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KMID : 0357220100220010047
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Journal of Korean Society Physical Therapy
2010 Volume.22 No. 1 p.47 ~ p.51
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The Effect of Toe Spreader on Characteristics of Dynamic Foot Pressure in Children With Spastic Cerebral Palsy
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Shin Hwa-Kyung
Tae Ki-Sik
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Abstract
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Purpose: The purpose of this study was to determine whether there are any differences, with and without a toe spreader (TS), in dynamic foot pressure distribution in children with spastic diplegic cerebral palsy.
Methods: Dynamic foot pressure recording using the RSscan system were obtained during walking in 12 participants (male=7, female=5) with and without TS. Mean force was measured for four different plantar regions; great toe, forefoot, midfoot, hindfoot. Displacement of center of pressure (COP), velocity of COP displacement and stance time were also measured during gait.
Results: TS walking exhibited statistically significant decrease of mean force under great toe and forefoot (p<0.05), compared with a barefoot walking. Also, TS walking exhibited statistically significant increase of antero-posterior displacement of COP (p>0.05).
Conclusion: These findings indicate the potential clinical utility of toe spreader to correct dynamic foot pressure during stance phase in children with spastic diplegic cerebral palsy.
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KEYWORD
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Cerebral palsy, Dynamic foot pressure, Gait
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