Impact of video vector analysis of ankle foot orthoses in children with physical disability: A 10-year clinical review.
Gait Posture
; 113: 173-177, 2024 Jun 19.
Article
em En
| MEDLINE
| ID: mdl-38905852
ABSTRACT
BACKGROUND:
Ankle Foot Orthoses (AFOs) are frequently prescribed to manage gait impairments in children with physical disability, and it is important that AFOs are prescribed and fitted appropriately to maximize potential benefits. AFO tuning, manipulation of the AFO footwear combination (AFO-FC) by means of video vector analysis, is routinely used to optimize AFO use. However, the incidence or types of changes that are implemented after this type of orthotic review are unknown. RESEARCH QUESTION To investigate the impact of a multi-disciplinary video vector clinic on AFO provision in children with physical disability.METHODS:
All children who attended a video vector clinic over a period of 10-years from the establishment of the clinic were included in the study. Outcomes of the clinic were grouped into 5 categories (1) No change to AFO-FC; (2) Altered/tuned AFO-FC; (3) Discontinued AFO-FC; (4) Recast AFO; (5) Change in prescription. Data were summarised narratively.RESULTS:
141 independently ambulant children were included. The diagnoses were bilateral cerebral palsy (39â¯%, n=55), unilateral cerebral palsy (38â¯%, n=54), spina bifida (9â¯%, n=13), hereditary spastic paraparesis (2â¯%, n=3) and other (11â¯%, n=16). No changes were made in 52â¯% of cases (n=74), tuning in 22â¯% of cases (n=31), the AFO was recast in 13â¯% of cases (n=19) and discontinued in 10â¯% of cases (n=14). A prescription change was recommended in 3â¯% of cases (n=4).SIGNIFICANCE:
Our findings suggest that the video vector clinic is a time efficient and effective means of assessing gait function in children with AFOs. Without assessment at the clinic, most of the children assessed would likely have been referred for a full and more time consuming 3-dimensional gait analysis. Video vector analysis at the initial AFO fitting may improve alignment and possibly reduce non-compliance at an earlier stage.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Gait Posture
Assunto da revista:
ORTOPEDIA
Ano de publicação:
2024
Tipo de documento:
Article