Effectiveness of Ankle Foot Orhoses on Spinal Posture and Balance in Cerebral Palsy
NCT Number: NCT06473363
Status: COMPLETED
Study Type: OBSERVATIONAL
Conditions: Cerebral Palsy|Balance|Posture Disorders in Children
Sponsor: Abant Izzet Baysal University
Sex: ALL
Age: CHILD, ADULT
Enrollment: 25
Study Design: Observational Model: |Time Perspective: p
Start Date: 2020-01-03
Completion Date: 2024-02-10
Locations: Bolu Abant Izzet Baysal University, Bolu, 14030, Turkey

Summary:
Background: Evidence on the effect of Ankle Foot Orthoses (AFO) on spinal posture which is very important for postural control, is insufficient.The aim of the study was to investigate the effect of AFO in spinal posture, balance and lower extremity functional skills in children with Cerebral Palsy (CP).

Methods: This study was conducted using a repeated-measures design. 25 children with CP aged 6-17 years were included. Children were classified according to the Gross Motor Function Classification System (GMFCS), Manual Skills Classification System (MACS) and Communication Function Classification System (CFCS). Spinal postures with Spinal Mouse (SM), balance and lower extremity functional skills were evaluated using the Pediatric Berg Balance Scale, Pediatric Functional Reach and Timed Up \& Go Test twice with AFO and barefoot.

Primary Outcome Measures: Spinal posture, Spinal posture and mobility were evaluated with the Spinal Mouse in the standing position, placing weight on both lower extremities, as symmetrically as possible. By following the spinous processes paravertebrally on the skin surface, the device was moved from C7 to the anima rami (S3) and the information about the thorax, lumbar and sacrum/hip angles transferred to the computer via bluetooth was recorded. Measurements in the sagittal plane, standing upright, maximum trunk flexion and maximum trunk extension position; The measurements in the frontal plane were performed in 3 different positions as standing, right trunk lateral flexion and left trunk lateral flexion., Measurements were made between the dates 07.01.2024-10.02.2024.The measurement of each individual took approximately 30 min
Secondary Outcome Measures: Balance, Pediatric Berg Balance Scale (PBBS): The scale consists of 14 sections and each section is scored between 0-4; the highest score that can be obtained from the scale is 56., Measurements were made between the dates 07.01.2024-10.02.2024.The measurement of each individual took approximately 15 min|Dynamic balance, Pediatric Functional Reach Test: It is a dynamic balance test in which the maximum distance that can be reached to the front and sides during standing upright posture is measured. The tape measure was placed on the wall at shoulder height in order to measure the distance reached, Measurements were made between the dates 07.01.2024-10.02.2024.The measurement of each individual took approximately 5 min|Functional mobility, Time up \& Go Test (TUG): The activities that make up the test assess the transition from sitting to standing, walking, turning and sitting again, which are necessary for functional mobility and dynamic balance. The time required for the child to get up from a standard chair with armrests, walk a distance of 3 metres, turn from a designated or marked place, return to the chair and sit down again was measured in seconds, Measurements were made between the dates 07.01.2024-10.02.2024.The measurement of each individual took approximately 5 min