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Observational Study of Dynamic Splints on Daily Activity Task Achievement for Children with Spastic Cerebral Palsy Rizal, Ahmad Syamsul; Triyani, Triyani; Anatasia, Suci; Rizqi Pranoto, Luthfi
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 1 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i1.1577

Abstract

Background: Cerebral palsy is a developmental brain disorder that leads to decreased motor function of the extremities, especially on the hands. The provision of dynamic splints would be expected over time to contribute to functional hand improvement, such as gross motor function. Aims: To observe the time in daily activity achievement for patients with spastic cerebral palsy while wearing dynamic hand orthosis. Methods: Quantitative with pre-test post-test design. Ten CP children with an age range of 8 - 17 years with mild to moderate spasticity were observed before wearing and after wearing dynamic hand orthosis to do 7 tasks (Jebsen-Taylor Hand Function Test). Results: After 2 weeks wearing the device, all participants showed different results indicating an improvement of 5.5 seconds to all tasks on the Jebsen Taylor Hand Function Test. Conclusion: Dynamic splints have an influence on increasing the time to complete the tasks, thus can be considered along with regular exercise.
The Effect of Using 3D Printed Insole and Semi-Rigid Insole on Spatiotemporal Parameters in Students with Flexible Flat Foot Deformity Yulianto, Bayu Sholeh; Anatasia, Suci; Karma, Agusni; Yunihanawati, Rizan
Journal of Prosthetics Orthotics and Science Technology Vol. 3 No. 1 (2024): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36082/jpost.v3i1.1579

Abstract

Background: The most common foot deformity in the community is the flexible flat foot where the MLA condition becomes flat. Flat foot deformity results in decreased spatiotemporal gait parameters and requires an orthosis like an insole. Usually, flat feet are given a semi-rigid insole, but there is an alternative to the modeling and fabrication process of the insole, called the 3D printing method. Aims: To analyze the effect of 3D printed insole and semi-rigid insole on spatiotemporal gait parameters (walking speed, cadence, and step length). Methods: Using a quantitative analysis with cross sectional design to observe the improvement on spatiotemporal gait parameters. Five flexible flatfeet participants were recruited and asked to walk about 10-meter with 3D printed insoles. Results: There was an increase in walking speed after using 3D printed insoles on spatiotemporal parameters (speed, cadence, and stride length). Conclusion: The use of a 3d printed insole can help improve walking speed in participants with flexible flat foot deformity.
Effect of Metatarsal Pad Use on Spatiotemporal Gait Parameters on Forefoot Pain Sevina, Adisti Noer; Triyani; Anatasia, Suci; Hanawati, Rizan Yuni
Journal of Prosthetics Orthotics and Science Technology Vol. 2 No. 1 (2023): Journal of Prosthetics Orthotics and Science Technology (JPOST)
Publisher : Poltekkes Kemenkes Jakarta I

Show Abstract | Download Original | Original Source | Check in Google Scholar | Full PDF (833.141 KB) | DOI: 10.36082/jpost.v2i1.996

Abstract

Background: Wearing high heels (>2–2.5 cm) increases forefoot pain risk. Metatarsal pads are often used for pain relief, but their impact on gait parameters remains unclear. Purpose: To analyse the effect of metatarsal pads on spatiotemporal gait parameters in individuals with forefoot pain from high heels. Method: A one-sample pre-test post-test study was conducted with 30 participants (aged 18–20). Pain levels and gait parameters (velocity, step length, stride length, stance phase duration) were measured before and after 2 weeks of pad use. Result: Pain changes were inconsistent: 10 participants reported less pain, 9 had more pain, and 11 felt no difference, with no significant correlation (p>0.05). Gait parameters showed minor changes: increased velocity (+0.718 km/h), shorter step length (?14 mm), shorter stride length (?3 mm), and faster stance phase (?0.314 s). However, these changes were statistically insignificant (velocity: p=0.477; step length: p=0.758; stride length: p=0.489; stance phase: p=0.295). Conclusion: Metatarsal pads may reduce forefoot pain in some individuals but lack a consistent significant effect. While slight gait adjustments occurred, only velocity and stance phase duration showed potential influence, whereas step and stride length remained unaffected. Further research is needed to confirm clinical relevance.