在一名脊柱裂儿童步态中使用TheraTogs与扭转电缆治疗内旋足。
The use of TheraTogs versus twister cables in the treatment of in-toeing during gait in a child with spina bifida.
作者信息
Richards Amber, Morcos Sally, Rethlefsen Susan, Ryan Deidre
机构信息
Department of Rehabilitation Services, Children's Hospital Los Angles, Los Angeles, California, USA.
出版信息
Pediatr Phys Ther. 2012 Winter;24(4):321-6. doi: 10.1097/PEP.0b013e318268a9c7.
PURPOSE
To present the effects of TheraTogs and twister cables (TCs) on in-toeing during gait in a child with spina bifida while comparing overall parent and patient satisfaction.
CASE DESCRIPTION
The participant was a 2-year-old girl with L4 spina bifida with bilateral in-toeing during gait.
INTERVENTION
The child was given a 6-week intervention of TheraTogs followed by 6 weeks of TCs.
OUTCOMES
Kinematic data indicated optimal foot progression with the use of TCs, achieved by the rotation of the lower leg. Gait data for the use of TheraTogs indicated improved foot progression with external rotation at the hips. Gait characteristics indicated improved gait velocity in TheraTogs, but stride length was better with TCs. The parent reported satisfaction and preference for TheraTogs.
CONCLUSION
As the first step in investigating the 2 interventions, both TheraTogs and TCs were effective in management of in-toeing for the child but parental preference favored TheraTogs.
目的
呈现TheraTogs和扭转缆绳（TCs）对一名脊柱裂儿童步态内旋的影响，同时比较家长和患者的总体满意度。
病例描述
参与者是一名2岁患有L4脊柱裂的女孩，步态时有双侧内旋。
干预措施
该儿童接受了为期6周的TheraTogs干预，随后是6周的TCs干预。
结果
运动学数据表明，使用TCs时通过小腿旋转可实现最佳足部前进。使用TheraTogs的步态数据表明，髋关节外旋可改善足部前进。步态特征表明，使用TheraTogs时步态速度有所提高，但使用TCs时步幅更好。家长报告了对TheraTogs的满意度和偏好。
结论
作为研究这两种干预措施的第一步，TheraTogs和TCs对该儿童内旋的管理均有效，但家长更倾向于TheraTogs。
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