Effects of dynamic ankle-foot orthoses on standing in children with severe spastic diplegia

被引：6

作者：

Naslund, Annika ^{[1
]}

Jesinkey, Kristina ^{[2
]}

Hirschfeld, Helga ^{[2
]}

von Wendt, Lennart ^{[3
]}

Sundelin, Gunnevi ^{[4
]}

机构：

[1] Lulea Univ Technol, Dept Hlth Sci, Paediat Physiotherapy & Motor Control, Hedenbrovagen, SE-96136 Boden, Sweden

[2] Karolinska Inst, Dept Neurotec, Motor Control & Phys Therapy Res Lab, Stockholm, Sweden

[3] Univ Cent Hosp Helsinki, Dept Child Neurol, Helsinki, Finland

[4] Umea Univ, Dept Community Med & Rehabil Physiotherapy, Umea, Sweden

来源：

INTERNATIONAL JOURNAL OF THERAPY AND REHABILITATION | 2005年 / 12卷 / 05期

关键词：

spastic diplegia; dynamic ankle-foot orthosis; kinetic; kinematic; standing;

D O I：

10.12968/ijtr.2005.12.5.18267

中图分类号：

R49 [康复医学];

学科分类号：

100215 ;

摘要：

The aim of this study was to investigate whether wearing a dynamic ankle-foot orthosis (DAFO) improved standing posture in six children with severe spastic diplegia. Kinematics and ground reaction forces were recorded with a three-dimensional optoelectronic movement analysis system and two force plates. The results revealed that on a group level, DAFOs did not improve standing posture, distribution of body weight or lateral standing stability as reflected in the horizontal ground reaction forces. However, some children could benefit from the use of a DAFO through a more equal weight distribution and improved sagittal position of the knee, compared to wearing shoes alone. According to the heterogeneous clinical signs and symptoms in children with severe spastic diplegia, studies on a group level easily lead to negative findings and therefore individual benefits could be showed by using single case designs.

引用

页码：200 / 206

页数：7