确定唐氏综合征患儿矫形需求时应测量的指标：一项初步研究
What to measure when determining orthotic needs in children with Down syndrome: a pilot study.
作者信息
Looper Julia, Benjamin Danielle, Nolan Mindy, Schumm Laura
机构信息
School of Physical Therapy, University of Puget Sound, Tacoma, Washington 98416, USA.
出版信息
Pediatr Phys Ther. 2012 Winter;24(4):313-9. doi: 10.1097/PEP.0b013e31826896eb.
PURPOSE
To compare the effects of off-the-shelf foot orthoses and supramalleolar orthoses on the gait of children with Down syndrome (DS), and establish criteria for determining orthoses prescription for a child with DS.
METHODS
We assessed the gait of 6 children (aged 4-7 years) with DS using the GAITRite system, and obtained height, weight, leg length, hypermobility, calcaneal eversion, navicular drop, and tibial torsion measurements.
RESULTS
Supramalleolar orthoses lead to a longer cycle time than foot orthoses (P = .05) and barefoot walking (P = .03) and a lower cadence than barefoot walking (P = .04). Significant strong correlations with gait parameters were obtained for height, leg length, and hypermobility. Biomechanical measurements showed no significant correlations with gait parameters.
CONCLUSIONS
The role of physical examination data, including anthropometric and biomechanical measurements in the prescription of orthoses requires further investigation.
目的
比较现成的足部矫形器和内踝上矫形器对唐氏综合征（DS）患儿步态的影响，并建立DS患儿矫形器处方的判定标准。
方法
我们使用GAITRite系统评估了6名4至7岁DS患儿的步态，并测量了身高、体重、腿长、关节活动过度、跟骨外翻、舟骨下降和胫骨扭转。
结果
内踝上矫形器比足部矫形器（P = 0.05）和赤足行走（P = 0.03）的周期时间更长，且比赤足行走的步频更低（P = 0.04）。身高、腿长和关节活动过度与步态参数存在显著的强相关性。生物力学测量结果与步态参数无显著相关性。
结论
包括人体测量和生物力学测量在内的体格检查数据在矫形器处方中的作用需要进一步研究。
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