Effect of Orthotic Gait Training with Isocentric Reciprocating Gait Orthosis on Walking in Children with Myelomeningocele
Overview
Rehabilitation Medicine
Authors
Affiliations
Mechanical orthoses are used to assist in standing and walking after neurological injury in children with myelomeningocele (MMC). : To evaluate the influence of orthotic gait training with an isocentric reciprocating gait orthosis (IRGO) on the kinematics and temporal-spatial parameters of walking in children with MMC. Five children with MMC were fitted with an IRGO. They walked at their own comfortable cadence using the orthosis. The hip joint angle, spatial temporal parameters, and compensatory motions were measured and analyzed. : Significant increases in walking speed and step length were demonstrated following orthotic gait training during walking with the IRGO. The sagittal plane hip range of motion was also significantly increased; however, the vertical and horizontal compensatory motions were significantly decreased. : This study evaluated the influence of gait training with an IRGO on the kinematics and temporal spatial parameters in MMC children. The findings showed that orthotic gait training improved hip joint range of motion, increased walking speed and step length, and decreased lateral and vertical compensatory motions during level-ground walking trials.
Gait Variability at Different Walking Speeds.
Padulo J, Rampichini S, Borrelli M, Buono D, Doria C, Esposito F J Funct Morphol Kinesiol. 2023; 8(4).
PMID: 37987494 PMC: 10660777. DOI: 10.3390/jfmk8040158.
Effect of Gait Training Program with Mechanical Exoskeleton on Body Composition of Paraplegics.
Choi H, Kim G, Chai J, Ko C J Multidiscip Healthc. 2020; 13:1879-1886.
PMID: 33299324 PMC: 7721297. DOI: 10.2147/JMDH.S285682.