Efficiency of flexible derotator in walking cerebral palsy children

Details

Serval ID
serval:BIB_2D78A846FE1E
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Efficiency of flexible derotator in walking cerebral palsy children
Journal
Annals of Physical and Rehabilitation Medicine
Author(s)
Marcucci A., Edouard P., Loustalet E., d'Anjou M.-C., Gautheron V., Degache F.
ISSN
1877-0657
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
54
Number
6
Pages
337-347
Language
english
Notes
Étude de l'efficacité du dérotateur souple chez l'enfant paralysé cérébral marchant
Abstract
Introduction
The flexible derotator is one of the therapeutic resources used to combat primary and secondary abnormalities in walking cerebral palsy children. It was developed to reduce abnormal femoral and tibial torsions and lessen the latter's negative functional impact.
Objective
To determine the effect of wearing a flexible derotator on anatomic and functional parameters in walking cerebral palsy children.
Methods
We performed a retrospective study of walking cerebral palsy children by gathering data on bone-related parameters (femoral and tibial torsion) and functional parameters (distance and speed gait, and the energy expenditure index (EEI)). Fifteen walking cerebral palsy children were treated with the flexible derotator for one year and 15 untreated walking cerebral palsy children were included as controls. The two groups were compared in terms of the various parameters' change over time between the initial examination (the last examination prior to the start of the study or prior to use of the flexible derotator) and the final examination (after one year of follow-up).
Results
Right femoral anteversion and right and left external tibial torsion improved. There was a significant increase in distance and speed gait and a decrease in the EEI in walking cerebral palsy children.
Conclusion
Our retrospective study revealed a significant improvement in functional parameters in children with cerebral palsy, as a result of wearing the flexible derotator for at least 6 hours a day for a year. Bone parameters only improved slightly. Use of the flexible derotator could improve these children's quality of life.
Keywords
Cerebral palsy, Flexible derotator, Bone torsion, Orthosis, Gait, Paralysie cérébrale, Dérotateur souple, Torsion osseuse, Appareillage, Marche
Open Access
Yes
Create date
20/02/2012 13:11
Last modification date
20/08/2019 13:12
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