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Pediatric Physical Therapy:
doi: 10.1097/PEP.0000000000000011
Review Article

Efficacy of Orthoses for Children With Hypotonia: A Systematic Review

Weber, Anna PT, DHS; Martin, Kathy PT, DHS

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Abstract

Purpose: The purpose of this systematic review of the literature was to determine the efficacy of orthoses for children with hypotonia and provide a concise summary of the state of the evidence in this area.

Methods: Fifteen search terms were used to find articles addressing children with hypotonia, orthotic use, and physical therapy.

Results: Ten articles met the inclusion criteria, but no level I evidence was found. Data were reported for body structure and activity components, but not participation outcomes. Current evidence suggests that foot orthoses and supramalleolar orthoses may benefit children with hypotonia; however, the evidence is low level.

Conclusion: The evidence for efficacy of orthoses for children with hypotonia continues to have gaps with the following questions still unanswered: When is the optimal time to introduce orthoses? Are foot orthoses or supramalleolar orthoses more efficacious? Should orthoses be combined with physical therapy?

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins and the Section on Pediatrics of the American Physical Therapy Association.

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