Schwarze M, Horoba L, Block J, Putz C, Alimusaj M, Wolf S I, Dreher T
Clinic for Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Germany.
Pediatric Orthopaedics and Traumatology, University Children's Hospital Zurich, Zurich, Switzerland.
Rehabil Res Pract. 2019 Jul 15;2019:2978265. doi: 10.1155/2019/2978265. eCollection 2019.
To date there is only limited knowledge about the wearing time of orthoses. Ankle-foot orthoses (AFOs) have not been studied with this research question. Additional influences of the orthotic design as well as weekdays and the weekend are also unknown.
Monocentric, clinically prospective intervention study.
Inclusion of 10 patients with bilateral spastic cerebral palsy.
Equipment of all subjects with a dynamic ankle-foot orthosis (DAFO) and modular shank supply (MSS, dynamic elastic shank adaptation or ground reaction AFO). Integration of temperature sensors for recording the wearing time for a period of 3 months.
The actual wearing time was below the recommendations on actually worn days as well as the average of the entire study period. In addition, the actual usage in terms of days and hours was well below the recommendations. The wearing time showed differences between weekdays and weekend. Differences between DAFO and MSS were not detectable.
The actual usage behavior of ankle-foot orthoses differs from the recommendations of the prescriber. This applies to both DAFOs and modular use with shank supplies. Environmental factors may have a significant impact on wearing times on weekdays and the weekend.
迄今为止，关于矫形器佩戴时间的了解有限。尚未针对踝足矫形器（AFO）研究这一问题。矫形器设计以及工作日和周末的额外影响也尚不明确。
单中心临床前瞻性干预研究。
纳入10例双侧痉挛性脑瘫患者。
为所有受试者配备动态踝足矫形器（DAFO）和模块化小腿组件（MSS，动态弹性小腿适配或地面反作用AFO）。集成温度传感器以记录3个月的佩戴时间。
实际佩戴时间低于实际佩戴天数的建议值以及整个研究期间的平均值。此外，在天数和小时数方面的实际使用情况远低于建议值。佩戴时间在工作日和周末之间存在差异。未检测到DAFO和MSS之间的差异。
踝足矫形器的实际使用行为与开处方者的建议不同。这适用于DAFO以及带小腿组件的模块化使用。环境因素可能对工作日和周末的佩戴时间有重大影响。
