April 24, 2026 · Journal of pediatric rehabilitation medicine · DOI: 10.1177/18758894261439984

Impact of optimized AFOs on functional outcomes in children with spastic cerebral palsy

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This study aimed to evaluate the immediate functional impact of ankle foot orthoses (AFOs) designed using the Optimal Segment Kinematics and Alignment approach (OSKAR method) compared to standard AFOs in children with spastic diplegic cerebral palsy. The results indicated that while the OSKAR AFOs significantly improved balance as measured by the Pediatric Balance Scale, other functional outcomes remained comparable between the two orthotic types. The authors suggest that OSKAR AFOs may enhance functional balance and warrant further research to confirm their effectiveness.

Teresa Long Pierce, Alyssa LaForme Fiss, Mark Geil, Karl Barner

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