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KMID : 1211620140090010001
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Journal of the Korean Society of Physical Medicine
2014 Volume.9 No. 1 p.1 ~ p.10
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The Effects of Treadmill Gait Training with Flexible Derotator of Femur Orthosis on Postural Alignment of Lower Extremities and Gait in Children with Cerebral Palsy: Single Group Rpeated Measure Design
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유현영:Yoo Hyun-Young
김선엽:Kim Suhn-Yeop/장현정:Jang Hyun-Jeong
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Abstract
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PURPOSE : The purpose of this study was to investigate the effects of flexible derotator of femur orthosis (FDO) during treadmill gait training on the quadriceps-angle (Q-angle), lateral pelvic tilt, gait speed, and number of steps in children with cerebral palsy.
METHODS : Seven children with cerebral palsy who had rotational deformity of the lower extremities participated in this study. We used single group repeated measure design. The procedure consisted of baseline phase, intervention phase, and post-intervention phase. The baseline phase consisted of stretching and strengthening exercise and treadmill gait training without FDO. The treatment phase not only included the same procedures as those for baseline, but also included FDO during treadmill gait training. Postural alignment of the lower extremities was assessed with the Q-angle, and lateral pelvic tilt using the Dartfish software program. A 10-ｍ walk test was used to evaluate gait speed and number of steps.
RESULTS : For postural alignment, there was significant differences after the application of FDO (p<.05). For gait ability, there was significant differences in all phases (p<.01).
CONCLUSION : These finding suggest that the application of FDO during treadmill gait training had a positive effect on the improvement of postural alignment and gait ability in children with cerebral palsy having rotational deformity.
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KEYWORD
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Orthotic device, Posture, Gait, Cerebral palsy
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