Chinese Journal of Tissue Engineering Research ›› 2020, Vol. 24 ›› Issue (33): 5272-5276.doi: 10.3969/j.issn.2095-4344.2341

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ICB orthotic insole can correct balance, walking ability and biological force line of lower limbs in children with spastic diplegia

Liu Shuai1, Sun Qiangsan2   

  1. 1Department of Rehabilitation, Qilu Children’s Hospital, Shandong University, Cheeloo College of Medicine of Shandong University, Jinan 250022, Shandong Province, China; 2The Second Hospital of Shandong University, Cheeloo College of Medicine of Shandong University, Jinan 250000, Shandong Province, China

  • Received:2020-02-17 Revised:2020-02-24 Accepted:2020-03-25 Online:2020-11-28 Published:2020-09-28
  • Contact: Sun Qiangsan, Chief physician, Master, The Second Hospital of Shandong University, Cheeloo College of Medicine of Shandong University, Jinan 250000, Shandong Province, China
  • About author:Liu Shuai, Rehabilitation therapist in charge, Department of Rehabilitation, Qilu Children’s Hospital, Shandong University, Cheeloo College of Medicine of Shandong University, Jinan 250022, Shandong Province, China

Abstract:

BACKGROUND: The improvement of balance and walking ability of children with spastic diplegia has always been the key and difficult point in the rehabilitation treatment of children. The treatment time is long and the effect is not ideal. ICB orthotic insole is a new customizable rehabilitation assistant tool, which is used to diagnose and improve the biomechanical problems. There are few reports about ICB orthotic insole used in the rehabilitation of children with spastic diplegia in China.

OBJECTIVE: To investigate the effect of ICB orthotic insole on balance, walking ability and correction of biological force line of lower limbs in children with spastic diplegia.

METHODS: Totally 96 children with spastic diplegia were divided into observation group and control group, 48 cases in each group. The control group was given the corresponding routine rehabilitation treatment according to the condition of limb dysfunction. The observation group was wearing ICB orthopedic insole for orthopedic treatment besides routine rehabilitation treatment. Before treatment and 6 months after treatment, biomechanical parameters of lower limbs, Berg Balance Scale, GMFM88 D and E functional areas were used to evaluate the recovery of balance and walking ability of the two groups.

RESULTS AND CONCLUSION: After treatment, resting calcaneal stance position, malleolar position, hip range of motion, Berg Balance Scale score, and GMFM88 scores of the two groups were significantly improved compared with those before treatment (P < 0.05). Intergroup comparison displayed that after treatment, the above indexes in the observation group were significantly better than those in the control group (P < 0.05). The results confirm that ICB orthopedic insole can be used as an important auxiliary means of rehabilitation treatment to correct the biological force line of lower limbs, improve the balance and walking ability of children with spastic diplegia.

Key words: orthotics, insole, cerebral palsy, spastic diplegia, balance, walking, mechanics, lower limbs

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