Acceptability and potential effectiveness of a foot drop stimulator in children and adolescents with cerebral palsy.
Acceptability and potential effectiveness of a foot drop stimulator in children and adolescents with cerebral palsy.
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DOI：
10.1111/j.1469-8749.2012.04401.x
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发表时间：
2012-11
影响因子：
3.8
通讯作者：
Damiano DL
中科院分区：
文献类型：
--
作者：
Prosser LA;Curatalo LA;Alter KE;Damiano DL
踝足矫形器是治疗脑瘫（CP）患者足下陷的标准护理方法，但在轻度CP患者中可能会过度限制踝关节运动和限制功能。功能性电刺激（FES）可能是一种限制较少且更有效的替代方法，但很少用于脑瘫。本研究的主要目的是在脑瘫中进行首次试验，检查一种新颖的，市售装置，提供FES刺激踝关节背屈。纳入21例个体（大运动功能分类系统[GMFCS]等级I和II，平均年龄13 - 2个月）。在4个月的设备使用期间，以两种步行速度对FES和非FES条件下的步态进行了分析。测量包括踝关节运动学和时空变量。使用重复测量的多变量方差分析揭示了条件之间的差异。19例个体（9例女性，10例男性；平均年龄12 - 11月龄，范围7 - 5 - 19 - 11月龄；11例为GMFCS等级1,8例为GMFCS等级2）完成了FES干预，除1例外，其余均选择在该阶段后继续使用FES。平均每日使用时间为5.6小时（SD 2.3）。在摆动（平均和峰值）和足部触地时，观察到背屈得到改善，当使用FES以自行选择的快速步行速度行走时，脚尖处的踝关节跖屈部分保留。步态速度没有变化。这种FES装置被广泛接受并有效地用于患有轻度CP步态障碍的足下垂患者。
Ankle–foot orthoses are the standard of care for foot drop in cerebral palsy (CP), but may overly constrain ankle movement and limit function in those with mild CP. Functional electrical stimulation (FES) may be a less restrictive and more effective alternative, but has rarely been used in CP. The primary objective of this study was to conduct the first trial in CP examining the acceptability and clinical effectiveness of a novel, commercially available device that delivers FES to stimulate ankle dorsiflexion. Twenty-one individuals were enrolled (Gross Motor Function Classification System [GMFCS] levels I and II, mean age 13y 2mo). Gait analyses in FES and non-FES conditions were performed at two walking speeds over a 4 month period of device use. Measures included ankle kinematics and spatiotemporal variables. Differences between conditions were revealed using repeated measures multivariate analyses of variance. Nineteen individuals (nine females, 10 males; mean age 12y 11mo, range 7y 5mo to 19y 11mo; 11 at GMFCS level I, eight at level II) completed the FES intervention, with all but one choosing to continue using FES beyond that phase. Average daily use was 5.6 hours (SD 2.3). Improved dorsiflexion was observed during swing (mean and peak) and at foot floor–contact, with partial preservation of ankle plantarflexion at toe-off when using the FES at self-selected and fast walking speeds. Gait speed was unchanged. This FES device was well accepted and effective for foot drop in those with mild gait impairments from CP.
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影响因子：
4.2
作者：
Stein, Richard B.;Everaert, Dirk G.;Kuether, Gerald
通讯作者：
Kuether, Gerald
DOI：
10.1016/s0003-9993(03)00473-8
发表时间：
2004-02-01
影响因子：
4.3
作者：
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通讯作者：
McCarthy, JJ
影响因子：
3.8
作者：
Orlin, MN;Pierce, SR;McCarthy, JJ
通讯作者：
McCarthy, JJ
影响因子：
8.3
作者：
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通讯作者：
Binder-Macleod SA
DOI：
10.1111/j.1469-8749.2007.tb12610.x
发表时间：
2007-02-01
影响因子：
3.8
作者：
Rosenbaum, Peter;Paneth, Nigel;Bax, Martin
通讯作者：
Bax, Martin