Gaziantep University, Physical Medicine and Rehabilitation Department, Gaziantep, Turkey.
Prosthet Orthot Int. 2021 Dec 1;45(6):487-490. doi: 10.1097/PXR.0000000000000049.
The purpose of this study was to investigate the frequency of using lower extremity orthosis prescribed for patients with cerebral palsy (CP) and to determine the factors associated with orthosis use.
The study had a retrospective and descriptive design.
One hundred and twenty-nine patients with CP who were prescribed orthoses were included in this study. The sociodemographic data and orthosis use status of patients were questioned with telephone calls. Motor functions were evaluated with Gross Motor Function Classification System (GMFCS). Spasticity was evaluated with the modified Ashworth scale, and range of motion was evaluated by goniometry. The study had a retrospective and descriptive design and included 129 patients with CP (53 females and 76 males) who were prescribed orthosis. The sociodemographic data and orthosis use status of patients were questioned with telephone calls. Motor functions were evaluated with Gross Motor Function Classification System (GMFCS). Spasticity was evaluated with the modified Ashworth scale, and range of motion was evaluated by goniometry.
A total of 53 patients who were included in the study were female, and 76 were male. The most commonly used orthosis was Ankle-Foot Orthosis. The number of patients who used orthosis every day was 45 (34.8%). The most common reason for not using orthosis was difficulty in wearing it. The mean age was significantly lower in the group that used orthosis regularly (P < 0.05). Spasticity and range of motion limitations were low in the group that used orthosis regularly at significant levels (P < 0.05). A significant relation was detected in logistic regression analysis between age and orthosis use (P < 0.05).
Regular orthosis use is at quite low levels in patients with CP. The decision for prescribing orthosis should be made with a rehabilitation team, with the patient included before orthosis is prescribed. Problems related to orthosis use should be addressed at regular intervals after prescribing orthosis.
本研究旨在调查脑瘫（CP）患者下肢矫形器的使用频率，并确定与矫形器使用相关的因素。
本研究为回顾性描述性设计。
本研究共纳入 129 例CP 患者，通过电话询问患者的社会人口统计学数据和矫形器使用情况。使用粗大运动功能分类系统（GMFCS）评估运动功能。采用改良 Ashworth 量表评估痉挛程度，使用量角器评估关节活动度。
共有 53 例女性和 76 例男性患者纳入研究。最常使用的矫形器是踝足矫形器。每天使用矫形器的患者有 45 例（34.8%）。不使用矫形器的最常见原因是佩戴困难。定期使用矫形器的患者年龄显著低于不使用矫形器的患者（P<0.05）。定期使用矫形器的患者的痉挛程度和关节活动度受限程度显著较低（P<0.05）。逻辑回归分析显示，年龄与矫形器使用之间存在显著关系（P<0.05）。
CP 患者中定期使用矫形器的比例相当低。在为患者开具矫形器之前，应与康复团队一起做出开具矫形器的决定，并让患者参与其中。在开具矫形器后，应定期解决与矫形器使用相关的问题。
