Effect of posture-control insoles on function in children with cerebral palsy: randomized controlled clinical trial

• Published in: BMC musculoskeletal disorders 2012-10, Vol.13 (1), p.193-193, Article 193
• Main Authors: Pasini Neto, Hugo, Grecco, Luanda André Collange, Christovão, Thaluanna Cl, Braun, Luiz Alfredo, Giannasi, Lilian Chrystiane, Salgado, Afonso Shiguemi Inoue, de Moura, Renata Calhes Franco, de Carvalho, Paulo de Tarso Camillo, Corrêa, João Cf, Sampaio, Luciana Mm, Galli, Manuela, Oliveira, Claudia Santos
• Format: Article
• Language: English
• Subjects: Analysis; Ankle; Ankle-foot orthosis; Cerebral palsy; Cerebral Palsy - physiopathology; Cerebral Palsy - therapy; Child; Child, Preschool; Children & youth; Clinical trials; Dimensional analysis; Electromyography; Female; Foot Orthoses - statistics & numerical data; Gait; Gait - physiology; Health aspects; Humans; Hypotheses; Male; Musculoskeletal diseases; Orthopedic equipment and supplies; Patient outcomes; Physical Therapy Modalities - instrumentation; Postural Balance - physiology; Posture; Posture-control insoles; Recovery of Function - physiology; Rehabilitation; Scholarships & fellowships; Stabilometry; Standard deviation; Study Protocol; Treatment Outcome
• ISSN: 1471-2474; 1471-2474
• DOI: 10.1186/1471-2474-13-193

Cerebral palsy (CP) is a posture and movement disorder and different therapeutic modalities, such as the use of braces, have sought to favor selective motor control and muscle coordination in such patients. The aim of the proposed study is to determine the effect of the combination of posture-control insoles and ankle-foot orthoses (AFOs) improving functional limitation in children with CP. The sample will be composed of 24 children with CP between four and 12 years of age. After the signing of the statement of informed consent, the children will be randomly allocated to two groups: a control group using AFOs alone and an experimental group using both posture-control insoles and AFOs. Evaluations will be performed on five occasions: without any accessory (insoles or AFOs), immediately after, one month after, six months after and one year after AFOs or insole and AFOs use. The evaluation will involve the analysis of gait, static and functional balance, mobility and hypertonia. The three-dimensional assessment of gait will involve the eight-camera SMART-D SMART-D 140® system (BTS Engineering), two Kistler force plates (model 9286BA) and an eight-channel, wireless FREEEMG® electromyography (BTS Engineering). Static balance will be assessed using a Kistler force plate (model 9286BA). Clinical functional balance and mobility will be assessed using the Berg Balance Scale, Timed Up-and-Go Test and Six-Minute Walk Test. The posture-control insoles will be made of ethylene vinyl acetate, with thermal molding for fixation. The fixed orthoses will be made of polypropylene and attached to the ankle region (AFO). The results will be analyzed statistically, with the level significance set to 5% (p < 0.05). RBR6d342s (http://www.ensaiosclinicos.gov.br/news/).