Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

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Effect of Reciprocating Gait Orthosis on Standing Balance in Children with Spastic Diaplegic Cerebral Palsy


Affiliations
1 Applied Medical Sciences, King Abdul-Aziz University, Saudi Arabia
2 Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
3 Department of Physiotherapy, College of Health Sciences, University of Sharjah, United Arab Emirates
     

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Purpose: The aim of this study was to evaluate the effects of reciprocating gait orthosis (RGO) on standing balance in children with spastic diaplegic. Subjects: Twenty spastic diaplegic children were included (14 boys and 6 girls), with age ranged from five to seven years. Methods: Children were divided randomly into two equal groups; experimental and control groups. The experimental group was subjected to physiotherapy training program with the use of RGO while the control group received only the physiotherapy program. Patients from both groups had the treatment once a day, three times a week for ten weeks. The measurements of the confidence ellipse width, confidence ellipse height, confidence ellipse angle, confidence ellipse area, horizontal and vertical deviations of centre of gravity (COG) were performed before and after the treatment to assess standing balance with open and closed eyes by means of stabilometric platform. Results: There were significant improvements in some measured test parameters in children of the experimental group compared to those of the control group. Conclusion: Reciprocating gait orthosis was effective in improving standing balance in children with spastic diaplegic cerebral palsy.

Keywords

Cerebral Palsy, Spastic Diaplegia, Reciprocating Gait Orthosis, Standing Balance
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  • Li M, An Y, Miao L, Hua R, Yu A, Zhang F, Zhu Y, Dai G, Liu X, Zhang Z, Wang Y (2011). Risk factors of cerebral palsy during the perinatal period. Scientific Research and Essays, 6 (13): 2724-8.

  • Van den Broeck C, Decat J, Molenaers G, Franki L (2010). The effect of individually defined physiotherapy in children with cerebral palsy. Eur J Paediatr Neurol, 14(6):519-25

  • Bax M., Goldsten M., Rosenbaum P, Leviton A, Paneth N, Dan B, Jacobsson B, Damiano D (2005). Proposed definition and classification of cerebral palsy, April 2005. Dev Med Child. Neurol, 47: 571–576.

  • Papavasiliou A (2009). Management of motor problems in cerebral palsy: A critical update for the clinician. Eur. J Paed Neurol, 13, 387–96.

  • Ferdjallah M, Harris G, Smith P, Wertisch J (2002). Analysis of postural control synergies during quiet standing on healthy children and children with cerebral palsy. Clin Biomech, 17, 203–10.

  • Rose J, Wolff D, Jones V, Bloch D, Oehlert J, Gamble J (2002). Postural balance in children with cerebral palsy. Dev Med Child Neurol, 44:58–63.

  • Murray M, Seireg A, Sepic S (1975). Normal postural stability and steadiness: quantitative assessment. J Bone Joint Surg Am, 57:510–6.

  • Winter D, Patla A, Frank J (1990). Assessment of balance control in humans. Med Prog Technol, 16:31–51.

  • Riach C, Hayes K (1987). Maturation of postural sway in young children. Dev Med Child Neurol, 29:650–8.

  • Wolff D, Rose J, Jones V, Bloch D, Oehlert J, Gamble J (1998). Postural balance measurements for children and adolescents. J Orthop Res, 16:271–5.

  • Winter D, Patla A, Ishac M, Gage W (2003). Motor mechanisms of balance during quiet standing. J Electromyogr Kinesiol, 13:49–56.

  • Winter D, Prince F, Frank J, Powell C, Zabjek K (1996). Unified theory regarding A/P and M/L balance in quiet stance. J Neurophysiol, 75:2334–43.

  • Winter D, Prince F, Stergiou P, Powell C (1993). Mediallateral and anterior-posterior motor responses associated with centre of pressure changes in quiet standing. Neurosci Res Commun, 12:141–8.

  • Patrick J, McClelland M (1985). Low energy cost reciprocal walking for the adult paraplegic. Paraplegia, 23: 1l3-7.

  • Beckman J (1987). The Louisiana state university reciprocating gait orthosis. Physiotherapy 73(8): 386-92.

  • Burtner P, Woollacott M, Qualls C (1999). Stance balance control with orthoses in a group of children with spastic cerebral palsy. Dev Med Child Neurol, 41:748–57.

  • Lioao H, Hawang A (2003). Relations of balance function and gross motor ability for children with cerebral palsy. Percept Mot. Skills, 96: 1173–84.

  • Shumway-cook A, Hutchinson S, Kartin D, Price R, Woollacott M (2003). Effect of balance training on recovery of stability in children with cerebral palsy. Dev Med Child.Neurol, 45(9), 591–602.

  • Barbeau H (2003). Locomotor training in neurorehabilitation: emerging rehabilitation concepts, Neurorehabil. Neural. Repair, 17: 3–11.

  • Fatone S (2006). A review of the literature pertaining to KAFOs and HKAFOs for ambulation. J Prosthet Orthot, 18(7):137–68.

  • Douglas R, Larson P, D’Ambrosia R, McCall R (1983). The LSU reciprocating gait orthosis. Orthopedics, 6:834–9.

  • Borggraefe I, Schaefer J, Klaiber M, Dabrowski E, Ammann-Reiffer C, Knecht B, Berweck S, Heinen F, Meyer-Heim A (2010). Robotic-assisted treadmill therapy improves walking and standing performance in children and adolescents with cerebral palsy. Eur. J. Paediatr. Neurol, 14(6):496-502.

  • Isakov E, Douglas I, Berns P (1992). Ambulation using the reciprocating gait orthosis and functional electrical stimulation. Paraplegia, 30 (4): 239-4


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  • Effect of Reciprocating Gait Orthosis on Standing Balance in Children with Spastic Diaplegic Cerebral Palsy

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Authors

Reda S. Sarhan
Applied Medical Sciences, King Abdul-Aziz University, Saudi Arabia
Enas Elsayed
Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt
Fatma A. Hegazy
Department of Physiotherapy, College of Health Sciences, University of Sharjah, United Arab Emirates
Abeer Elwishy
Department of Physical Therapy for Neuromuscular Disorders and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt

Abstract


Purpose: The aim of this study was to evaluate the effects of reciprocating gait orthosis (RGO) on standing balance in children with spastic diaplegic. Subjects: Twenty spastic diaplegic children were included (14 boys and 6 girls), with age ranged from five to seven years. Methods: Children were divided randomly into two equal groups; experimental and control groups. The experimental group was subjected to physiotherapy training program with the use of RGO while the control group received only the physiotherapy program. Patients from both groups had the treatment once a day, three times a week for ten weeks. The measurements of the confidence ellipse width, confidence ellipse height, confidence ellipse angle, confidence ellipse area, horizontal and vertical deviations of centre of gravity (COG) were performed before and after the treatment to assess standing balance with open and closed eyes by means of stabilometric platform. Results: There were significant improvements in some measured test parameters in children of the experimental group compared to those of the control group. Conclusion: Reciprocating gait orthosis was effective in improving standing balance in children with spastic diaplegic cerebral palsy.

Keywords


Cerebral Palsy, Spastic Diaplegia, Reciprocating Gait Orthosis, Standing Balance

References