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  • Title: The efficacy of tone-reducing features in orthotics on the gait of children with spastic diplegic cerebral palsy.
    Author: Crenshaw S, Herzog R, Castagno P, Richards J, Miller F, Michaloski G, Moran E.
    Journal: J Pediatr Orthop; 2000; 20(2):210-6. PubMed ID: 10739284.
    Abstract:
    This study analyzed the effects of tone-reducing features in ankle-foot orthotics (AFOs) on the gait of eight children (ages 4-11 years) with spastic diplegic cerebral palsy. A standard gait analysis was performed on each subject in each of three trial orthotics and in a baseline shoes-only condition. A 4-week accommodation period was allotted for each of the three devices: a standard hinged AFO, an AFO with tone-reducing features, and a supramalleolar orthotic with tone-reducing features. Most significant differences were at the ankle, between free-ankle and plantar flexion-limiting conditions. No significant functional changes in gait were evident with the addition of tone-reducing properties to a standard articulating AFO.
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