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October2013 Vol.50 Issue:        4        Table of Contents
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Modulation of Lower Extremity Rotational Deformities Using TheraTogs™ and Strapping System in Children with Spastic Diplegia

Ehab M. Abd El Kafy, Samah A. El-Shemy

Department of Physical Therapy for Growth and Developmental  Disorders in Children and its Surgery,

Faculty of Physical Therapy, Cairo University, Egypt



ABSTRACT

Background: Rotational abnormalities are a common in many neuromuscular disorders, such as cerebral palsy. Objective: This study was conducted to investigate the effect of TheraTogs™ and strapping system on femoral anteversion and external tibial torsion in children with spastic diplegia and to determine its effect on the child’s gait. Methods: Thirty children with spastic diplegia from both sexes were randomly assigned into two equal groups. Their age ranged from six to eight years. Control group (A) treated by a designed gait training program, study group (B) received the same program as group (A) in addition to TheraTogs orthotics undergarment and lower extremity strapping bilaterally. Pro-Reflex 3-D system was used to measure rotation angles of hip and knee joints, gait velocity and foot progression angle. Pre and post assessment were performed for both groups following 3 months intervention phase (post1), another assessment time (post2) was added in group B during wearing TheraTogs and strapping system. Results: There was no significant difference in all measuring variables in group (A) when comparing its pre and post assessment. Significant improvement was observed in all measuring variables in group (B) when comparing its pre, post1 and post2assessment and when comparing the post treatment results of the two groups in favor of group (B) (P-value < 0.05). Conclusion: The current study showed positive effect of using Theratogs™ and strapping system on rotational abnormalities and gait pattern from a biomechanical perspective. [Egypt J Neurol Psychiat Neurosurg.  2013; 50(4): 397-402]

Key Words: Spastic Diplegia, femoral anteversion,tibial torsion,TheraTogs™.

Correspondence to Samah A. ElShemy, Department of Physical Therapy for Growth and Developmental Disorders in Children and its Surgery, Faculty of Physical Therapy, Cairo University, Egypt.Tel.: +20 01005014313   e-mail:samah_elshemy@yahoo.com






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