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Effect of ankle-foot orthoses on gait, balance and gross motor function in children with cerebral palsy: a systematic review and meta-analysis.踝足矫形器对脑瘫儿童步态、平衡和粗大运动功能的影响：系统评价和荟萃分析。
Clin Rehabil. 2018 Sep;32(9):1175-1188. doi: 10.1177/0269215518771824. Epub 2018 May 1.
2
Efficacy of ankle foot orthoses types on walking in children with cerebral palsy: A systematic review.踝足矫形器类型对脑瘫儿童行走功能的疗效：系统评价。
Ann Phys Rehabil Med. 2017 Nov;60(6):393-402. doi: 10.1016/j.rehab.2017.05.004. Epub 2017 Jul 13.
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Reliability and minimum detectable change of the gait profile score for post-stroke patients.中风后患者步态轮廓评分的可靠性及最小可检测变化
Gait Posture. 2016 Sep;49:382-387. doi: 10.1016/j.gaitpost.2016.07.149. Epub 2016 Jul 26.
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Gait Deviation Index, Gait Profile Score and Gait Variable Score in children with spastic cerebral palsy: Intra-rater reliability and agreement across two repeated sessions.痉挛型脑瘫患儿的步态偏差指数、步态轮廓评分和步态变量评分：两次重复测量的评分者内信度及一致性
Gait Posture. 2015 Jul;42(2):133-7. doi: 10.1016/j.gaitpost.2015.04.019. Epub 2015 May 11.
5
Are Gait Indices Sensitive Enough to Reflect the Effect of Ankle Foot Orthosis on Gait Impairment in Cerebral Palsy Diplegic Patients?步态指数是否足够敏感，以反映踝足矫形器对脑性瘫痪双瘫患者步态障碍的影响？
J Pediatr Orthop. 2016 Apr-May;36(3):294-8. doi: 10.1097/BPO.0000000000000429.
6
A data driven model for optimal orthosis selection in children with cerebral palsy.基于数据驱动的脑瘫患儿矫形器选择优化模型。
Gait Posture. 2014 Sep;40(4):539-44. doi: 10.1016/j.gaitpost.2014.06.011. Epub 2014 Jul 3.
7
Summary measures for clinical gait analysis: a literature review.临床步态分析的总结性指标：文献综述。
Gait Posture. 2014 Apr;39(4):1005-10. doi: 10.1016/j.gaitpost.2014.02.001. Epub 2014 Feb 7.
8
Cerebral palsy.脑性瘫痪。
Lancet. 2014 Apr 5;383(9924):1240-9. doi: 10.1016/S0140-6736(13)61835-8. Epub 2013 Nov 20.
9
Prevalence of cerebral palsy, co-occurring autism spectrum disorders, and motor functioning - Autism and Developmental Disabilities Monitoring Network, USA, 2008.脑瘫、自闭症谱系障碍共病以及运动功能障碍的流行率——美国自闭症和发育障碍监测网络，2008 年。
Dev Med Child Neurol. 2014 Jan;56(1):59-65. doi: 10.1111/dmcn.12268. Epub 2013 Oct 1.
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A survey of medical and paramedical involvement in children with cerebral palsy in Britanny: preliminary results.布列塔尼地区脑瘫患儿中医疗和辅助医疗人员参与情况的调查：初步结果。
Ann Phys Rehabil Med. 2013 May;56(4):253-67. doi: 10.1016/j.rehab.2012.11.003. Epub 2012 Dec 14.

双侧脑瘫门诊患者使用矫形器的结果

RESULTS OF ORTHOSES USED ON AMBULATORY PATIENTS WITH BILATERAL CEREBRAL PALSY.

作者信息

Melanda Alessandro Giurizatto, Pauleto Ana Carolina, Iucksch Dielise Debona, Cunha Rodrigo Faucz Munhoz DA, Smaili Suhaila Mahmoud

机构信息

Program of Masters and Doctoral degree in Rehabilitation Sciences, Londrina State University (UEL).

Centro Hospitalar de Reabilitação Ana Carolina Moura Xavier, Curitiba, PR, Brazil.

出版信息

Acta Ortop Bras. 2020 May-Jun;28(3):137-141. doi: 10.1590/1413-785220202803228922.

DOI:10.1590/1413-785220202803228922
PMID:32536795
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7269139/
Abstract

OBJECTIVE

To investigate the impact of ankle-foot orthoses (AFO) on subjects diagnosed with bilateral cerebral palsy (CP) using the gait index and temporal data parameters.

METHODS

Twenty-four subjects, 14 male and 10 female, with a mean age of 11 (5-17 years old), underwent a comprehensive gait analysis under both barefoot (BF) and braced walking conditions. All children had been wearing the orthoses for at least 2 months before the gait analysis.

RESULTS

The overall values for the left and right Gait Profile Scores (GPS) did not show statistically significant variations when comparing the same individuals with and without orthoses. Gait velocity increased by 19.5% (p < 0.001), while the cadence decreased by 4% with use of orthosis, although it was not statistically significant (p > 0.05). The stride and the step lengths on both the right and left sides, however, resulted in statistically significant increases, when wearing AFO.

CONCLUSION

AFO, prescribed for assistance by professionals without using gait data, did not significantly affect the gait index (GPS), but improved temporal data. The determination of quantitative clinical parameters for the prescription of orthotics in patients with bilateral CP, as well as orthotics that meet the specific requirements are points to be addressed in the future to obtain more significant effects. .

摘要

目的

使用步态指数和时间数据参数，研究踝足矫形器（AFO）对双侧脑瘫（CP）患者的影响。

方法

24名受试者，14名男性和10名女性，平均年龄11岁（5 - 17岁），在赤足（BF）和佩戴矫形器行走条件下接受了全面的步态分析。所有儿童在步态分析前已佩戴矫形器至少2个月。

结果

比较同一受试者佩戴和不佩戴矫形器时，左右步态轮廓评分（GPS）的总体值未显示出统计学上的显著差异。使用矫形器时，步态速度提高了19.5%（p < 0.001），而步频降低了4%，尽管差异无统计学意义（p > 0.05）。然而，佩戴AFO时，左右两侧的步幅和步长均有统计学上的显著增加。

结论

由专业人员在未使用步态数据的情况下开具的AFO，对步态指数（GPS）没有显著影响，但改善了时间数据。确定双侧CP患者矫形器处方的定量临床参数以及满足特定要求的矫形器，是未来需要解决的问题，以获得更显著的效果。