Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2012 Oct 4:13:193.
doi: 10.1186/1471-2474-13-193.

Effect of posture-control insoles on function in children with cerebral palsy: randomized controlled clinical trial

Hugo Pasini Neto  1 , Luanda André Collange Grecco, Thaluanna Cl Christovão, Luiz Alfredo Braun, Lilian Chrystiane Giannasi, Afonso Shiguemi Inoue Salgado, Renata Calhes Franco de Moura, Paulo de Tarso Camillo de Carvalho, João Cf Corrêa, Luciana Mm Sampaio, Manuela Galli, Claudia Santos Oliveira
Affiliations
Randomized Controlled Trial

Effect of posture-control insoles on function in children with cerebral palsy: randomized controlled clinical trial

Hugo Pasini Neto et al. BMC Musculoskelet Disord. .

Abstract

Introduction: Cerebral palsy (CP) is a posture and movement disorder and different therapeutic modalities, such as the use of braces, have sought to favor selective motor control and muscle coordination in such patients. The aim of the proposed study is to determine the effect of the combination of posture-control insoles and ankle-foot orthoses (AFOs) improving functional limitation in children with CP.

Methods/design: The sample will be composed of 24 children with CP between four and 12 years of age. After the signing of the statement of informed consent, the children will be randomly allocated to two groups: a control group using AFOs alone and an experimental group using both posture-control insoles and AFOs. Evaluations will be performed on five occasions: without any accessory (insoles or AFOs), immediately after, one month after, six months after and one year after AFOs or insole and AFOs use. The evaluation will involve the analysis of gait, static and functional balance, mobility and hypertonia. The three-dimensional assessment of gait will involve the eight-camera SMART-D SMART-D 140® system (BTS Engineering), two Kistler force plates (model 9286BA) and an eight-channel, wireless FREEEMG® electromyography (BTS Engineering). Static balance will be assessed using a Kistler force plate (model 9286BA). Clinical functional balance and mobility will be assessed using the Berg Balance Scale, Timed Up-and-Go Test and Six-Minute Walk Test. The posture-control insoles will be made of ethylene vinyl acetate, with thermal molding for fixation. The fixed orthoses will be made of polypropylene and attached to the ankle region (AFO). The results will be analyzed statistically, with the level significance set to 5% (p < 0.05).

Trial registration number: RBR6d342s (http://www.ensaiosclinicos.gov.br/news/).

PubMed Disclaimer

Figures

Figure 1
Figure 1
Representation of podal piece to be used in making of the posture-control insoles.
Figure 2
Figure 2
Representation of insoles after thermal molding; A – Front view; B- Side view, showing three portions.
Figure 3
Figure 3
Flowchart of project.
See this image and copyright information in PMC

References

    1. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D. et al. A report: the definition and classification of cerebral palsy. Dev Med Child Neurol Suppl. 2007;109:8–14. - PubMed
    1. Bonono LMM, Castro VC, Ferreira DM, Miyamoto ST. Hydrotherapy in the acquisition of the functionality of children with Cerebral Palsy. Rev Neurocienc. 2007;15(2):125–130.
    1. Vasconcelos RLM, Moura TL, Campos TF, Lindquist ARR, Guerra RO. Avaliação do desempenho funcional de crianças com paralisia cerebral de acordo com níveis do comprometimento motor. Rev Bras Fisioter. 2009;13(5):390–397. doi: 10.1590/S1413-35552009005000051. - DOI
    1. Manoel EJ, Oliveira JA. Motor developmental status and task constraint in overarm throwing. J Hum Mov Stud. 2000;39:359–78.
    1. Schwartzman JS. Paralisia cerebral. Arquivos Brasileiros de Paralisia Cerebral. 2004;1(1):4–17.

Publication types