Hinderer K A, Harris S R, Purdy A H, Chew D E, Staheli L T, McLaughlin J F, Jaffe K M
Division of Congenital Defects, Children's Hospital and Medical Center, Seattle, WA 98105.
Dev Med Child Neurol. 1988 Jun;30(3):370-7. doi: 10.1111/j.1469-8749.1988.tb14563.x.
The relative effects of 'tone-reducing' (inhibitive) and standard casts on the gait patterns and functional motor activities of two children with cerebral palsy were examined in a repeated measures (single-subject) design. Both children's stride length improved in the tone-reducing casts, compared with standard casts, but there were no significant difference between the two casts in step length ratio, base of support or foot progression angle. From videotapes, clinicians noted mildly improved gait and function over baseline levels for one child during the tone-reducing cast phase. They also consistently rated this child's performance as being better with the tone-reducing casts than with the standard casts. Parents and therapists also favoured the tone-reducing casts. However, further evidence is needed for the efficacy of tone-reducing casts in the management of children with cerebral palsy.
采用重复测量（单受试者）设计，研究了“减张力”（抑制性）石膏与标准石膏对两名脑瘫儿童步态模式和功能性运动活动的相对影响。与标准石膏相比，两名儿童在使用减张力石膏时步幅均有所改善，但两种石膏在步长比、支撑面或足前进角度方面无显著差异。临床医生通过录像观察到，在使用减张力石膏阶段，一名儿童的步态和功能较基线水平有轻度改善。他们还一直认为该儿童使用减张力石膏时的表现优于使用标准石膏时。家长和治疗师也更倾向于减张力石膏。然而，减张力石膏在脑瘫儿童治疗中的疗效还需要进一步的证据。
