Orthotic management of cerebral palsy: recommendations from a consensus conference

C. Morris, R. Bowers, Karyn Ross, P. Stevens, D. Phillips

Research output: Contribution to journalArticle

38 Citations (Scopus)

Abstract

An international multidisciplinary group of healthcare professionals and researchers participated in a consensus conference on the management of cerebral palsy, convened by the International Society for Prosthetics and Orthotics. Participants reviewed the evidence and considered contemporary thinking on a range of treatment options including physical and occupational therapy, and medical, surgical and orthotic interventions. The quality of many of the reviewed papers was compromised by inadequate reporting and lack of transparency, in particular regarding the types of patients and the design of the interventions being evaluated. Substantial evidence suggests that ankle-foot orthoses (AFOs) that control the foot and ankle in stance and swing phases can improve gait efficiency in ambulant children (GMFCS levels I-III). By contrast, little high quality evidence exists to support the use of orthoses for the hip, spine or upper limb. Where the evidence for orthosis use was not compelling consensus was reached on recommendations for orthotic intervention. Subsequent group discussions identified recommendations for future research. The evidence to support using orthoses is generally limited by the brevity of follow-up periods in research studies; hence the extent to which orthoses may prevent deformities developing over time remains unclear. The full report of the conference can be accessed free of charge at www.ispoint.org.
LanguageEnglish
Pages37-46
Number of pages10
JournalNeuroRehabilitation
Volume28
Issue number1
DOIs
Publication statusPublished - 2011

Fingerprint

Orthotic Devices
Cerebral Palsy
Ankle
Foot Orthoses
Occupational Therapy
Gait
Upper Extremity
Hip
Foot
Spine
Research Personnel
Delivery of Health Care
Research
Therapeutics

Keywords

  • neuromuscular electrical stimulation
  • consensus
  • evidence-based
  • ankle-foot orthoses
  • orthoses
  • selective dorsal rhizotomy
  • orthotic
  • gross motor function
  • cerebral palsy
  • soft boston orthosis
  • intrathecal baclofen pump

Cite this

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Orthotic management of cerebral palsy : recommendations from a consensus conference. / Morris, C.; Bowers, R.; Ross, Karyn; Stevens, P.; Phillips, D.

In: NeuroRehabilitation, Vol. 28, No. 1, 2011, p. 37-46.

Research output: Contribution to journalArticle

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