| Indications for orthoses to improve gait in children with cerebral palsy. | |
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MedLine Citation:
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PMID: 17341675 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Orthoses are frequently used to improve the gait of children with cerebral palsy. Optimal clinical decision-making for improving gait through orthotic management requires an understanding of the biomechanics of the foot and ankle during normal gait, the pathophysiology and pathomechanics of gait disruption in children with cerebral palsy, and the biomechanical characteristics of various orthoses. The clinician must seek to integrate his or her own goals with those of the child and family, the therapist, and the orthotist. Design, indications, and cost should be considered when choosing an orthosis. The physician can construct a paradigm for clinical decision-making, focusing on the evaluation of ankle/foot alignment, range of motion, and assessment of dynamic gait deviations. This paradigm will guide the clinician in the use of orthoses to improve gait in children with cerebral palsy. For optimal orthotic management, the physician must clearly identify the gait deviation and functional deficits to be addressed with the orthosis. The outcome of the orthotic intervention should be documented as objectively as possible. |
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Authors:
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Jon R Davids; Ferris Rowan; Roy B Davis |
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Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: The Journal of the American Academy of Orthopaedic Surgeons Volume: 15 ISSN: 1067-151X ISO Abbreviation: J Am Acad Orthop Surg Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2007-03-07 Completed Date: 2007-07-23 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9417468 Medline TA: J Am Acad Orthop Surg Country: United States |
Other Details:
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Languages: eng Pagination: 178-88 Citation Subset: IM |
Affiliation:
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Shriners Hospital for Children, Greenville, SC 29605, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Ankle Joint
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physiopathology Cerebral Palsy / physiopathology, rehabilitation* Child Equipment Design Foot / physiopathology Gait* Humans Orthotic Devices* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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