Abstract
Background and purposeMaintaining balance is a necessary requirement for most human actions. Most cerebral palsy children, who constitute a large portion in our country, continue to evidence deficits in balance, co-ordination, and gait throughout childhood. So, the purpose of this study was to determine the combined effects of treadmill and dynamic ankle foot orthosis on balance in spastic hemiplegic children. Subjects and methodsThirty spastic hemiplegic children from both sexes ranging in age from 7 to 11years represented the sample of the study. The degree of spasticity ranged from 1 to 1+ according to the Modified Ashworth Scale. They were assigned randomly into two groups of equal number (A and B). Each child in the two groups was evaluated before and after 3months of treatment for detecting the level of lower limb performance using the Peabody Developmental Test of Motor Proficiency and Stability indices using Biodex instrument system.Both groups received a designed physical therapy program for treatment of hemiplegic cerebral palsy children for 60min, in addition group B received treadmill training with dynamic ankle foot orthoses for 30min. ResultsSignificant improvements were observed in all measuring variables when comparing the pre and post-in the same group. Comparing the post-treatment variables, significant difference is revealed in favor of the group (B). ConclusionThe obtained results strongly support the combined effect of dynamic AFO with treadmill training as an additional procedure to the treatment program of hemiplegic cerebral palsy children.
Highlights
Cerebral palsy (CP) is a group of permanent disorders of the development of movement and posture, which are attributed to non progressive disturbances that occurred in the developing fetal or infant brain [1]
The obtained results strongly support the combined effect of dynamic Ankle–foot orthoses (AFOs) with treadmill training as an additional procedure to the treatment program of hemiplegic cerebral palsy children
Difficulties in determining individual causes of balance impairment and disability are related to decreased muscle strength, range of movement, motor coordination, sensory organization, cognition, multisensory integration and abnormal muscle tone [8].Treadmill training was used for children with cerebral palsy to help them to improve balance and build strength of their lower limbs so they could walk earlier and more efficiently than those children who did not receive treadmill training [9]
Summary
Cerebral palsy (CP) is a group of permanent disorders of the development of movement and posture, which are attributed to non progressive disturbances that occurred in the developing fetal or infant brain [1]. Difficulties in determining individual causes of balance impairment and disability are related to decreased muscle strength, range of movement, motor coordination, sensory organization, cognition, multisensory integration and abnormal muscle tone [8].Treadmill training was used for children with cerebral palsy to help them to improve balance and build strength of their lower limbs so they could walk earlier and more efficiently than those children who did not receive treadmill training [9]. The present study aims to evaluate the effect of the dynamic ankle–foot orthosis on standing balance of the spastic hemiplegic child. The purpose of this study was to determine the combined effects of treadmill and dynamic ankle foot orthosis on balance in spastic hemiplegic children
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