Appareillage : Amputés

Le 01/12/2022 de 17:00 à 18:30

Retour Session


Evaluation de la satisfaction envers une attelle sus-malléolaire innovante (RAFO) dans le pied plat valgus de l’enfant paralysé cérébral

Lisa VIALLARD (RENNES, France), Julie DOHIN (RENNES, France), Sébastien CORDILLET (RENNES, France)

Objective : Pes planovalgus (PPV) is common in children with cerebral palsy and can cause pain and gait alterations over time. Initial treatment of flexible PPV includes orthotics, despite a lack of consensus on how to deliver them.

We developed an innovative ankle-foot orthosis (Rennes AFO: RAFO). RAFO is a one-piece orthosis designed to correct PPV by straightening the hind foot and recreating the medial arch. Above malleolar height enables a moderate anti equinus effect. Its precise description and fabrication’s process is detailed.

Material / Patients and Methods : We conducted a satisfaction study through a telephonic QUEST (Quebec User Evaluation of Satisfaction with Assistive Technology) survey analyzing the device and the process in children and parents. 24 parents, whose child was wearing RAFO daily for at least 4 months, were called. 20 answered the questionnaire. These were then compared to clinical data to assess satisfaction’ predictors.

Results : Mean QUEST satisfaction was 4.25/5 (4.18/5 for the device and 4.38/5 for the process). Avantages reported concern weight and dimensions (95%), although 20% reported the necessity to change to a shoe size above, as well as easiness to use (90%) and comfort (80%). Parent’s satisfaction regarding perceived effectiveness was 80%. Patients with equinus due to triceps surae’ spasticity were more susceptible to develop pain with our orthosis.

Discussion - Conclusion : Parents were overall very satisfied with the orthosis. Its entire PPV correction and method of fabrication (precisely described in the article) makes it innovative. Prescription precision was added with the patient's equinovalgus due to triceps spasticity, causing pain. The lowest must be obtained.

Keywords : cerebral palsy, orthosis, pes planovalgus