{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T09:53:26Z","timestamp":1790934806707,"version":"4.1.0"},"reference-count":40,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2014,5,16]],"date-time":"2014-05-16T00:00:00Z","timestamp":1400198400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effectiveness of a static ground reaction ankle foot orthosis and strapping system on improving gait parameters in children with spastic diplegic cerebral palsy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>The current study was conducted at the physical therapy faculty of Cairo University, Egypt.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects:<\/jats:title>\n                    <jats:p>This study included 57 children of both sexes, aged 6 to 8 years.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study design:<\/jats:title>\n                    <jats:p>Three-armed randomized control trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>Participants in all groups received a traditional neuro-developmental physical therapy program that included standing and gait training exercises. Children in group A performed the training program without any orthotic management, in group B with the TheraTogs\u2122 strapping system, and in group C with the TheraTogs\u2122 strapping system and static ground reaction ankle foot orthoses. Children underwent treatment for two hours daily, except on weekends, for twelve successive weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main measure:<\/jats:title>\n                    <jats:p>Gait speed, cadence, stride length, and hip and knee flexion angles in the mid-stance phase were evaluated pre-and post-treatment using a three-dimensional motion analysis system (pre-reflex system).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Statistically significant differences were recorded among the three groups post-treatment in gait speed, cadences, and stride length. The P-values for these variable differences were 0.03, 0.011, and 0.001 respectively. Significant post-treatment differences were also recorded for bilateral hip-and knee-flexion angles. For all measured parameters, better significant results were registered for group C than for the other groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Orthotic intervention composed of a static ground reaction ankle foot orthosis combined with the TheraTogs\u2122 strapping system improves gait more than conventional treatment with or without TheraTogs\u2122 in children with spastic diplegic cerebral palsy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215514533710","type":"journal-article","created":{"date-parts":[[2014,5,17]],"date-time":"2014-05-17T03:31:51Z","timestamp":1400297511000},"page":"1004-1014","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":43,"title":["The clinical impact of orthotic correction of lower limb rotational deformities in children with cerebral palsy: a randomized controlled trial"],"prefix":"10.1177","volume":"28","author":[{"given":"Ehab Mohamed","family":"Abd El-Kafy","sequence":"first","affiliation":[{"name":"Department of Physical Therapy for Disturbances of Growth and Developmental Disorders in Children and its Surgery, Faculty of Physical Therapy, Cairo University, Giza, Egypt"},{"name":"Department of Physical Therapy, Faculty of Applied Medical Sciences, Umm Al Qura University, Makkah, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,5,16]]},"reference":[{"key":"bibr1-0269215514533710","doi-asserted-by":"publisher","DOI":"10.4103\/1817-1745.66671"},{"key":"bibr2-0269215514533710","first-page":"79","volume":"25","author":"Wren TA","year":"2005","journal-title":"J Pediatr Orthop"},{"key":"bibr3-0269215514533710","doi-asserted-by":"publisher","DOI":"10.5435\/00124635-200309000-00004"},{"key":"bibr4-0269215514533710","doi-asserted-by":"publisher","DOI":"10.1016\/S0966-6362(02)00058-9"},{"key":"bibr5-0269215514533710","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.86B8.14479"},{"key":"bibr6-0269215514533710","first-page":"84","volume":"25","author":"Ryan DD","year":"2005","journal-title":"J Pediatr Orthop"},{"key":"bibr7-0269215514533710","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbiomech.2008.01.002"},{"key":"bibr8-0269215514533710","doi-asserted-by":"publisher","DOI":"10.1046\/j.1468-1331.2001.00042.x"},{"key":"bibr9-0269215514533710","first-page":"107","volume-title":"The identification and treatment of gait problem in cerebral palsy","author":"Gage JR","year":"2009","edition":"2"},{"key":"bibr10-0269215514533710","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2006.12.003"},{"key":"bibr11-0269215514533710","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2005.03.003"},{"key":"bibr12-0269215514533710","doi-asserted-by":"publisher","DOI":"10.1016\/j.gaitpost.2008.05.001"},{"key":"bibr13-0269215514533710","doi-asserted-by":"publisher","DOI":"10.1080\/14639220412331329636"},{"key":"bibr14-0269215514533710","doi-asserted-by":"crossref","first-page":"137","DOI":"10.1007\/978-0-387-38305-7_5","volume-title":"Physical therapy of cerebral palsy","author":"Miller F","year":"2007"},{"key":"bibr15-0269215514533710","first-page":"194","volume-title":"The identification and treatment of gait problem in cerebral palsy","author":"Trost JP","year":"2009","edition":"2"},{"key":"bibr16-0269215514533710","doi-asserted-by":"publisher","DOI":"10.1097\/PEP.0b013e3181a347ab"},{"key":"bibr17-0269215514533710","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00965"},{"key":"bibr18-0269215514533710","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-197207000-00028"},{"key":"bibr19-0269215514533710","doi-asserted-by":"publisher","DOI":"10.2106\/00004623-198567010-00006"},{"key":"bibr20-0269215514533710","unstructured":"Cusick B. 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