Efficacy of TheraTogs orthotic undergarment on modulation of spinal geometry in children with diplegic cerebral palsy

Background The use of TheraTogs orthotic undergarments has been suggested to improve the ability to stabilize the posture, to correct or prevent deformities, to improve functionality, and to enable the user a more appropriate functional pattern. The aim of this study was to investigate the efficacy...

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Bibliographic Details
Published in:Bulletin of Faculty of Physical Therapy (Online) 2021-12, Vol.26 (1), p.1-8, Article 29
Main Authors: El Kafy, Ehab Mohamed Abd, El-Shamy, Shamekh Mohamed
Format: Article
Language:English
Subjects:
Cerebral palsy
Children & youth
Diplegia
Geometry
Medicine
Medicine & Public Health
Original Research Article
Orthopedics
Orthotic undergarment
Physical therapy
Posture
Spasticity
Spinal geometry
TheraTogs
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Summary:Background The use of TheraTogs orthotic undergarments has been suggested to improve the ability to stabilize the posture, to correct or prevent deformities, to improve functionality, and to enable the user a more appropriate functional pattern. The aim of this study was to investigate the efficacy of TheraTogs orthotic undergarment on modulation of spinal geometry in children with diplegic cerebral palsy. Forty children with diplegic cerebral palsy, with ages ranging from 6 to 9 years, were selected for this randomized controlled study. They were randomly assigned to (1) an experimental group that received TheraTogs orthotic undergarment (12 h/day, 3 days/week) plus traditional physical therapy for 3 successive months and (2) a control group that received only traditional physical therapy program for the same time period. Spinal geometry was measured at baseline and after 3 months of intervention using the Formetric system. Results Children in both groups showed significant improvements in the spinal geometry ( P < 0.05), with significantly greater improvements in the experimental group than the control group. The post-treatment mean values of lateral deviation (mm), pelvic tilt (mm), trunk imbalance (mm), and surface rotation (mm) were 5.45, 6.35, 8.8, and 3.65 and 8, 8.9, 11.2, and 5.9 for the experimental and control group, respectively. Conclusions TheraTogs orthotic undergarment may be a useful tool for improving spinal geometry in children with diplegic cerebral palsy. Trial registration This study was registered in the ClinicalTrial.gov PRS ( NCT04271618 ).
ISSN:1110-6611
2536-9660
DOI:10.1186/s43161-021-00047-7