Abstract
ABSTRACTIntroductionThis study aimed to determine if supramalleolar orthosis (SMO) use improved activity level skill and participation levels in children with Down syndrome (DS) who have been walking for at least 1 year.MethodsTwenty children with DS (aged 2–10 years) wore no orthoses for 4 weeks followed by SMOs for 4 weeks. At the initial visit, using goal attainment scaling (GAS), families determined two participation goals and expected outcomes. After both the no-orthoses and orthoses phases, goal attainment, Gross Motor Function Measure-Scale E, single-limb stance time, and shuttle run time were measured.ResultsSMO use led to improvements in Gross Motor Function Measure-Scale E (P= 0.01) and GAS scores (P≥ 0.001), as well as a time by condition interaction for shuttle run time (P= 0.049).ConclusionsThe use of SMOs led to improvements in activity level outcomes in family-selected participation goals.
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