The effect of hinged supracondylar knee ankle foot orthosis on gait parameters in children with spastic cerebral palsy having knee hyperextension and ankle equinus

Background: In cerebral palsy, importance must be given on effective and efficient walking. 30 subjects; 16 males 14 females (mean age 6.5 year) of spastic palsy with knee hyperextension ankle equines were included in this study fitted bilateral moldedhinged SKAFO pair shoes.Methods: Observational gait analysis by video recording was performed parameters 10 m walk test angle at mid stance using goniometer standing position recorded bracing non-bracing conditions.Results: The orthosis controlled not restricting normal flexion extension moment smooth transition motion. There significant improvement step length; stride length as well midstance (with orthosis) but velocity cadence reduced compared to bare foot walking.Conclusions: A stable, natural pattern found.