Ankle-foot orthoses among children with cerebral palsy: a cross-sectional population-based register study of 8,928 children living in Northern Europe
Abstract Background Cerebral palsy (CP) is an umbrella term where an injury to the immature brain affects muscle tone and motor control, posture, and at times, the ability to walk and stand. Orthoses can be used to improve or maintain function. Ankle-foot orthoses (AFOs) are the most frequently used...
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ftdoajarticles:oai:doaj.org/article:5bfda5b2f2c844bf9c0b2cfa336a9049 2023-07-02T03:32:43+02:00 Ankle-foot orthoses among children with cerebral palsy: a cross-sectional population-based register study of 8,928 children living in Northern Europe Jessica Stockman Guðbjörg Eggertsdóttir Mark S. Gaston Ira Jeglinsky-Kankainen Sandra Julsen Hollung Kirsten Nordbye-Nielsen Philip von Rosen Ann I. Alriksson-Schmidt 2023-06-01T00:00:00Z https://doi.org/10.1186/s12891-023-06554-z https://doaj.org/article/5bfda5b2f2c844bf9c0b2cfa336a9049 EN eng BMC https://doi.org/10.1186/s12891-023-06554-z https://doaj.org/toc/1471-2474 doi:10.1186/s12891-023-06554-z 1471-2474 https://doaj.org/article/5bfda5b2f2c844bf9c0b2cfa336a9049 BMC Musculoskeletal Disorders, Vol 24, Iss 1, Pp 1-7 (2023) Ankle-foot orthoses Cerebral palsy Children Adolescents CP-North Diseases of the musculoskeletal system RC925-935 article 2023 ftdoajarticles https://doi.org/10.1186/s12891-023-06554-z 2023-06-11T00:37:52Z Abstract Background Cerebral palsy (CP) is an umbrella term where an injury to the immature brain affects muscle tone and motor control, posture, and at times, the ability to walk and stand. Orthoses can be used to improve or maintain function. Ankle-foot orthoses (AFOs) are the most frequently used orthoses in children with CP. However, how commonly AFOs are used by children and adolescents with CP is still unknown. The aims of this study were to investigate and describe the use of AFOs in children with CP in Sweden, Norway, Finland, Iceland, Scotland, and Denmark, and compare AFO use between countries and by gross motor function classification system (GMFCS) level, CP subtype, sex, and age. Method Aggregated data on 8,928 participants in the national follow-up programs for CP for the respective countries were used. Finland does not have a national follow-up program for individuals with CP and therefore a study cohort was used instead. Use of AFOs were presented as percentages. Logistic regression models were used to compare the use of AFOs among countries adjusted for age, CP subtype, GMFCS level, and sex. Results The proportion of AFO use was highest in Scotland (57%; CI 54–59%) and lowest in Denmark (35%; CI 33–38%). After adjusting for GMFCS level, children in Denmark, Finland, and Iceland had statistically significantly lower odds of using AFOs whereas children in Norway and Scotland reported statistically significantly higher usage than Sweden. Conclusion In this study, the use of AFOs in children with CP in countries with relatively similar healthcare systems, differed between countries, age, GMFCS level, and CP subtype. This indicates a lack of consensus as to which individuals benefit from using AFOs. Our findings present an important baseline for the future research and development of practical guidelines in terms of who stands to benefit from using AFOs. Article in Journal/Newspaper Iceland Directory of Open Access Journals: DOAJ Articles Norway BMC Musculoskeletal Disorders 24 1 |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
language |
English |
topic |
Ankle-foot orthoses Cerebral palsy Children Adolescents CP-North Diseases of the musculoskeletal system RC925-935 |
spellingShingle |
Ankle-foot orthoses Cerebral palsy Children Adolescents CP-North Diseases of the musculoskeletal system RC925-935 Jessica Stockman Guðbjörg Eggertsdóttir Mark S. Gaston Ira Jeglinsky-Kankainen Sandra Julsen Hollung Kirsten Nordbye-Nielsen Philip von Rosen Ann I. Alriksson-Schmidt Ankle-foot orthoses among children with cerebral palsy: a cross-sectional population-based register study of 8,928 children living in Northern Europe |
topic_facet |
