PURPOSE:: The aim of this review was to compare the effects of rigid and articulated ankle-foot orthoses on gait in children with cerebral palsy (CP). METHOD:: A systematic review was carried out in 4 databases. The papers identified were evaluated on the basis of the following inclusion criteria: (1) design-controlled clinical trial; (2) population-children and adolescents with CP; (3) intervention-rigid or articulated ankle-foot orthoses; and (4) outcome-improved motor function and gait performance. RESULTS:: Seven controlled studies comparing the effects of different ankle-foot orthoses were found. Studies achieved PEDro scores of 3 and 4 for methodological quality. CONCLUSION:: There is evidence supporting the use of an articulated ankle-foot orthosis by children with CP, because of the improved function this type of orthosis provides. However, other studies point out the advantages of a rigid orthosis for children with greater impairment related to spasticity and contractures.
- cerebral palsy
- systematic review
ASJC Scopus subject areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Pediatrics, Perinatology, and Child Health