Ankle Foot Orthosis Improves Functional Ambulation and Balance in Patients with Peripheral Nerve Palsy
Ankle Foot Orthosis Improves Functional Ambulation and Balance in Patients with Peripheral Nerve Palsy
复制标题
踝足矫形器改善周围神经麻痹患者的功能性行走和平衡
DOI：
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发表时间：
2016
期刊：
影响因子：
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通讯作者：
F. Tajima
中科院分区：
文献类型：
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作者：
T. Kinoshita;Yukihide Nishimura;Takeshi Nakamura;D. Kojima;Yuta Sakurai;Y. Yasuoka;Y. Kamijo;H. Fujiwara;T. Kubo;T. Sumiya;F. Tajima
背景：多项研究探讨了踝足矫形器 (AFO) 对偏瘫患者的益处，但对其对周围神经麻痹患者的影响知之甚少。本研究的目的是比较 AFO 对偏瘫和单侧下肢麻痹患者功能性行走的影响。对象和方法：本研究设计是在日本五家医院的康复部门进行的病例对照研究。研究对象包括 50 名正常人（对照）、49 名中风后偏瘫（PSH）患者和 13 名因周围神经麻痹而导致下肢麻痹（LEP）的患者。通过 10 米最大步行速度 (10 MMWS) 和 6 分钟步行测试中的步行距离 (6 MWT) 评估使用 AFO 和不使用 AFO 的功能性行走能力。使用伯格平衡量表评估功能平衡。结果：10 MMWS测试显示，与对照组相比，无AFO的PSH和LEP患者步行速度明显较低，并且有AFO的两个患者组的速度比无AFO的患者更快。 PSH 和 LEP 中 6 MWT 期间的步行距离明显短于对照组，但佩戴 AFO 后两组的步行距离均显着增加。此外，佩戴 AFO 后，对照组和 LEP 组之间的显着差异消失。与对照组相比，PSH 和 LEP 组的 Berg 平衡量表显着降低，但 AFO 组的 Berg 平衡量表显着改善。结论：结果表明，AFO 通过改善步行距离、步行速度和功能平衡，对 PSH 和 LEP 患者有益。许多医生和技术人员经常避免使用 AFO。然而，AFO 不仅改善了两组患者的步行能力，还改善了功能平衡。鼓励医生和技术人员考虑在 LEP 中使用 AFO。
Background: Several studies have examined the benefits of ankle foot orthosis (AFO) in patients with hemiparesis, but little is known about their effects in patients with peripheral nerve palsy. The purpose of this study was to compare the effects of AFO on functional ambulation in patients with hemiplegia and unilateral lower-extremity palsy. Subjects and methods: This study design was Case control study in rehabilitation units of five hospitals in Japan. The study subjects were 50 normal subjects (control), 49 patients with post-stroke hemiparesis (PSH), and 13 with lower extremity palsy (LEP) due to peripheral nerve palsy. Functional ambulation was assessed with AFO and without AFO by 10-meter maximum walking speed (10 MMWS) and the distance walked in a 6-minute walking test (6 MWT). Functional balance was assessed using the Berg balance scale. Results: The 10 MMWS test showed significantly lower walking speed in PSH and LEP without AFO compared with the control group, and that the speed was faster in the two patient groups with AFO than without AFO. The distance walked during the 6 MWT was significantly shorter in PSH and LEP than the control, but it increased significantly in both groups after wearing the AFO. Furthermore, the significant difference between the control and LEP groups disappeared after wearing the AFO. The Berg balance scale was significantly lower in PSH and LEP groups compared with the control group, but improved significantly with AFO. Conclusion: The results suggest that AFO is beneficial for patients with PSH and those with LEP through improvement of walking distance, walking speed, and functional balance. Many physicians and technicians often avoid the use AFO. However, AFO improved not only walking ability but also functional balance in both groups of patients. Physicians and technicians are encouraged to consider the use of AFO in LEP.
影响因子：
120.7
作者：
Studenski, Stephanie;Perera, Subashan;Patel, Kushang;Rosano, Caterina;Faulkner, Kimberly;Inzitari, Marco;Brach, Jennifer;Chandler, Julie;Cawthon, Peggy;Connor, Elizabeth Barrett;Nevitt, Michael;Visser, Marjolein;Kritchevsky, Stephen;Badinelli, Stefania;Harris, Tamara;Newman, Anne B.;Cauley, Jane;Ferrucci, Luigi;Guralnik, Jack
通讯作者：
Guralnik, Jack