship between mobility and self-care activity in children with cerebral palsy.
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