Indications for orthoses to improve gait in children with cerebral palsy

Jon Davids, Ferris Rowan, Roy B. Davis

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Pages (from-to)178-188
Number of pages11
JournalJournal of the American Academy of Orthopaedic Surgeons
Volume15
Issue number3
StatePublished - Mar 2007
Externally publishedYes

Fingerprint

Orthotic Devices
Cerebral Palsy
Gait
Ankle
Foot
Physicians
Articular Range of Motion
Biomechanical Phenomena
Costs and Cost Analysis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Indications for orthoses to improve gait in children with cerebral palsy. / Davids, Jon; Rowan, Ferris; Davis, Roy B.

In: Journal of the American Academy of Orthopaedic Surgeons, Vol. 15, No. 3, 03.2007, p. 178-188.

Research output: Contribution to journalArticle

@article{2e28549f192c493e9feb09a321f625c5,
title = "Indications for orthoses to improve gait in children with cerebral palsy",
abstract = "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.",
author = "Jon Davids and Ferris Rowan and Davis, {Roy B.}",
year = "2007",
month = "3",
language = "English (US)",
volume = "15",
pages = "178--188",
journal = "Journal of the American Academy of Orthopaedic Surgeons",
issn = "1067-151X",
publisher = "American Association of Orthopaedic Surgeons",
number = "3",

}

TY - JOUR

T1 - Indications for orthoses to improve gait in children with cerebral palsy

AU - Davids, Jon

AU - Rowan, Ferris

AU - Davis, Roy B.

PY - 2007/3

Y1 - 2007/3

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=33947380037&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33947380037&partnerID=8YFLogxK

M3 - Article

C2 - 17341675

AN - SCOPUS:33947380037

VL - 15

SP - 178

EP - 188

JO - Journal of the American Academy of Orthopaedic Surgeons

JF - Journal of the American Academy of Orthopaedic Surgeons

SN - 1067-151X

IS - 3

ER -