Abstract

Background: Tone inhibiting AFO can be there by an effective, non-invasive method of controlling deformity and reducing hypertonus of contracture musculature. This study explores the hypothesis that by reducing the instinct deforming reflexes, deformity can be corrected as well gait can be improved.
 Methods: Prospective study conducted on all patients with cerebral palsy admitted to the dept. of PMR, SMS Medical College, Jaipur, who fulfill eligibility criteria and have given written informed consent, was included and evaluated.
 Results: In our study phase duration increased in every phase of TUG test. During sit to stand mean change in phase duration was 0.245 + 1.012 (p=0.505), during mid turn mean change in phase duration was 0.583 + 2.998(p=.279), during end turning mean change was 0.04 + 2.24 (p=0.925) and during stand to sit phase mean change was 0.103 + 0.862 (p=0.505).
 Conclusion: Our study showed improvement in distance covered by patients with TIAFO which is statistically non significant through Six Minute Walk Test which exhibits the improvement in energy efficient walking.
 Keywords: Cerebral palsy, TUG test, Six Minute Walk Test.

Highlights

  • Cerebral palsy (CP) describes a group of permanent disorders of the development of movement and posture, causing activity limitation, that are attributed to nonprogressive disturbances that occurred in the developing fetal or infant brain

  • In our study phase duration increased in every phase of TUG test

  • Our study showed improvement in distance covered by patients with TIAFO which is statistically non significant through Six Minute Walk Test which exhibits the improvement in energy efficient walking

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Summary

Introduction

Cerebral palsy (CP) describes a group of permanent disorders of the development of movement and posture, causing activity limitation, that are attributed to nonprogressive disturbances that occurred in the developing fetal or infant brain. The current standard of care for the motor disorders in CP consists of regular physical therapy, followed by multiple, and often concurrent, medical and surgical interventions, most intensively in early childhood through preadolescence. Materials and Methods: Study Area: Patient with cerebral palsy admitted in the department of Physical Medicine and Rehabilitation, SMS Hospital, Jaipur. Measurement of spatiotemporal parameters of gait without Tone Inhibiting AFO with waist wearing G-Sensor was done. Follow up: Patients were assessed after 6 weeks from baseline test with G-Sensor. During this period all children are allowed to walk with Tone Inhibiting AFO and received routine physiotherapy and standard care. Significant level for tests was determined as 95% (p

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Discussion
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Kolehmaien et al 2012:Epidemiology patterns and causes of CP
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