Effectiveness of foot wedge and carrying weighted bag on loading the paretic lower limb in children with hemiparetic cerebral palsy.

Abstract:

AIMS:To investigate the effect of foot wedge and carrying weighted bag on loading the paretic lower limb in children with hemiparetic CP. DESIGN:Cross-sectional study. PARTICIPANTS:A convenient sample of 18 ambulant children with spastic hemiparetic CP was evaluated. Fifteen matched normal children acted as a control group. METHODS:Using two calibrated scales, measurements of weight supported on each lower limb were obtained under four different standing conditions. RESULTS:During quiet standing, the percentage of weight supported on the paretic limb was 35.59% with symmetry index equals 0.57. Standing with the non-paretic foot is placed on a lateral foot wedge, was the best condition that increased the percentage of weight supported on the paretic limb to 47.18% and improved the symmetry index to 0.90. Non-significant improvement of symmetry index 0.61 was recorded when carrying a weighted bag with the paretic hand, but carrying with the non-paretic hand unnecessarily loads the non-paretic limb and further decreases the symmetry index to 0.49. CONCLUSIONS:Using a lateral foot wedge beneath the non-paretic foot and carrying a weighted bag with the paretic hand improve the loading function of the paretic limb and relief the non-paretic limb from overloading.

journal_name

NeuroRehabilitation

journal_title

NeuroRehabilitation

authors

Ibrahim AI,Alhusaini AA,Hegazy FA,Hawamdeh ZM

doi

10.3233/NRE-130878

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

563-71

issue

3

eissn

1053-8135

issn

1878-6448

pii

57R4482X63462842

journal_volume

32

pub_type

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