Status:

COMPLETED

Cerebral Palsy: Ankle Foot Orthoses - Footwear Combinations

Lead Sponsor:

Seattle Children's Hospital

Collaborating Sponsors:

Orthocare Innovations

Hanger Clinic: Prosthetics & Orthotics

Conditions:

Cerebral Palsy (CP)

Eligibility:

All Genders

4-9 years

Phase:

NA

Brief Summary

Ambulatory children with cerebral palsy (CP) demonstrate altered lower limb biomechanical alignment in walking (e.g. excessive hip/knee flexion or equinus during stance) and experience walking activit...

Detailed Description

The goal of this proposal is to assess the feasibility of using a randomized waitlist study to acquire pilot data on a targeted clinical cohort of children with CP evaluating the effectiveness of AFO-...

Eligibility Criteria

Inclusion

  • ambulatory children with spastic diplegia CP,
  • spasticity primary movement disorder
  • aged 4-9 years
  • Gross Motor Function Classification System (GMFCS) levels of II or III
  • clinically appropriate for a solid AFO based on physical exam/visual gait analysis criteria of:
  • insufficient gastrocnemius length to allow knee extension with ankle dorsiflexion of 10 degrees and an uncompromised foot arch;
  • low tone in the calf muscles with inability to control dorsiflexion during stance;
  • insufficient calf muscle strength to prevent excessive dorsiflexion in stance and create a 'quasi stiff" ankle in terminal stance that allows the heel to rise from the ground; and
  • insufficient triplanar boney stability of the foot during stance phase dorsiflexion

Exclusion

  • Participants who have undergone:
  • orthopedic or neurological surgery less than 6 months prior to enrollment or injection therapies (phenol, botulinum toxin) less than 3 months prior to enrollment will be excluded.

Key Trial Info

Start Date :

December 17 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

September 1 2021

Estimated Enrollment :

21 Patients enrolled

Trial Details

Trial ID

NCT03756571

Start Date

December 17 2018

End Date

September 1 2021

Last Update

October 14 2021

Active Locations (1)

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1

Seattle Children's Research Institute

Seattle, Washington, United States, 98101