[en] Cerebral Palsy (CP) is the neurological pathology that most frequently generates disability in the child population. About 70% of these patients present spasticity, which generates patterns in the lower extremities (LLEE) such as club feet or club feet. It is concluded that approximately 93% of the patients suffering from spastic PC present deformities of the foot and ankle. Recent studies have verified that, given this habitual pattern, an ankle-foot orthosis (AFO) can control movement, correct deformity and / or compensate for weakness. In addition, neuromuscular taping (NMT) has been in use for a number of years in pediatric rehabilitation. However, the scientific evidence on the effects of NMT is limited and more studies on them are suggested. OBJECTIVES: The main objective of this project is to evaluate the efficacy of neuromuscular taping as a complementary therapy to the use of AFO in boys and girls with spastic PC and equine foot deformity. MATERIAL AND METHODS: A randomized, simple blind and controlled clinical trial will be carried out at the ASPACE Coruña Foundation facilities, in the province of A Coruña, from March 2020 to July 2021. The sample will be made up of boys and girls with spastic diplegic CP between 4 and 11 years of age, who present with deformity of the equine foot. They will be randomly divided into two groups. An intervention group that will use an articulated AFO combined with a neuromuscular taping, compared to a control group that will use the same AFO combined with a placebo taping. The variables to be collected will be the functionality, the range of motion of the ankle joint, functional mobility, spasticity and health-related quality of life.

[gl] A Parálise Cerebral (PC) é a patoloxía neurolóxica que con maior frecuencia xera discapacidade na poboación infantil. Arredor do 70% destes pacientes presenta espasticidade, o que xera patróns nas extremidades inferiores (EEII) como os pés equinos ou equinovaros. Conclúese que aproximadamente o 93% dos pacientes que presentan PC espástica presentan deformidades de pé e nocello. Estudos recentes verificaron, que ante este patrón habitual, unha ortesis nocello-pé (AFO) pode controlar o movemento, correxir a deformidade e/ou compensar a debilidade. Ademáis, a vendaxe neuromuscular estase comezando a empregar, desde fai unhos anos, na rehabilitación pediátrica. Con todo, a evidencia científica sobre os efectos da VNM é limitada e suxírense máis estudos sobre eles. OBXECTIVOS: O obxectivo principal deste proxecto é avaliar a eficacia da vendaxe neuromuscular como terapia complementaria ao uso de AFOs en nenos e nenas con PC espástica e deformidade de pé equino. MATERIAL E MÉTODOS: Levarase a cabo un ensaio clínico aleatorizado, simple cego e controlado, nas instalación da Fundación ASPACE Coruña, da provincia de A Coruña, de marzo de 2020 a xullo de 2021. A mostra estará formada por nenos e nenas con PC dipléxica espástica de entre 4 a 11 anos de idade, que presenten deformidade de pé equino. Repartiranse aleatoriamente en dous grupos. Un grupo de intervención, que utilizará unha AFO articulada combinada cunha vendaxe neuromuscular, frente ao grupo control, que utilizará a mesma AFO combinada cunha vendaxe placebo. As variables a recoller serán a funcionalidade, o rango de movemento da articulación tibio peronea astragalina (ATPA), a movilidade funcional, a espasticidade e a calidade de vida relacionada ca saúde.