Evaluation of Short-Term Intensive Orthotic Garment Use in Children Who Have Cerebral Palsy

Flanagan, Ann PT, PCS; Krzak, Joseph PT, PCS; Peer, Mary MSPT, PCS; Johnson, Patricia MOT, PT, PCS; Urban, Michelle PT, MHS

Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e3181a347ab
Research Report
Abstract

Purpose: To evaluate the effectiveness of an orthotic undergarment on gait, balance, and life skills of children who have diplegic cerebral palsy (CP).

Methods: Five subjects (ages 7–13 years) with CP at Gross Motor Function Classification Scale level I wore a TheraTog™ undergarment for 12 weeks. Data collection included Vicon® Motion Analysis, Bruininks-Oseretsky Test of Motor Proficiency, and Canadian Occupational Performance Measure at baseline; in and out of the garment after 12 weeks of wear; 2 months and 4 months after garment wear.

Results: Kinematic data indicated increased peak hip extension and correction of anterior pelvic tilt in stance during wear time. Composite gross motor scores on the Bruininks-Oseretsky Test of Motor Proficiency and Canadian Occupational Performance Measure scores improved significantly at the end of wear time.

Conclusion: When worn for a 12-week time frame, an individualized orthotic garment can improve gait and functional skills in some children with CP.

In Brief

The authors report that TheraTog™ undergarment, when worn for a period of 12 weeks, can improve gait and function in some children with CP.

Author Information

Shriners Hospitals for Children, Chicago, Illinois

Address correspondence to: Ann Flanagan, PT, PCS, Rehab Services Department, Shriners Hospitals for Children-Chicago, 2211 N. Oak Park Avenue, Chicago, IL 60707. E-mail: aflanagan@shrinenet.org

© 2009 Lippincott Williams & Wilkins, Inc.