Foot pressure distribution in children with cerebral palsy while standing

Manuela Galli, Veronica Cimolin, Massimiliano Pau, Bruno Leban, Reinald Brunner, Giorgio Albertini

Research output: Contribution to journalArticle

Abstract

Foot deformity is a major component of impaired functioning in cerebral palsy (CP). While gait and balance issues related to CP have been studied extensively, there is little information to date on foot-ground interaction (i.e. contact area and plantar pressure distribution).This study aimed to characterize quantitatively the foot-ground contact parameters during static upright standing in hemiplegia and diplegia.We studied 64 children with hemiplegia (mean age 8.2 years; SD 2.8 years) and 43 with diplegia (mean age 8.8 years; SD 2.3 years) while standing on both legs statically on a pressure sensitive mat. We calculated pressure data for the whole foot and sub-regions (i.e. rearfoot, midfoot and forefoot) and average contact pressure. The Arch Index (AI) served for classifying the feet as flat, normal or cavus feet. The data were compared with those from a sample of age- and gender-matched participants (control group, 68 children). Most of the feet showed very high AI values, thus indicating a flat foot. This deformity was more common in diplegia (74.4%) than in hemiplegia (54.7%). In both diplegic and hemiplegic children, average plantar pressure was significantly increased in the forefoot and midfoot and decreased in the rearfoot (p

Original languageEnglish
Pages (from-to)52-57
Number of pages6
JournalResearch in Developmental Disabilities
Volume41-42
DOIs
Publication statusPublished - Jun 1 2015

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Keywords

  • Arch Index plantar pressure
  • Cerebral palsy
  • Foot
  • Posture
  • Rehabilitation
  • Standing

ASJC Scopus subject areas

  • Clinical Psychology
  • Developmental and Educational Psychology

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