Ankle-foot orthoses for preambulatory children with spastic diplegia.
Ankle-foot orthoses for preambulatory children with spastic diplegia.
复制标题
适用于患有痉挛性截瘫的学前儿童的踝足矫形器。
DOI：
10.1097/00004694-199705000-00019
复制
发表时间：
1997
期刊：
影响因子：
--
通讯作者：
David Telford
中科院分区：
文献类型：
--
作者：
H. Wilson;N. Haideri;Kit Song;David Telford
目的：探讨关节式踝足矫形器对15名2-5岁痉挛型双瘫及动力性马蹄足患儿从坐到站过渡运动的影响。收集每个孩子的运动学和动力学数据。通过使用测力板确定达到稳定站立的时间。7名儿童在赤脚时与年龄匹配的正常人相当，并因使用AFO而减慢。8名患者赤脚时比正常人慢1个标准差以上。使用关节面AFO后，所有患者均得到显著改善（p < 0.003）。这两组之间的临床差异是AFO辅助患者在赤脚稳定站立时出现马蹄足，而第二组患者保持赤脚跖行。我们的结论是，痉挛性双瘫与不受控制的动态马蹄受益于使用明确的AFO的坐到站的运动。
We evaluated the effect of articulating and solid ankle-foot orthoses (AFOs) on the transitional movement of sit-to-stand for 15 children aged 2-5 years with spastic diplegia and dynamic equinus. Kinematic and kinetic data were collected for each child. The time to reach stable standing was determined by using a force plate. Seven children were comparable to age-matched normals while barefoot and were slowed by the use of AFOs. Eight patients were more than 1 standard deviation slower than normals while barefoot. All were significantly (p < 0.003) improved by the use of articulating AFOs. The clinical difference between these groups was the presence of equinus during stable standing while barefoot for patients aided by AFOs, whereas the second group remained plantigrade barefoot. We conclude that children with spastic diplegia with uncontrolled dynamic equinus benefit from the use of articulating AFOs for the movement of sit-to-stand.