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Table 5.12Evidence profile for posterior leaf spring ankle–foot orthosis compared with solid ankle–foot orthosis in children with hemiplegia; functioning assessment

Number of studiesNumber of participantsEffectQuality
Posterior leaf spring ankle–foot orthosisSolid ankle–foot orthosisRelative

(95% CI)
Absolute

(95% CI)
GMFM-D score (standing, GMFM version not reported, better indicated by higher values)
1 study (Buckon 2001)29a29b-MD = 0.20 lower (0.71 lower to 0.31 higher)*Low
GMFM-E score (walking, running and jumping, GMFM version not reported, better indicated by higher values)
1 study (Buckon 2001)29c29d-MD = 0.50 higher (1.29 lower to 2.29 higher)*Low
PEDI functional skills scale, mobility domain score (better indicated by higher values)
1 study (Buckon 2001)29e29f-MD = 0.20 lower (1.21 lower to 0.81 higher)*Low
PEDI item 54, ascent score (proportion of children who keep up with peers, better indicated by higher values)
1 study (Sienko-Thomas 2002)8/199/190.89 (0.44 to 1.81)RD = 0.05 lower (0.37 lower to 0.26 higher)*Low
PEDI item 59, descent score (proportion of children who keep up with peers, better indicated by higher values)
1 study (Sienko-Thomas 2002)6/197/190.86 (0.35 to 2.08)RD = 0.05 lower (0.35 lower to 0.25 higher)*Low
Velocity (m/second, better indicated by higher values)
1 study (Buckon 2001)29g29hMD = 0.07 higher (0.02 lower to 0.16 higher)*Low
Velocity ascent (time for distance stair 1 to stair 3)
1 study (Sienko-Thomas 2002)19i19jMD = 0.03 higher (0.01 lower to 0.08 higher)*Low
Velocity descent (time for distance stair 3 to stair 1)
1 study (Sienko-Thomas 2002)19k19lMD = 0.03 higher (0.04 lower to 0.09 higher)*Low

CI confidence interval, GMFM Gross Motor Function Measure, GMFM-D Gross Motor Function Measure dimension D, GMFM-E Gross Motor Function Measure dimension E, MD mean difference, PEDI Pediatric Evaluation of Disability Inventory, SD standard deviation

*

Calculated by the NCC-WCH

a

Mean final score ± SD reported as 37.8 ± 1

b

Mean final score ± SD reported as 38.0 ± 1

c

Mean final score ± SD reported as 68.1 ± 3

d

Mean final score ± SD reported as 67.6 ± 4

e

Mean final score ± SD reported as 56.6 ± 2

f

Mean final score ± SD reported as 56.8 ± 2

g

Mean final score ± SD reported as 1.18 ± 0.17

h

Mean final score ± SD reported as 1.11 ± 0.17

i

Mean final score ± SD reported as 0.304 ± 0.07

j

Mean final score ± SD reported as 0.270 ± 0.07

k

Mean final score ± SD reported as 0.323 ± 0.11

l

Mean final score ± SD reported as 0.296 ± 0.10

See the complete GRADE Table K.5.12 which accompanies this abbreviated version.

Calculated by the NCC-WCH

Mean final score ± SD reported as 37.8 ± 1

Mean final score ± SD reported as 38.0 ± 1

Mean final score ± SD reported as 68.1 ± 3

Mean final score ± SD reported as 67.6 ± 4

Mean final score ± SD reported as 56.6 ± 2

Mean final score ± SD reported as 56.8 ± 2

Mean final score ± SD reported as 1.18 ± 0.17

Mean final score ± SD reported as 1.11 ± 0.17

Mean final score ± SD reported as 0.304 ± 0.07

Mean final score ± SD reported as 0.270 ± 0.07

Mean final score ± SD reported as 0.323 ± 0.11

Mean final score ± SD reported as 0.296 ± 0.10

From: 5, Orthoses

Cover of Spasticity in Children and Young People with Non-Progressive Brain Disorders
Spasticity in Children and Young People with Non-Progressive Brain Disorders: Management of Spasticity and Co-Existing Motor Disorders and Their Early Musculoskeletal Complications.
NICE Clinical Guidelines, No. 145.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG Press; 2012 Jul.
Copyright © 2012, National Collaborating Centre for Women's and Children's Health.

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