Principles of Ankle-Foot Orthosis Prescription in Ambulatory Bilateral Cerebral Palsy - 22/11/19

Doi : 10.1016/j.pmr.2019.09.007

Ed Wright, MD ^a,^⁎ , Sally A. DiBello, MPO, CPO ^b,^c
^a Texas Children’s Hospital, 6701 Fannin Street, Suite 1280, Houston, TX 77030, USA
^b Baylor College of Medicine School of Health Professions, One Baylor Plaza, MS: BCM115, Houston, TX 77030, USA
^c Hanger Clinic, Houston, TX, USA

^∗Corresponding author.

Résumé

Maintenance of upright posture and gait mobility is frequently a goal in supporting children with cerebral palsy (CP). Ankle-foot orthoses (AFOs) can play an important role in normalizing gait function in this population. Properly designed orthotic interventions consider common ankle and foot deformities, range-of-motion limitations, and natural history of CP. Successful AFO prescription often requires interaction with complementary interventions such as physical therapy, spasticity management, and/or orthopedic management. Recognizing the impact of plantar flexion contractures and the effects of footwear on AFO alignment is key to effective orthotic management of gait dysfunction in children with CP.

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Keywords : Cerebral palsy, Ankle-foot orthoses, Gait, AFO prescription