title: The use of TheraTogs versus twister cables in the treatment of in-toeing during gait in a child with spina bifida.
abstract: OBJECTIVE
  To present the effects of TheraTogs and twister cables (TCs) on in-toeing during gait in a child with spina bifida while comparing overall parent and patient satisfaction.
  
  
  METHODS
  The participant was a 2-year-old girl with L4 spina bifida with bilateral in-toeing during gait.
  
  
  METHODS
  The child was given a 6-week intervention of TheraTogs followed by 6 weeks of TCs.
  
  
  RESULTS
  Kinematic data indicated optimal foot progression with the use of TCs, achieved by the rotation of the lower leg. Gait data for the use of TheraTogs indicated improved foot progression with external rotation at the hips. Gait characteristics indicated improved gait velocity in TheraTogs, but stride length was better with TCs. The parent reported satisfaction and preference for TheraTogs.
  
  
  CONCLUSIONS
  As the first step in investigating the 2 interventions, both TheraTogs and TCs were effective in management of in-toeing for the child but parental preference favored TheraTogs.
authors.affiliation: Department of Rehabilitation Services, Children's Hospital Los Angles, Los Angeles, California, USA. arichards@chla.usc.edu
authors.forename: Amber
authors.initials: A
authors.lastname: Richards
authors.forename: Sally
authors.initials: S
authors.lastname: Morcos
authors.forename: Susan
authors.initials: S
authors.lastname: Rethlefsen
authors.forename: Deidre
authors.initials: D
authors.lastname: Ryan
mesh_terms: D001696:Biomechanical Phenomena; D004185:Disability Evaluation; D005260:Female; D061826:Foot Orthoses; D005684:Gait; D020233:Gait Disorders, Neurologic / Q000534:rehabilitation*; D006801:Humans; D017060:Patient Satisfaction; D016135:Spinal Dysraphism / Q000534:rehabilitation*; D014034:Toes