Upper body movements in children with hemiplegic cerebral palsy walking with and without an ankle–foot orthosis

2014 ◽  
Vol 29 (4) ◽  
pp. 387-394 ◽  
Author(s):  
Katrin Schweizer ◽  
Reinald Brunner ◽  
Jacqueline Romkes
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E. Di Stanislao ◽  
A. Pisano ◽  
...  

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Bi˙rol Balaban ◽  
Evren Yasar ◽  
Ugur Dal ◽  
Kami˙l Yazi˙ci˙oglu ◽  
Haydar Mohur ◽  
...  

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Wietske Peeters ◽  
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Sara Molenaar ◽  
Iris Bakels ◽  
...  

Clinics ◽  
2007 ◽  
Vol 62 (1) ◽  
Author(s):  
Paulo Roberto Garcia Lucareli ◽  
Mário de Oliveira Lima ◽  
Juliane Gomes de Almeida Lucarelli ◽  
Fernanda Púpio Silva Lima

2014 ◽  
Vol 30 (6) ◽  
pp. 728-731 ◽  
Author(s):  
Yvette L. Kerkum ◽  
Merel-Anne Brehm ◽  
Annemieke I. Buizer ◽  
Josien C. van den Noort ◽  
Jules G. Becher ◽  
...  

A rigid ventral shelf ankle foot orthosis (AFO) may improve gait in children with spastic cerebral palsy (SCP) whose gait is characterized by excessive knee flexion in stance. However, these AFOs can also impede ankle range of motion (ROM) and thereby inhibit push-off power. A more spring-like AFO can enhance push-off and may potentially reduce walking energy cost. The recent development of an adjustable spring-hinged AFO now allows adjustment of AFO stiffness, enabling tuning toward optimal gait performance. This study aims to quantify the mechanical properties of this spring-hinged AFO for each of its springs and settings. Using an AFO stiffness tester, two AFO hinges and their accompanying springs were measured. The springs showed a stiffness range of 0.01−1.82 N·m·deg−1. The moment-threshold increased with increasing stiffness (1.13–12.1 N·m), while ROM decreased (4.91–16.5°). Energy was returned by all springs (11.5–116.3 J). These results suggest that the two stiffest available springs should improve joint kinematics and enhance push-off in children with SCP walking with excessive knee flexion.


Author(s):  
Mariana Ribeiro Volpini Lana ◽  
Joana Pimenta Maia ◽  
Anderson Antônio Horta ◽  
Sérgio Teixeira da Fonseca ◽  
Marcella Guimarães Assis

Author(s):  
Ehsan Tarkesh ◽  
Mohammad H. Elahinia ◽  
Mohamed Samir Hefzy

This paper is on development of an active ankle foot orthosis (AAFO). This device will fill the gap in the existing research aimed at helping patients with drop foot muscle deficiencies as well as rehabilitation activities. Drop foot patients are unable to lift their foot because of reduced or no muscle activity around the ankle. The major causes of drop foot are severing of the nerve, stroke, cerebral palsy and multiple sclerosis. There are two common complications from drop foot. First, the patient cannot control the falling of their foot after heel strike, so that it slaps the ground on every step. The second complication is the inability to clear the toe during swing. This causes the patients to drag their toe on the ground throughout the swing.


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