The Effect of Dynamic Elastomeric Fabric Orthosis (DEFO) on Sitting Balance and Gross Manuel Dexterity in Cerebral Palsy – Full Text View – ClinicalTrials.gov anoxia meaning

Cerebral palsy (CP) is a disorder of development of movement and posture due to non-progressive lesion in fetal or infant brain. Postural control in children with cerebral palsy (CP) is deteriorated due to inappropriate muscle force and lack of sensory integration. The trunk which is found in the centre of the body plays a crucial role in postural control. Research and treatments in CP have focused on extremities rather than trunk control. Both evaluation and treatment of trunk impairment have not been adequately addressed in previously published studies. Improved proximal stability obtained by a better trunk control may lead to improvements in upper extremity function.


Dynamic elastomeric fabric orthosis (DEFO) which are lycra based compression garments provide extra proprioceptive information which enhances body awareness.Anoxia meaning the more correct proprioceptive input result in the more proper alignment. Vest type dynamic elastomeric fabric orthosis (DEFO) is composed of a front part which is compromised of double-or triple-layer of lycra fabric attached to velcro sensitive neoprene back panel. Thus, it provides adjustable compression around the shoulder, trunk, pelvis, and hips. It is proposed that these orthotic garments provides stabilization of the trunk, shoulder and pelvis girdle and thus improve proximal stability and upper extremity function. Children with sensory deficits and poor muscle strength including children with neuromotor developmental disorders and hypotonia can benefit from the use of vest type dynamic elastomeric fabric orthosis.Anoxia meaning severe restricted pulmonary function and refractory cyanosis are absolute contraindications for lycra based orthosis use while having severe reflux symptoms, uncontrolled epilepsy, cardiovascular circulatory disorders and being diagnosed with diabetes are relative contraindications. The adverse events pertaining to the use of these orthoses are difficulty in donning/doffing, toileting problems such as constipation and urinary leakage, decrease in respiratory function, heat and skin discomfort. Due to those unwanted effects, it can be assumed that longer wear time of the orthosis may lower compliance. However, the optimal wear time for vest type dynamic elastomeric fabric orthosis has not been established so far.Anoxia meaning the reported wear time of suit therapies range from 2 to12 hours a day during 2-12 weeks. The aim of this study was to investigate if the use of a vest type dynamic elastomeric fabric orthosis (DEFO) vest type dynamic elastomeric fabric orthosis is feasible or not and will lead to improvement in sitting balance, sitting as a gross motor function and gross manuel dexterity. The secondary purposes of the present study are to evaluate parent satisfaction with the orthosis and to compare 2 hours vs 6 hours of daily wear time.

A non-standardised 5-point likert type scale was invented by the investigators to assess compliance and satisfaction with wearing orthosis. The parent satisfaction survey was measured on a 5-point likert scale with 1 strongly agree and 5 strongly disagree to items of questionnaire below:

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Parent satisfaction survey

• SPIO vest was easy to put on/off.

• child was comfartable during times the SPIO was worn.

• child’s sitting balance improved.

• caring of the garment (cleaning vs) was easy.

• child’s confidence was improved.

• no problems about touletting occured.

• I wish to attend this therapy programme again.

• I consider attending this therapy programme in the future again.

• I consider to use SPIO vest for my child after the the therapy programme ended. Higher values representing better outcome. Items 3,5 and 7 is used to compare all groups (min 3-max 15) while the all of the items were used to compare the SPIO 2 hours and SPIO 6 hours (min 5-max 45).

• parent satisfaction questionnaire (sum of the items 3,5 and 7) [ time frame: 1 month ]

anoxia meaning

A non-standardised 5-point likert type scale was invented by the investigators to assess compliance and satisfaction with wearing orthosis. The parent satisfaction survey was measured on a 5-point likert scale with 1 strongly agree and 5 strongly disagree to items of questionnaire below:

Parent satisfaction survey

• SPIO vest was easy to put on/off.

• child was comfartable during times the SPIO was worn.

• child’s sitting balance improved.

• caring of the garment (cleaning vs) was easy.

• child’s confidence was improved.

• no problems about touletting occured.

• I wish to attend this therapy programme again.

• I consider attending this therapy programme in the future again.

• I consider to use SPIO vest for my child after the the therapy programme ended.Anoxia meaning higher values representing better outcome. Items 3,5 and 7 is used to compare all groups (min 3-max 15) while the all of the items were used to compare the SPIO 2 hours and SPIO 6 hours (min 5-max 45).

• parent satisfaction questionnaire (sum of the items 3,5 and 7) [ time frame: 3 months ]

A non-standardised 5-point likert type scale was invented by the investigators to assess compliance and satisfaction with wearing orthosis. The parent satisfaction survey was measured on a 5-point likert scale with 1 strongly agree and 5 strongly disagree to items of questionnaire below:

Parent satisfaction survey

• SPIO vest was easy to put on/off.

• child was comfartable during times the SPIO was worn.

• child’s sitting balance improved.Anoxia meaning

• caring of the garment (cleaning vs) was easy.

• child’s confidence was improved.

• no problems about touletting occured.

• I wish to attend this therapy programme again.

• I consider attending this therapy programme in the future again.

• I consider to use SPIO vest for my child after the the therapy programme ended. Higher values representing better outcome. Items 3,5 and 7 is used to compare all groups (min 3-max 15) while the all of the items were used to compare the SPIO 2 hours and SPIO 6 hours (min 5-max 45).

• parent satisfaction questionnaire total score [ time frame: 2 weeks ]

A non-standardised 5-point likert type scale was invented by the investigators to assess compliance and satisfaction with wearing orthosis.Anoxia meaning the parent satisfaction survey was measured on a 5-point likert scale with 1 strongly agree and 5 strongly disagree to items of questionnaire below:

Parent satisfaction survey

• SPIO vest was easy to put on/off.

• child was comfartable during times the SPIO was worn.

• child’s sitting balance improved.

• caring of the garment (cleaning vs) was easy.

• child’s confidence was improved.

• no problems about touletting occured.

• I wish to attend this therapy programme again.

• I consider attending this therapy programme in the future again.

• I consider to use SPIO vest for my child after the the therapy programme ended. Higher values representing better outcome. Items 3,5 and 7 is used to compare all groups (min 3-max 15) while the all of the items were used to compare the SPIO 2 hours and SPIO 6 hours (min 5-max 45).Anoxia meaning

• parent satisfaction questionnaire total score [ time frame: 1 month ]

A non-standardised 5-point likert type scale was invented by the investigators to assess compliance and satisfaction with wearing orthosis. The parent satisfaction survey was measured on a 5-point likert scale with 1 strongly agree and 5 strongly disagree to items of questionnaire below:

Parent satisfaction survey

• SPIO vest was easy to put on/off.

• child was comfartable during times the SPIO was worn.

• child’s sitting balance improved.

• caring of the garment (cleaning vs) was easy.

• child’s confidence was improved.

• no problems about touletting occured.

• I wish to attend this therapy programme again.

• I consider attending this therapy programme in the future again.Anoxia meaning

• I consider to use SPIO vest for my child after the the therapy programme ended. Higher values representing better outcome. Items 3,5 and 7 is used to compare all groups (min 3-max 15) while the all of the items were used to compare the SPIO 2 hours and SPIO 6 hours (min 5-max 45).

• parent satisfaction questionnaire total score [ time frame: 3 months ]