Nishizawa Hitomi, Matsukiyo Ayumi, Shiba Naoko, Koinuma Masayoshi, Nakamura Akinori
School of Health Sciences, Faculty of Medicine, Shinshu University: 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.
Research Center for Advanced Science and Technology Project, The University of Tokyo, Japan.
J Phys Ther Sci. 2018 Apr;30(4):576-579. doi: 10.1589/jpts.30.576. Epub 2018 Apr 20.
[Purpose] To investigate the effect of night splints on the standing motor function and ankle dorsiflexion angles of patients with Duchenne muscular dystrophy (DMD). [Subjects and Methods] Nine boys (age <11 years) with DMD were divided into the sufficiently-wearing group and the insufficiently-wearing group, according to how often they wore their splint for one year. We evaluated the changes between the pre-implementation and the one-year-after assessments of both the sufficiently-wearing group and the insufficiently-wearing group for the ankle dorsiflexion angle, North Star Ambulatory Assessment, 10-m running time, and time to stand from the floor. [Results] Only the left dorsiflexion angle of the ankle showed significantly difference for the sufficiently-wearing group. For other indicators, there were tendency toward improvement and maintenance in the sufficiently-wearing group. [Conclusion] The standing motor function improved significantly in some patients in the sufficiently-wearing group, suggesting that wearing night splints may promote the improvement and/or maintain of standing motor function in patients with DMD.
[目的]研究夜间夹板对杜氏肌营养不良症（DMD）患者站立运动功能及踝关节背屈角度的影响。[对象与方法]根据9名年龄小于11岁的DMD男孩在一年中佩戴夹板的频率，将其分为充分佩戴组和佩戴不足组。我们评估了充分佩戴组和佩戴不足组在实施前和实施一年后踝关节背屈角度、北极星动态评估、10米跑步时间以及从地面站立时间的变化。[结果]充分佩戴组仅踝关节左侧背屈角度有显著差异。对于其他指标，充分佩戴组有改善和维持的趋势。[结论]充分佩戴组部分患者的站立运动功能有显著改善，表明佩戴夜间夹板可能促进DMD患者站立运动功能的改善和/或维持。
