Effects of Orthoses on Upright Functional Skills of Children and Adolescents with Cerebral Palsy

PURPOSE: Most research details the influence of orthoses on impairments in children with cerebral palsy. The purpose of this study was to determine the effect of orthoses on multiple tests of function. METHODS: The researchers used the Standardized Walking Obstacle Course (SWOC), Pediatric Balance Scale (PBS), performance on individualized goals related upright function, and self-reports of comfort and stability with and without orthoses to examine 28 children (5.4-19.1 years of age) with cerebral palsy. RESULTS: No significant differences were found in performance on the SWOC and PBS with and without orthoses. Only 18% of the children performed better on an individualized goal with their orthoses, but 48% of the children reported more feelings of comfort and stability while wearing orthoses. CONCLUSIONS: Results of this study bring into question the use of orthoses to improve functional balance and ambulation in children with cerebral palsy.