Analysis of the gait of children with cerebral palsy with and without using ankle and foot orthoses

Authors

  • Daiane Bridi Universidade de Caxias do Sul
  • Ingrid Corso Cavião Universidade de Caxias do Sul
  • Vinícius Mazzochi Schmitt Universidade de Caxias do Sul (UCS)
  • Raquel Saccani Universidade de Caxias do Sul
  • Leandro Viçosa Bonetti Universidade de Caxias do Sul (UCS)
  • Fernanda Cechetti Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA).
  • Patrícia Regina Righês P. Zatta Universidade de Caxias do Sul

DOI:

https://doi.org/10.15448/1980-6108.2018.2.29390

Keywords:

cerebral palsy, child, hemiparesis, orthosis, gait.

Abstract

AIMS: To analyze the linear parameters of the gait of children with spastic hemiparetic cerebral palsy, users of articulated ankle and foot orthoses.

METHODS: A three-dimensional analysis of the gait of eight children with spastic hemiparetic cerebral palsy, aged 5 to 10 years, classified in levels I and II of the Gross Motor Function Classification System, was made with and without the use of ankle and foot orthoses. A kinematic system with seven integrated cameras captured the three-dimensional trajectory of markers in the participants' body during gait, with data being collected at a sampling rate of 100 Hz. For the comparisons, the paired t-test and the t-test for a sample were used.

RESULTS: Considering the gait’s spatiotemporal variables of these children with cerebral palsy compared to normal values, only velocity (with the orthosis and without the orthoses) presented a statistically significant difference. The mean normal gait velocity is 1.25 m/s, while in the non-orthoses participants the mean velocity was 0.98±0.10 m/s (p=0.0001) and with the use of orthoses the mean velocity was 0.96±0.21 m/s (p=0.0001). In the comparison between children using or not the ankle and foot orthoses, velocity, cadence and pitch length were respectively 0.98±0.10 m/s, 131±16.15 steps/min and 0.44±0.08 m in the children without the orthoses; and 0.96±0.21 m/s, 128.37±22.9 steps/min and 0.48±0.05 m in the children with the orthoses. The differences were not statistically significant.

CONCLUSIONS: Comparison between the same group with and without the use of ankle and foot orthoses suggests that their use in children with cerebral palsy may promote an increase in step length and a decrease in velocity and cadence in relation to condition without orthosis, favouring a better distribution of weight in the paretic member and providing a better symmetry in gait. However, the differences were not statistically significant. Thus, it is expected that the results obtained in this study can serve as a pilot for future research, with larger samples.

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Author Biographies

Daiane Bridi, Universidade de Caxias do Sul

Graduada em Fisioterapia pela Universidade de Caxias do Sul (UCS).

Ciências da Vida

Ingrid Corso Cavião, Universidade de Caxias do Sul

Graduada em Fisioterapia pela Universidade de Caxias do Sul (UCS).

Ciências da Vida

Vinícius Mazzochi Schmitt, Universidade de Caxias do Sul (UCS)

Graduado em Fisioterapia pela Universidade de Caxias do Sul (UCS).

Ciências da Vida

Raquel Saccani, Universidade de Caxias do Sul

Fisioterapeuta, Docente da Universidade de Caxias do Sul (UCS); Pós-Doutoranda em Ciências do Movimento Humano pela Universidade Federal do Rio Grande do Sul (UFRGS).

Ciências da Vida

Leandro Viçosa Bonetti, Universidade de Caxias do Sul (UCS)

Fisioterapeuta, Docente da Universidade de Caxias do Sul (UCS); Doutor em Ciências Biológicas pela Universidade Federal do Rio Grande do Sul (UFRGS).

Ciências da Vida

Fernanda Cechetti, Universidade Federal de Ciências da Saúde de Porto Alegre (UFCSPA).

Fisioterapeuta, Docente da Universidade Federal de Ciências da Saúde de Porto Alegre; Doutora em Ciências Biológicas pela Universidade Federal do Rio Grande do Sul (UFRGS). 

Departamento de Fisioterapia

Patrícia Regina Righês P. Zatta, Universidade de Caxias do Sul

Fisioterapeuta, Docente da Universidade de Caxias do Sul (UCS); Mestre em Reabilitação e Inclusão pelo Centro Universitário Metodista do IPA.

Ciências da Vida

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Published

2018-06-11

How to Cite

Bridi, D., Cavião, I. C., Schmitt, V. M., Saccani, R., Bonetti, L. V., Cechetti, F., & Zatta, P. R. R. P. (2018). Analysis of the gait of children with cerebral palsy with and without using ankle and foot orthoses. Scientia Medica, 28(2), ID29390. https://doi.org/10.15448/1980-6108.2018.2.29390

Issue

Vol. 28 No. 2 (2018)

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Original Articles

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