Effect of the Dynamic Orthotic Garment on Postural Control, and Endurance in Children with Spastic Diplegic Cerebral Palsy: A Randomized Controlled Trial

Figures & data

Figure 1 Study flow diagram.

Table 1 General Characteristics of Each Group

Variable	Control group (N=17)	Study group (N=17)	Test	Sig.
Age (Year) mean±SD	8.33±0.61	8.57±0.73	1.14^a	0.26
Sex: (Male/Female) n (%)	11(65)/6(35)	9(53)/8(47)	0.49^b	0.49
Weight (Kg) mean±SD	31.8±3.77	33.15±1.94	1.42^a	0.16
Height (m) mean±SD	1.35±0.04	1.37±0.04	1.45^a	0.16
Modified Ashworth Scale (1/ 1+) n (%)	10 (59)/7 (41)	9(53)/8(47)	0.12^b	0.73
GMFCS [n (%)]
Level I	9(53)	10 (59)
Level I I	8(47)	7 (41)	0.12^b	0.73

Notes: ^at-test; ^bChi-Square test.

Abbreviation: GMFCS, Gross Motor Function Classification System.

Table 2 Plantar Pressure Distribution Before and After Treatment in the Study and Control Groups

		Baseline			Post-Treatment
		Control Group	Study Group	Sig.	Control Group	Study Group	Sig.
Mean pressure	Forefoot	78.14±14.96	72.08±15.41	0.25	90.21+18.24	111.96+20.67	0.003
	Midfoot	69.12 ±10.27	76.11±21.24	0.23	63.99+13.67	46.32+13.42	0.001
	Rearfoot	128.0±21.97	137.23±27.50	0.28	139.39±23.68	176.10±18.95	0.001
Peak pressure	Forefoot	210.50±13.67	218.59±25.72	0.26	226.92±16.70	250.25±26.76	0.005
	Midfoot	173.95±32.74	167.16±28.20	0.52	169.88±29.03	124.74±20.81	< 0.001
	Rearfoot	279.66±27.34	278.21±32.94	0.89	289.92±24.71	321.97±36.78	0.005
6MWT	6MWD (meter)	320.55±26.67	328.44±25.9	0.39	356.81±25.95	378.67±29.85	0.029

Note: Data are presented as mean ± standard deviation.

Abbreviations: 6MWT, Six-minute walking test; 6MWD, Six-minute walking distance; Sig, significance (p-value).

Table 3 Trunk Position Sense, Trunk Control Measurement Scale and the Pediatric Balance Scale at Baseline and Post-Treatment Within and Between Both Groups

Variable		Control Group Median(IQR)	Study Group Median(IQR)	z-value	p-value
Trunk position sense	Baseline	6(2.5)	7(3)	−1.07	0.29
	Post-treatment	5(1.5)	3(1)	−4.11	<0.001
	Z	−3.76	−3.70
	P	<0.001	<0.001
The trunk control measurement scale	Baseline	38(3)	37(3)	0.20	0.84
	Post-treatment	40(3)	43(3)	3.26	0.001
	Z	3.71	3.65
	P	<0.001	<0.001
Pediatric balance scale	Baseline	37(2)	36(2.5)	−1.14	0.25
	Post-treatment	39(1.5)	42(1)	−4.81	˂0.001
	Z	−3.79	−3.67
	p	˂0.001	˂0.001

Note: Data are presented as median.

Abbreviation: IQR, interquartile range.