Caliskan Uckun Asli, Celik Canan, Ucan Halil, Ordu Gokkaya Nilufer Kutay
Department of Physical Medicine and Rehabilitation, Gaziantep Cengiz Gokcek Hospital , Gaziantep , Turkey .
Dev Neurorehabil. 2014 Dec;17(6):388-92. doi: 10.3109/17518423.2013.830653. Epub 2013 Aug 26.
The aim of the study was to compare the effects of lower extremity orthoses on energy expenditure in patients with cerebral palsy (CP).
We included 48 children with CP using lower extremity orthosis. Energy expenditures determined based on heart rate, yielded an energy expenditure index (EEI) with and without orthosis during walking. RESULTS were compared statistically between orthosis groups (solid polyethylene ankle foot orthosis (PAFO), articulated PAFO, ground reaction foot orthosis (GRAFO), plastic and metallic knee-ankle-foot-orthosis (KAFO), and metallic AFO).
It was found that an advancement in energy expenditure was seen with plastic orthoses which is more prominent by solid PAFO (p = 0.008).
It was concluded that especially solid PAFO can be more beneficial in terms of energy consumption in CP patients. In rehabilitation phase, the EEI measurement was seen to be a useful and practical method for choosing the proper orthosis type.
本研究旨在比较下肢矫形器对脑瘫（CP）患者能量消耗的影响。
我们纳入了48名使用下肢矫形器的CP患儿。根据心率确定能量消耗，得出步行时佩戴和不佩戴矫形器的能量消耗指数（EEI）。对矫形器组（实心聚乙烯踝足矫形器（PAFO）、带关节的PAFO、地面反应足矫形器（GRAFO）、塑料和金属膝踝足矫形器（KAFO）以及金属AFO）的结果进行统计学比较。
发现使用塑料矫形器时能量消耗有所增加，实心PAFO更为显著（p = 0.008）。
得出结论，特别是实心PAFO在CP患者的能量消耗方面可能更有益。在康复阶段，EEI测量被认为是选择合适矫形器类型的一种有用且实用的方法。
