The Effect of Ankle-Foot Orthoses on Community-Based Walking in Cerebral Palsy: A Clinical Pilot Study.
The Effect of Ankle-Foot Orthoses on Community-Based Walking in Cerebral Palsy: A Clinical Pilot Study.
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DOI：
10.1097/pep.0000000000000242
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Rashid S
中科院分区：
文献类型：
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作者：
Bjornson K;Zhou C;Fatone S;Orendurff M;Stevenson R;Rashid S
研究踝足矫形器（AFO）对脑性瘫痪（CP）儿童步行活动的影响。我们采用随机交叉设计，纳入11名双侧CP儿童，平均年龄4.3岁。受试者被随机分配至当前AFO-开启或AFO-关闭2周，然后交叉。通过踝关节加速度计收集步行活动（平均总步数/天）、强度和步频曲线。用Wilcoxon符号秩检验检查组效应，并检查受试者内效应的> 1个标准差变化。治疗条件之间的平均每日总步数无显著组间差异（P = 0.48）。对于AFO-ON条件，2例受试者（18%）增加了总步数/天; 4例（36%）增加了步行时间; 2例（18%）以> 30步/分钟的速度增加了步幅; 2例（18%）达到了更高的峰值强度。临床处方的AFO/鞋类并不能持续提高步行活动水平或强度。需要进行更大规模的研究。
Examine effect of ankle-foot orthoses (AFO) on walking activity in children with cerebral palsy (CP). We used a randomized cross-over design with 11 children with bilateral CP, mean age 4.3 years. Subjects were randomized to current AFO-ON or AFO-OFF for 2 weeks and then crossed over. Walking activity (average total steps/day), intensity and stride rate curves were collected via ankle accelerometer. Group effects were examined with the Wilcoxon signed-rank test and within subject effects examined for > 1 standard deviation change. No significant group difference was found in average total daily step count between treatment conditions (P = .48). For the AFO-ON condition, 2 subjects (18%) increased total steps/day; 4 (36%) increased walking time; 2 (18%) had more strides at rate >30 strides/min; and 2 (18%) reached higher peak intensity. Clinically prescribed AFO/footwear did not consistently enhance walking activity levels or intensity. Larger studies are warranted.