Effect of serial casting on equines deformity In children with cerebral palsy : Systematic review / Mohammed Mahmoud Elsayeh ; Supervised Samia A. Abdelrahman , Ehab M. Abdelkafy , Mahmoud S. Elfakharany

Thesis (M.Sc.) - Cairo University - Faculty of Physical Therapy - Department of Growth and Development Disorders in Pediatrics

Background: Equinus foot seen in children with cerebral palsy is one of the causes of gait deformity. Serial casting is one of the physical therapy procedures provided for cerebral palsy children with equinus deformity. Aim: systematically review the studies that assessed the effectiveness of serial casting on equines deformity in children with cerebral palsy. Methods: Studies were identified from 2008 to 2019 by electronic search using PubMed, Cochrane Database of Systematic Reviews, Google Scholar and Physiotherapy Evidence Database (Pedro). They were reviewed if they were randomized control trials focused on cerebral palsy children range in age from 2 to 17 years with equinus deformity treated using serial casting and being published in English. The primary outcome measure was spasticity. Data was extracted from the included studies and its methodological quality was evaluated using PEDro scale. Results: Four trials were identified with good quality methodology. Descriptive analysis was applied for one study that supported the use of serial casting for those patients and meta-analysis was applied for three studies. The mean difference across all of the three studies is -0.69 (95% CI -0.93, -0.45). According to AACPDM, there is level II evidence that support the use of serial casting as a method to control spasticity, increase ankle range of motion and improve gait in cerebral palsy children with equinus deformity. Conclusion: The current level of evidence support the effectiveness of serial casting for modulating spasticity and improving equinus deformity in children with cerebral palsy

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