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| The effect of ankle-foot orthoses on community-based walking in cerebral palsy: a clinical pilot study |
| Bjornson K, Chuan Z, Fatone S, Orendurff M, Stevenson R |
| Pediatric Physical Therapy 2016 Summer;28(2):179-186 |
| clinical trial |
| 5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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PURPOSE: To examine the effect of ankle-foot orthoses (AFO) on walking activity in children with cerebral palsy (CP). METHODS: We used a randomized cross-over design with 11 children with bilateral CP, mean age 4.3 years. Subjects were randomized to current AFO-ON or AFO-OFF for 2 weeks and then crossed over. Walking activity (average total steps/day), intensity, and stride rate curves were collected via an ankle accelerometer. Group effects were examined with the Wilcoxon signed-rank test and within-subject effects examined for more than 1 standard deviation change. RESULTS: No significant group difference was found in average total daily step count between treatment conditions (p = 0.48). For the AFO-ON condition, 2 subjects (18%) increased total steps/day; 4 (36%) increased walking time; 2 (18%) had more strides at a rate of more than 30 strides/min; and 2 (18%) reached higher peak intensity. CONCLUSIONS: Clinically prescribed AFO/footwear did not consistently enhance walking activity levels or intensity. Larger studies are warranted.
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