LPG Physiatry, 765 Allens Avenue, Suite 110, Providence, RI 02905, USA.
Phys Med Rehabil Clin N Am. 2021 Aug;32(3):509-526. doi: 10.1016/j.pmr.2021.03.001. Epub 2021 May 20.
The goals of bracing in polio and postpolio are to optimize joint position and support weak muscles with the goal of reducing falls, reducing deformities, and optimizing energy conservation. Orthoses are primarily used in the lower extremities to optimize gait. Less frequently, upper extremity orthoses are required. Polio survivors are at increased risk of falls and injuries. Appropriate bracing and compliance with the prescribed device can prevent falls and injuries. The best orthotic results are often achieved with patients who have significant deficits but walk regularly, are well motivated, and are willing to adapt their gait for orthotic use.
在脊髓灰质炎和后脊髓灰质炎中，支具的目标是优化关节位置并支撑弱肌肉，以减少跌倒、减少畸形和优化能量节约。矫形器主要用于下肢以优化步态。较少情况下需要使用上肢矫形器。脊髓灰质炎幸存者跌倒和受伤的风险增加。适当的支具和遵守规定的器械可以预防跌倒和受伤。对于有明显缺陷但定期行走、动机强烈且愿意适应矫形器使用步态的患者，通常可以获得最佳的矫形效果。
