Immediate effect of postural insoles on gait performance of children with cerebral palsy: Preliminary randomized controlled double-blind clinical trial

Hugo Pasini Neto, Luanda André Collange Grecco, Natália Almeida Carvalho Duarte, Thaluanna Calil Lourenço Christovão, Luis Vicente Franco de Oliveira, Arislander Jonathan Lopes Dumont, Manuela Galli, Claudia Santos Oliveira

Research output: Contribution to journalArticlepeer-review

Abstract

[Purpose] Improved gait efficiency is one of the goals of therapy for children with cerebral palsy (CP). Postural insoles can allow more efficient gait by improving biomechanical alignment. The aim of the present study was to assess the effect of postural insoles on gait performance of children with CP classified as levels I or II of the Gross Motor Function Classification System (GMFCS). [Subjects and Methods] the study was a randomized controlled double-blind clinical trial. After meeting the legal aspects and the eligibility criteria, 10 children between four and 12 years old were randomly divided into a two groups: a control group (n=5), and an experimental group (n=5). Children in the control group used a placebo insoles, and children in the experimental group used postural insoles. Evaluation consisted of three-dimensional gait analysis under three conditions: barefoot, shoes without insoles and shoes with postural insoles or shoes with placebo insoles. [Results] Regarding the immediate effects of insole use, significant improvements in gait velocity and cadence were observed in the experimental group in comparison to the control group. [Conclusion] The use of postural insoles led to improvements in gait velocity and cadence of the children with cerebral palsy classified as levels I or II of the GMFCS.

Original languageEnglish
Pages (from-to)1003-1007
Number of pages5
JournalJournal of Physical Therapy Science
Volume26
Issue number7
DOIs
Publication statusPublished - Jul 30 2014

Keywords

  • Cerebral palsy
  • Orthoses
  • Postural insole

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation

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