Table 5.6Evidence profile for hinged ankle–foot orthosis with plantarflexion stop compared with solid ankle–foot orthosis in children with hemiplegia; lower limb; joint movement assessment

Number of studiesNumber of participantsEffectQuality
Hinged ankle–foot orthosisSolid ankle–foot orthosisRelative

(95% CI)
Absolute

(95% CI)
Ankle dorsiflexion initial contact (better indicated by higher values)
1 study (Buckon 2001)29a29b-MD = 1.00 higher (1.02 lower to 3.02 higher)*Low
Peak dorsiflexion stance (better indicated by higher values)
1 study (Buckon 2001)29c29d-MD = 5.00 higher (2.21 higher to 7.79 higher)*Moderate
Ankle dorsiflexion dynamic range (better indicated by higher values)
1 study (Buckon 2001)29e29f-MD = 5.00 higher (3.21 higher to 6.79 higher)*Moderate
Ankle range dorsiflexion knee extension (degrees, better indicated by higher values)
1 study (Buckon 2001)29g29h-MD = 1.00 higher (1.29 lower to 3.29 higher)*Low
Dorsiflexion knee flexion (degrees, better indicated by higher values)
1 study (Buckon 2001)29i29j-MD = 1.00 higher (1.58 lower to 3.58 higher)*Low

CI confidence interval, MD mean difference, SD standard deviation

*

Calculated by the NCC-WCH

a

Mean final score ± SD reported as 3 ± 4

b

Mean final score ± SD reported as 2 ± 4

c

Mean final score ± SD reported as 16 ± 6

d

Mean final score ± SD reported as 11 ± 5

e

Mean final score ± SD reported as 16 ± 4

f

Mean final score ± SD reported as 11 ± 3

g

Mean final score ± SD reported as 7 ± 5

h

Mean final score ± SD reported as 6 ± 4

i

Mean final score ± SD reported as 14 ± 6

j

Mean final score ± SD reported as 13 ± 4

See the complete GRADE Table K.5.6 which accompanies this abbreviated version.

Calculated by the NCC-WCH

Mean final score ± SD reported as 3 ± 4

Mean final score ± SD reported as 2 ± 4

Mean final score ± SD reported as 16 ± 6

Mean final score ± SD reported as 11 ± 5

Mean final score ± SD reported as 16 ± 4

Mean final score ± SD reported as 11 ± 3

Mean final score ± SD reported as 7 ± 5

Mean final score ± SD reported as 6 ± 4

Mean final score ± SD reported as 14 ± 6

Mean final score ± SD reported as 13 ± 4

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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