Introduction: Cerebral palsy is the most common physical disability in childhood. It is a disorder resulting from sensory and motor impairments due to perinatal brain injury with lifetime consequences that range from poor adaptive and social function to communication and emotional disturbances, Infants with cerebral palsy have fundamental disadvantage in recovering motor function; they do not receive accurate sensory feedback from their movement. Objective: To study the effect of articulated anterior floor reaction orthosis on energy efficiency and stride characteristics in diplegic children with crouch gait Purpose: Purposes of this study include; 1. Articulated anterior floor reaction orthosis will result in significant improvement in energy efficiency in diplegic children with crouch gait 2. Articulated anterior floor reaction orthosis will significantly improve the stride characteristics in diplegic children with crouch gait. Design: Pretest-Post test control group experimental design. Setting: Indian spinal injuries center, vasnt kunj, New Delhi. Participants: A sample of convenience of 30 subjects took part in this study. Informed consent was taken from the parents/guardian of the subjects after the subjects were recruited. Subject who fulfilled the inclusion criteria and were ready to participate in the study. Intervention: The subjects were assisted for gross motor function, modified As worth scale. Following subject were asked to perform walking with the ankle foot orthosis and articulated anterior FRO. The whole procedure was single session, which lasted for approximately 60 minute. The following parameter noted were taken time on 15 meter walkway, cadence, stride length, step length, gait efficiency. Outcome Measure: Energy Expenditure and Gait Efficiency Result: The result of this study verifies stride characteristic and gait efficiency improved by articulated anterior floor reaction orthosis. All of the children who participate in the study had consistently and proportionally increase in step length, stride length, walking velocity and reduced energy expenditure. Conclusion: The improvement of stride characteristic and gait efficiency was clearly seen with the use of articulated anterior floor reaction orthosis in diplegic children with crouch gait. The stride characteristic in the term refers as step length, stride length increased but cadence is not increased significantly. While walking velocity and physiological cost index is significantly improved; so that improvement in gait efficiency. While walking with AFO showed no significant improvement in gait efficiency and stride characteristic
Cerebral palsy, Prenatal, Crouch gait, Gait parameter, Articulated anterior floor reaction orthosis, hinged floor reaction orthosis
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