Franklin Nathan, Hsu Joseph R, Wilken Jason, McMenemy Louise, Ramasamy Arul, Stinner Daniel J
Brooke Army Medical Center, JBSA Fort Sam Houston, San Antonio, TX.
Department of Physical Therapy and Rehabilitation Science, University of Iowa, Iowa City, IA.
Sports Med Arthrosc Rev. 2019 Sep;27(3):107-111. doi: 10.1097/JSA.0000000000000259.
There are many bracing options for patients with functional limitations of the lower extremity following trauma. The first question that the provider must ask when evaluating a patient with a foot and ankle functional limitation because of weakness or pain is, "what are the patient's expectations?" One option for the patient who desires to return to a higher level of function is a novel, custom dynamic orthosis (CDO) that, when coupled with an advanced rehabilitation program, has improved outcomes in patients following lower extremity trauma who have plateaued after traditional rehabilitation pathways. Although this CDO and rehabilitation program has demonstrated success following lower extremity trauma in heterogenous patient populations, research is ongoing to identify both ideal referral diagnoses or injury characteristics, and to further optimize outcomes with the use of the CDO.
对于创伤后下肢功能受限的患者，有多种支具选择。当评估因虚弱或疼痛而存在足踝功能受限的患者时，医疗服务提供者必须首先问的一个问题是：“患者的期望是什么？”对于期望恢复到更高功能水平的患者，一种选择是一种新型的定制动态矫形器（CDO），当与先进的康复计划相结合时，对于那些在传统康复途径后病情稳定的下肢创伤患者，它能改善治疗效果。尽管这种CDO和康复计划在不同患者群体的下肢创伤治疗中已显示出成功，但仍在进行研究，以确定理想的转诊诊断或损伤特征，并通过使用CDO进一步优化治疗效果。
