Effectiveness of Ankle Foot Orhoses on Spinal Posture and Balance in Cerebral Palsy

NCT06473363 | Completed

• 1 other identifier: BAIBU-SAT6
• Study Type: observational
• Target: 25
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Evidence on the effect of Ankle Foot Orthoses (AFO) on spinal posture which is very important for postural control, is insufficient.The aim of the study was to investigate the effect of AFO in spinal posture, balance and lower extremity functional skills in children with Cerebral Palsy (CP). Methods: This study was conducted using a repeated-measures design. 25 children with CP aged 6-17 years were included. Children were classified according to the Gross Motor Function Classification System (GMFCS), Manual Skills Classification System (MACS) and Communication Function Classification System (CFCS). Spinal postures with Spinal Mouse (SM), balance and lower extremity functional skills were evaluated using the Pediatric Berg Balance Scale, Pediatric Functional Reach and Timed Up \& Go Test twice with AFO and barefoot.

Conditions

Cerebral Palsy; Balance; Posture Disorders in Children

Keywords

Cerebral Palsy; Posture; Spinal mouse; Spine

Outcome Measures

Primary Outcomes (1)

• Spinal posture

  Spinal posture and mobility were evaluated with the Spinal Mouse in the standing position, placing weight on both lower extremities, as symmetrically as possible. By following the spinous processes paravertebrally on the skin surface, the device was moved from C7 to the anima rami (S3) and the information about the thorax, lumbar and sacrum/hip angles transferred to the computer via bluetooth was recorded. Measurements in the sagittal plane, standing upright, maximum trunk flexion and maximum trunk extension position; The measurements in the frontal plane were performed in 3 different positions as standing, right trunk lateral flexion and left trunk lateral flexion.

  Measurements were made between the dates 07.01.2024-10.02.2024.The measurement of each individual took approximately 30 min

Secondary Outcomes (3)

• Balance

  Measurements were made between the dates 07.01.2024-10.02.2024.The measurement of each individual took approximately 15 min

• Dynamic balance

  Measurements were made between the dates 07.01.2024-10.02.2024.The measurement of each individual took approximately 5 min

• Functional mobility

  Measurements were made between the dates 07.01.2024-10.02.2024.The measurement of each individual took approximately 5 min

Eligibility Criteria

• Age: 6 Years - 18 Years
• Sex: all
• Age Groups: Child (0-17), Adult (18-64)
• Sampling Method: Non-Probability Sample

Study Population

In this study, 25 Syrian children under temporary protection with spastic type CP were included.

You may qualify if:

• being diagnosed with spastic type CP between the ages of 6-18,
• GMFCS level I, II or III,
• using AFO for at least 3 months.

You may not qualify if:

• \) presence of rigid contracture in the trunk and lower extremities.

Sponsors & Collaborators

• Abant Izzet Baysal University: lead

Study Sites (1)

Bolu Abant Izzet Baysal University

Bolu, 14030, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: RETROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assist. prof.

Study Record Dates

• First Submitted: June 7, 2024
• First Posted: June 25, 2024
• Study Start: January 3, 2020
• Primary Completion: January 7, 2024
• Study Completion: February 10, 2024
• Last Updated: June 25, 2024

Record last verified: 2024-06

Locations

TU (1)