Flanagan Ann, Krzak Joseph, Peer Mary, Johnson Patricia, Urban Michelle
Rehab Services Department, Shriners Hospitals for Children-Chicago, 2211 N. Oak Park Avenue, Chicago, IL 60707, USA.
Pediatr Phys Ther. 2009 Summer;21(2):201-4. doi: 10.1097/PEP.0b013e3181a347ab.
To evaluate the effectiveness of an orthotic undergarment on gait, balance, and life skills of children who have diplegic cerebral palsy (CP).
Five subjects (ages 7-13 years) with CP at Gross Motor Function Classification Scale level I wore a TheraTog undergarment for 12 weeks. Data collection included Vicon Motion Analysis, Bruininks-Oseretsky Test of Motor Proficiency, and Canadian Occupational Performance Measure at baseline; in and out of the garment after 12 weeks of wear; 2 months and 4 months after garment wear.
Kinematic data indicated increased peak hip extension and correction of anterior pelvic tilt in stance during wear time. Composite gross motor scores on the Bruininks-Oseretsky Test of Motor Proficiency and Canadian Occupational Performance Measure scores improved significantly at the end of wear time.
When worn for a 12-week time frame, an individualized orthotic garment can improve gait and functional skills in some children with CP.
评估一种矫正内衣对双瘫型脑瘫（CP）儿童步态、平衡和生活技能的有效性。
五名年龄在7至13岁、粗大运动功能分类量表为I级的CP患儿穿着TheraTog矫正内衣12周。数据收集包括基线时、穿着12周后内衣时和脱下内衣后、穿着内衣2个月和4个月后的Vicon运动分析、布吕宁克斯-奥塞茨基运动技能测试以及加拿大职业表现测量。
运动学数据表明，在穿着期间，站立时髋关节伸展峰值增加，骨盆前倾得到矫正。在穿着结束时，布吕宁克斯-奥塞茨基运动技能测试的综合粗大运动得分和加拿大职业表现测量得分显著提高。
当穿着12周时，个性化矫正内衣可改善部分CP患儿的步态和功能技能。
