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Impact of Orthotic Prescription in Pediatric Partial Foot Amputation

A Case Study

Young, Joshua, Bsc (Hons), MBAPO

JPO: Journal of Prosthetics and Orthotics: January 2019 - Volume 31 - Issue 1 - p 76–80
doi: 10.1097/JPO.0000000000000215
CASE REPORT
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Introduction There is little information available on outcomes after prosthetic/orthotic management in partial foot amputation (PFA) in children.

Methods This case study evaluates walking speed, community activity level, and physical function in a child with bilateral PFA after a change from an orthosis finishing distal to the ankle to one finishing proximal to the ankle. Outcome measures used were walking speed (10-meter walk test), the Gillette Functional Assessment Questionnaire (GFAQ), and the Oxford Ankle Foot Questionnaire for Children (OxAFQ-C) physical domain.

Results At 3-month review GFAQ level increased by 3, OxAFQ-C physical domain increased 50 percentage points, and self-selected velocity increased 0.25 m/s.

Conclusions This case study suggests that improvements in walking speed, community activity level, and physical function are possible in children with bilateral PFA when changing to orthoses, which compensate for mechanical deficits caused by the reduced lever arm of the foot.

JOSHUA YOUNG, Bsc (Hons), MBAPO, is affiliated with St George's University Hospitals NHS Foundation Trust, London, United Kingdom.

Funding: This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

Disclosure: The authors declare no conflict of interest.

Correspondence to: Joshua Young, Bsc (Hons), MBAPO, Orthotic Department, Douglas Bader Rehabilitation Centre, Queen Mary's Hospital, Roehampton Lane, London SW15 5PN, United Kingdom; email: Joshua.young@stgeorges.nhs.uk

© 2019 by the American Academy of Orthotists and Prosthetists.