Splint: The efficacy of night splinting in children with cerebral palsy, a randomised controlled trial (WC2009-056)

Splint: The efficacy of night splinting in children with cerebral palsy, a randomised controlled trial

Background

Starting date: 01/04/2009

 

Cerebral Palsy (CP) describes a group of permanent disorders of the development of movement and posture, causing activity limitation. Often, children with CP develop decrease of range of motion (ROM) in the ankle. This decrease increases over time. Although this is a common issue we do not understand the why it happens. Possibly, the ROM is decreased by calve muscle shortening. Current treatments to lengthen the calve muscles (by serial casting and botulinum toxin injections) seem to be effective for short periods of time, but have to be repeated.

Aim of the study
This study will investigate the effectiveness of two different splints; one knee-ankle-foot-orthosis with an ankle spring joint and one knee-ankle-foot-orthosis without an ankle joint. These splints are worn to prevent the decrease of ankle ROM.
The study will also look at changes in calve muscle properties as a result of using an orthosis.