Artículos de revistas
Effect of posture-control insoles on function in children with cerebral palsy: Randomized controlled clinical trial
Fecha
2012-10-04Registro en:
Bmc Musculoskeletal Disorders. London: Biomed Central Ltd., v. 13, p. 6, 2012.
1471-2474
10.1186/1471-2474-13-193
WOS:000312195100001
WOS000312195100001.pdf
Autor
Univ Nove Julho
Universidade Estadual Paulista (Unesp)
Univ Camilo Castelo Branco
Politecn Milan
IRCCS San Raffaele Pisana
Universidade Nove de Julho (UNINOVE)
Institución
Resumen
Introduction: Cerebral palsy (CP) is a posture and movement disorder and different therapeutic modalities, such as the use of braces, have sought to favor selective motor control and muscle coordination in such patients. The aim of the proposed study is to determine the effect of the combination of posture-control insoles and ankle-foot orthoses (AFOs) improving functional limitation in children with CP.Methods/Design: The sample will be composed of 24 children with CP between four and 12 years of age. After the signing of the statement of informed consent, the children will be randomly allocated to two groups: a control group using AFOs alone and an experimental group using both posture-control insoles and AFOs. Evaluations will be performed on five occasions: without any accessory (insoles or AFOs), immediately after, one month after, six months after and one year after AFOs or insole and AFOs use. The evaluation will involve the analysis of gait, static and functional balance, mobility and hypertonia. The three-dimensional assessment of gait will involve the eight-camera SMART-D SMART-D 140 (R) system (BTS Engineering), two Kistler force plates (model 9286BA) and an eight-channel, wireless FREEEMG (R) electromyography (BTS Engineering). Static balance will be assessed using a Kistler force plate (model 9286BA). Clinical functional balance and mobility will be assessed using the Berg Balance Scale, Timed Up-and-Go Test and Six-Minute Walk Test. The posture-control insoles will be made of ethylene vinyl acetate, with thermal molding for fixation. The fixed orthoses will be made of polypropylene and attached to the ankle region (AFO). The results will be analyzed statistically, with the level significance set to 5% (p < 0.05).