We studied the effect of a dynamic ankle-foot orthosis (d-AFO) on gait in 12 hemiplegic cerebral palsy patients. Sagittal plane kinematic and kinetic data of walking with the d-AFO were compared with walking barefoot, walking in a hinged ankle-foot orthosis (h-AFO) with a plantarflexion block and normal values. All patients had excessive plantarflexion and initial toe contact when walking barefoot. The d-AFO did not improve gait significantly whereas the h-AFO did. The benefits of controlling plantarflexion by a longer lever arm fror the h-AFO to the proximal calf included a heel-toe gait pattern, reduced plantarflexion, increased step and stride length and reduced power absorption.
%0 Journal Article
%1 Romkes2002
%A Romkes, Jacqueline
%A Brunner, Reinald
%D 2002
%J Gait Posture
%K Ankle; Biomechanics; Cerebral Palsy; Equipment Design; Foot; Gait; Hemiplegia; Humans; Orthotic Devices; Video Recording
%N 1
%P 18--24
%T Comparison of a dynamic and a hinged ankle-foot orthosis by gait analysis in patients with hemiplegic cerebral palsy.
%V 15
%X We studied the effect of a dynamic ankle-foot orthosis (d-AFO) on gait in 12 hemiplegic cerebral palsy patients. Sagittal plane kinematic and kinetic data of walking with the d-AFO were compared with walking barefoot, walking in a hinged ankle-foot orthosis (h-AFO) with a plantarflexion block and normal values. All patients had excessive plantarflexion and initial toe contact when walking barefoot. The d-AFO did not improve gait significantly whereas the h-AFO did. The benefits of controlling plantarflexion by a longer lever arm fror the h-AFO to the proximal calf included a heel-toe gait pattern, reduced plantarflexion, increased step and stride length and reduced power absorption.
@article{Romkes2002,
abstract = {We studied the effect of a dynamic ankle-foot orthosis (d-AFO) on gait in 12 hemiplegic cerebral palsy patients. Sagittal plane kinematic and kinetic data of walking with the d-AFO were compared with walking barefoot, walking in a hinged ankle-foot orthosis (h-AFO) with a plantarflexion block and normal values. All patients had excessive plantarflexion and initial toe contact when walking barefoot. The d-AFO did not improve gait significantly whereas the h-AFO did. The benefits of controlling plantarflexion by a longer lever arm fror the h-AFO to the proximal calf included a heel-toe gait pattern, reduced plantarflexion, increased step and stride length and reduced power absorption.},
added-at = {2014-07-19T21:10:03.000+0200},
author = {Romkes, Jacqueline and Brunner, Reinald},
biburl = {https://www.bibsonomy.org/bibtex/218ccb12a06965950fddd7b9b6fa36531/ar0berts},
groups = {public},
interhash = {f6fadc22c102a208b4ae6887dc5770d2},
intrahash = {18ccb12a06965950fddd7b9b6fa36531},
journal = {Gait Posture},
keywords = {Ankle; Biomechanics; Cerebral Palsy; Equipment Design; Foot; Gait; Hemiplegia; Humans; Orthotic Devices; Video Recording},
month = Feb,
number = 1,
pages = {18--24},
pii = {S0966636201001783},
pmid = {11809577},
timestamp = {2014-07-19T21:10:03.000+0200},
title = {Comparison of a dynamic and a hinged ankle-foot orthosis by gait analysis in patients with hemiplegic cerebral palsy.},
username = {ar0berts},
volume = 15,
year = 2002
}