Deborah Ann George1, Lindsay Elchert. 1. Physical Therapy Program, The University of Findlay, Findlay, Ohio 44883, USA. george@findlay.edu
Abstract
BACKGROUND AND PURPOSE: Foot orthoses may lead to improved function when used to control faulty foot biomechanics. The purpose of this case report was to describe the influence of modified stabilizing foot splints (SFSs) on the function of a child with developmental delay. CASE DESCRIPTION: The participant was a 19-month-old girl with hypotonia and developmental delay due to hydrocephalus and congenital absence of the corpus callosum. INTERVENTION: Modified SFSs were created with the child's feet held in a subtalar neutral position. OUTCOMES: Five items from the Peabody Developmental Motor Scale II (rise to stand, standing, lowering, cruising, and stepping forward) were tracked over three weeks, under three conditions: with shoes and orthoses, shoes only, and barefoot. The ability to perform these items was improved when wearing shoes and orthoses. CONCLUSION: The outcomes indicate that future study of the modified SFS as an intervention is warranted.
BACKGROUND AND PURPOSE: Foot orthoses may lead to improved function when used to control faulty foot biomechanics. The purpose of this case report was to describe the influence of modified stabilizing foot splints (SFSs) on the function of a child with developmental delay. CASE DESCRIPTION: The participant was a 19-month-old girl with hypotonia and developmental delay due to hydrocephalus and congenital absence of the corpus callosum. INTERVENTION: Modified SFSs were created with the child's feet held in a subtalar neutral position. OUTCOMES: Five items from the Peabody Developmental Motor Scale II (rise to stand, standing, lowering, cruising, and stepping forward) were tracked over three weeks, under three conditions: with shoes and orthoses, shoes only, and barefoot. The ability to perform these items was improved when wearing shoes and orthoses. CONCLUSION: The outcomes indicate that future study of the modified SFS as an intervention is warranted.
Authors: Nicole A Stieber; Stephanie Gilmour; Angela Morra; Jacqueline Rainbow; Stacy Robitaille; Glen Van Arsdell; Brian W McCrindle; Barbara E Gibson; Patricia E Longmuir Journal: Pediatr Cardiol Date: 2011-11-25 Impact factor: 1.655