Barkocy Marybeth, Dexter James, Petranovich Colleen
Division of Physical Therapy (Drs Barkocy and Petranovich and Mr Dexter), University of New Mexico, Albuquerque, New Mexico; ExplorAbilities Therapy Center (Dr Barkocy), Albuquerque, New Mexico.
Pediatr Phys Ther. 2017 Jul;29(3):270-274. doi: 10.1097/PEP.0000000000000404.
To evaluate the effectiveness of serial casting in a child with autism spectrum disorder (ASD) exhibiting a toe-walking gait pattern with equinus contractures.
Although many children with ASD toe walk, little research on physical therapy interventions exists for this population. Serial casting has been validated for use in idiopathic toe walking to increase passive dorsiflexion and improve gait, but not for toe walking in children with ASD. Serial casting followed by ankle-foot orthosis use was implemented to treat a child with ASD who had an obligatory equinus gait pattern. Gait analysis supported improvements in kinematic, spatial, and temporal parameters of gait, and the child maintained a consistent heel-toe gait at 2-year follow-up. STATEMENT OF CONCLUSION AND RECOMMENDATIONS FOR CLINICAL PRACTICE:: Serial casting followed by ankle-foot orthosis use is a viable treatment option for toe walking in children with ASD.
评估连续石膏固定对一名患有自闭症谱系障碍（ASD）且表现出马蹄内翻挛缩性足尖行走步态模式儿童的有效性。
尽管许多患有ASD的儿童存在足尖行走情况，但针对该群体的物理治疗干预研究较少。连续石膏固定已被证实可用于特发性足尖行走以增加被动背屈并改善步态，但不适用于患有ASD的儿童的足尖行走。采用连续石膏固定后使用踝足矫形器的方法来治疗一名患有ASD且具有强制性马蹄内翻步态模式的儿童。步态分析支持了步态的运动学、空间和时间参数的改善，并且该儿童在2年随访时保持了一致的足跟到足尖步态。结论陈述及临床实践建议：连续石膏固定后使用踝足矫形器是患有ASD的儿童足尖行走的一种可行治疗选择。
