The Therapeutic Effect of Tibia Counter Rotator With Toe-Out Gait Plate in the Treatment of Tibial Internal Torsion in Children.
10.5535/arm.2014.38.2.218
- Author:
Su Min SON
1
;
Sang Ho AHN
;
Gil Su JUNG
;
Sang Wan SEO
;
In Sik PARK
;
Jun Chan SONG
;
Sung Ho JANG
;
Kyung Hee DO
Author Information
1. Department of Physical Medicine and Rehabilitation, Yeungnam University College of Medicine, Daegu, Korea. xena2010@naver.com
- Publication Type:Original Article ; Randomized Controlled Trial
- Keywords:
Tibia;
Torsion;
Foot orthoses;
Gait
- MeSH:
Ankle;
Child*;
Foot Orthoses;
Gait*;
Humans;
Orthotic Devices;
Tibia*
- From:Annals of Rehabilitation Medicine
2014;38(2):218-225
- CountryRepublic of Korea
- Language:English
-
Abstract:
OBJECTIVE: To evaluate the therapeutic effect of a Tibia Counter Rotator (TCR) with toe-out gait plate (GP) upon tibial internal torsion by a comparative analysis of transmalleolar angle (TMA) and gait analysis with GP alone. METHODS: Twenty participants with tibial internal torsion were recruited for this study. Each 10 participants were included in group A with TCR and GP application and in group B with GP application only. The TMA and the kinematic results were used for the evaluation of the therapeutic effects of orthoses. RESULTS: Within each group, TMA showed a significant increase after treatment. Group A showed a continuous improvement up to six months, however, group B showed an improvement up to five months only. Group A showed a significantly higher correction effect than group B after treatment. Regarding kinematic data, both groups showed a significantly decreased mean ankle adduction angle after treatment. However, group A showed a significantly lower mean ankle adduction angle than group B after six months. CONCLUSION: The group with TCR and GP showed a significantly better outcome and continued correction force compared to the group with GP only. Our results suggest that TCR with GP may be useful therapeutic orthoses for children with tibial internal torsion.