Ankle-foot orthoses Cerebral palsy Children Adolescents CP-North Diseases of the musculoskeletal system RC925-935 |
description |
Abstract Background Cerebral palsy (CP) is an umbrella term where an injury to the immature brain affects muscle tone and motor control, posture, and at times, the ability to walk and stand. Orthoses can be used to improve or maintain function. Ankle-foot orthoses (AFOs) are the most frequently used orthoses in children with CP. However, how commonly AFOs are used by children and adolescents with CP is still unknown. The aims of this study were to investigate and describe the use of AFOs in children with CP in Sweden, Norway, Finland, Iceland, Scotland, and Denmark, and compare AFO use between countries and by gross motor function classification system (GMFCS) level, CP subtype, sex, and age. Method Aggregated data on 8,928 participants in the national follow-up programs for CP for the respective countries were used. Finland does not have a national follow-up program for individuals with CP and therefore a study cohort was used instead. Use of AFOs were presented as percentages. Logistic regression models were used to compare the use of AFOs among countries adjusted for age, CP subtype, GMFCS level, and sex. Results The proportion of AFO use was highest in Scotland (57%; CI 54–59%) and lowest in Denmark (35%; CI 33–38%). After adjusting for GMFCS level, children in Denmark, Finland, and Iceland had statistically significantly lower odds of using AFOs whereas children in Norway and Scotland reported statistically significantly higher usage than Sweden. Conclusion In this study, the use of AFOs in children with CP in countries with relatively similar healthcare systems, differed between countries, age, GMFCS level, and CP subtype. This indicates a lack of consensus as to which individuals benefit from using AFOs. Our findings present an important baseline for the future research and development of practical guidelines in terms of who stands to benefit from using AFOs. |
format |
Article in Journal/Newspaper |
author |
Jessica Stockman Guðbjörg Eggertsdóttir Mark S. Gaston Ira Jeglinsky-Kankainen Sandra Julsen Hollung Kirsten Nordbye-Nielsen Philip von Rosen Ann I. Alriksson-Schmidt |
author_facet |
Jessica Stockman Guðbjörg Eggertsdóttir Mark S. Gaston Ira Jeglinsky-Kankainen Sandra Julsen Hollung Kirsten Nordbye-Nielsen Philip von Rosen Ann I. Alriksson-Schmidt |
author_sort |
Jessica Stockman |
title |
Ankle-foot orthoses among children with cerebral palsy: a cross-sectional population-based register study of 8,928 children living in Northern Europe |
title_short |
Ankle-foot orthoses among children with cerebral palsy: a cross-sectional population-based register study of 8,928 children living in Northern Europe |
title_full |
Ankle-foot orthoses among children with cerebral palsy: a cross-sectional population-based register study of 8,928 children living in Northern Europe |
title_fullStr |
Ankle-foot orthoses among children with cerebral palsy: a cross-sectional population-based register study of 8,928 children living in Northern Europe |
title_full_unstemmed |
Ankle-foot orthoses among children with cerebral palsy: a cross-sectional population-based register study of 8,928 children living in Northern Europe |
title_sort |
ankle-foot orthoses among children with cerebral palsy: a cross-sectional population-based register study of 8,928 children living in northern europe |
publisher |
BMC |
publishDate |
2023 |
url |
https://doi.org/10.1186/s12891-023-06554-z https://doaj.org/article/5bfda5b2f2c844bf9c0b2cfa336a9049 |
geographic |
Norway |
geographic_facet |
Norway |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
BMC Musculoskeletal Disorders, Vol 24, Iss 1, Pp 1-7 (2023) |
op_relation |
https://doi.org/10.1186/s12891-023-06554-z https://doaj.org/toc/1471-2474 doi:10.1186/s12891-023-06554-z 1471-2474 https://doaj.org/article/5bfda5b2f2c844bf9c0b2cfa336a9049 |
op_doi |
https://doi.org/10.1186/s12891-023-06554-z |
container_title |
BMC Musculoskeletal Disorders |
container_volume |
24 |
container_issue |
1 |
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