Impact of prophylactic thoracolumbosacral orthosis bracing on functional activities and activities of daily living in the pediatric spinal cord injury population
Impact of prophylactic thoracolumbosacral orthosis bracing on functional activities and activities of daily living in the pediatric spinal cord injury population
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DOI：
10.1080/10790268.2007.11754598
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发表时间：
2007-01-01
影响因子：
1.7
通讯作者：
McDonald, Craig M.
中科院分区：
文献类型：
--
作者：
Chafetz, Ross S.;Mulcahey, Mary Jane;McDonald, Craig M.
背景/目的：本研究的目的是评估的影响，胸腰骶矫形器（TLSO）对儿童脊髓损伤（SCI）的功能独立性和时间要求的功能活动的性能，并确定儿童的偏好TLSO use.Methods：14名受试者与胸部SCI，年龄6至14岁，进行了研究。所有受试者之前均接受过处方，并使用TLSO预防脊柱侧凸进展。包括在功能独立性措施和6个额外的轮椅和转移技能的功能活动进行了评分所需的援助水平。定时运动测试（TMT）包括6项活动，包括穿衣、转移和轮椅推进。受试者在佩戴和不佩戴TLSO时完成功能活动量表（FAS）和TMT的活动。结果：在TMT测试中，穿衬衫或裤子时，穿TLSO的受试者速度较慢，且在均匀和不均匀的转移和走廊推进方面差异有统计学意义（P < 0.05）。大多数受试者在TMT活动期间不愿意佩戴TLSO。在穿戴TLSO进行上肢敷料（P < 0.05）、下肢敷料、膀胱管理、转移到床上和伸手去拿地板上的物体时，记录较低的功能活动评分。受试者不喜欢穿TLSO以下活动：下肢敷料，膀胱管理，达到一个对象在地板上，并从仰卧到坐姿transfer position.Conclusions：穿着TLSO不利影响的独立性水平和时间要求选定的功能活动。受试者在进行活动时不喜欢佩戴TLSO。需要髋关节屈曲的活动，例如穿裤子或从仰卧位过渡到坐姿，受到TLSO的限制。未来的大样本研究应探讨TLSO功能与患者年龄、损伤程度和TLSO设计之间的关系。
Background/Objective: The purpose of this study is to assess the impact of a thoracolumbosacral orthosis (TLSO) on children with spinal cord injuries (SCI) in terms of functional independence and time requirements for performance of functional activities and to ascertain the children's preference for TLSO use.Methods: Fourteen subjects with thoracic SCI, ages 6 to 14 years, were studied. All subjects had previously been prescribed and were using a TLSO to prevent the progression of scoliosis. Functional activities included in the Functional Independence Measure and 6 additional wheelchair and transfer skills were scored by level of assistance required. The timed motor test (TMT) included 6 activities involving dressing, transfers, and wheelchair propulsion. Subjects completed the activities of the functional activities scale (FAS) and TMT while wearing a TLSO and without a TLSO. Subjects were asked their preference for wearing or not wearing the TLSO during each of the activities.Results: For the TMT, subjects were slower with a TLSO when donning a shirt or pants, with even and uneven transfers and hallway propulsion (P < 0.05). The majority of subjects preferred not wearing the TLSO during the TMT activities. Lower functional activity scores were recorded while wearing a TLSO for upper-extremity dressing (P < 0.05), lower-extremity dressing, bladder management, transferring to bed, and reaching for objects on the floor. Subjects preferred not wearing a TLSO for the following activities: lower-extremity dressing, bladder management, reaching for an object on the floor, and transfer from a supine to a sitting position.Conclusions: Wearing a TLSO adversely affected independence level and time requirements for selected functional activities. Subjects preferred not wearing a TLSO while performing the activities. Activities that required hip flexion, such as donning pants or transitioning from a supine to a sitting position were restricted by the TLSO. Future studies with larger sample sizes should explore the relationships between functioning with a TLSO as related to a patient's age, level of injury, and TLSO design.