Pasin Neto Hugo, Grecco Luanda André Collange, Ferreira Luis Alfredo Braun, Duarte Natália Almeida Carvalho, Galli Manuela, Oliveira Claudia Santos
University Nove de Julho, São Paulo, SP, Brazil; University Sorocaba - UNISO and Brazilian College of Osteopathy - CBO, Brazil.
Center of Pediatric Neurosurgery - CENEPE-Rehabilitation, Avenue Dr. Veiga Filho, 350.Cj 604, 01229-001, São Paulo, SP, Brazil; NANI - Educação e Saúde na Infãncia e Adolescência, Unifesp, São Paulo, SP, Brazil.
J Bodyw Mov Ther. 2017 Oct;21(4):890-895. doi: 10.1016/j.jbmt.2017.03.005. Epub 2017 Mar 4.
The aim of the present study was to assess the effect of postural insoles on gait performance in children with Cerebral Palsy (CP). Twenty four children between four and 12 years of age were randomly allocated either the control group (n = 12) or experimental group (n = 12). The control group used placebo insoles and the experimental group used postural insoles. Three-dimensional gait analysis was performed under three conditions: barefoot, in shoes and in shoes with insoles. Three evaluations were carried out: 1)immediately following placement of the insoles; 2)after three months of insole use; and 3)one month after suspending insole use. Regarding the immediate effects and after three months use of insole, significant improvements in gait velocity and cadence were found in the experimental group, along with an increase in foot dorsiflexion, a reduction in knee flexion and a reduction in internal rotation. Conversely, these changes were not maintained in the third assessment, one month after withdrawal of the insoles. The use of postural insoles led to improvements in gait performance in children with CP.
本研究的目的是评估姿势鞋垫对脑瘫（CP）儿童步态表现的影响。24名4至12岁的儿童被随机分为对照组（n = 12）或实验组（n = 12）。对照组使用安慰剂鞋垫，实验组使用姿势鞋垫。在三种条件下进行三维步态分析：赤脚、穿鞋和穿有鞋垫的鞋。进行了三次评估：1）鞋垫放置后立即进行；2）使用鞋垫三个月后；3）停止使用鞋垫一个月后。关于鞋垫放置后立即产生的效果以及使用三个月后的效果，实验组在步态速度和步频方面有显著改善，同时足背屈增加，膝关节屈曲减少，内旋减少。相反，在第三次评估中，即停用鞋垫一个月后，这些变化并未持续。姿势鞋垫的使用改善了CP儿童的步态表现。
