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  4. Effect of Orthotic Gait Training with Isocentric Reciprocating Gait Orthosis on Walking in Children with Myelomeningocele

Effect of Orthotic Gait Training with Isocentric Reciprocating Gait Orthosis on Walking in Children with Myelomeningocele

Top Spinal Cord Inj Rehabil, 2015 · DOI: 10.1310/sci2302-147 · Published: January 1, 2015

Assistive TechnologyNeurologyRehabilitation

Simple Explanation

This study investigates how a specific type of leg brace (IRGO) and gait training affect walking in children with myelomeningocele (MMC). MMC is a birth defect where the spinal cord doesn't close completely. The researchers measured things like walking speed, step length, and how much the children had to compensate with other body movements to walk. The study found that gait training with the IRGO improved hip motion, walking speed, and step length, while also reducing unnecessary body movements.

Study Duration
8 weeks
Participants
5 children with MMC
Evidence Level
Not specified

Key Findings

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    Orthotic gait training with IRGO significantly increased walking speed in children with MMC.
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    Step length was significantly increased following orthotic gait training with the IRGO.
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    Lateral and vertical compensatory motions were significantly decreased after gait training with the IRGO.

Research Summary

This study evaluated the influence of gait training with an IRGO on the kinematics and temporal spatial parameters in MMC children. The findings showed that orthotic gait training improved hip joint range of motion, increased walking speed and step length, and decreased lateral and vertical compensatory motions during level-ground walking trials. Gait training with orthosis can influence the walking ability and walking parameters in children with MMC.

Practical Implications

Improved Walking Ability

Orthotic gait training can lead to improvements in walking speed and step length in children with MMC.

Reduced Compensatory Movements

The use of IRGO and gait training can help reduce unnecessary compensatory movements, leading to a more efficient gait.

Enhanced Hip Joint Motion

Gait training with IRGO can improve hip joint range of motion, which is crucial for walking.

Study Limitations

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