Borghi Corrado, Sassi Silvia, Pandarese Daniela, Messori Samuele, Faccioli Silvia
Children Rehabilitation Unit-UDGEE, Santa Maria Nuova Hospital, Azienda USL, IRCCS di Reggio Emilia, 42123 Reggio Emilia, Italy.
PhD Program in Clinical and Experimental Medicine, Department of Biomedical, Metabolic and Neural Sciences, University of Modena and Reggio Emilia, 41125 Modena, Italy.
Children (Basel). 2023 Sep 9;10(9):1529. doi: 10.3390/children10091529.
(1) Aims: to evaluate the effect on gait performance and standing stability of ankle-foot orthoses (AFO) in pediatric patients with hereditary motor-sensory neuropathy (HMSN). (2) Methods: a retrospective case-series study including three adolescents (S1, S2, S3, mean age 14 years) with HMSN. The subjects were evaluated barefoot, with carbon AFO (Botter) and with solid AFO (SAFO) by means of: gait analysis, stabilometry and gait functional tests (10 Meter Walk Test, 2 Minute Walk Test). Finally, the CSD-OPUS questionnaire was administered to the assess satisfaction and impact of the orthoses on life quality. (3) Results: orthoses improved gait and stability performance. Botter allowed greater ankle movement than SAFO and provided greater push-off power. This, combined with the carbon elastic energy return, might explain better performances in the 2MWT, with a larger distance traveled compared to SAFO for both S1 (110 m vs. 72 m) and S2 (170 m vs. 155 m) and, compared to barefoot walking, also for S3 (211 m vs. 160 m), for which SAFO analysis was not available. Both orthoses improved performance at the stabilometric analysis. The CSD-OPUS questionnaire showed a significantly higher level of satisfaction with Botter for the subjects (S1, S2) who completed the comparison. (4) Conclusions: Both orthoses improved gait and standing, though Botter proved to be better tolerated and more effective in improving gait endurance.
（1）目的：评估踝足矫形器（AFO）对遗传性运动感觉神经病（HMSN）患儿步态表现和站立稳定性的影响。（2）方法：一项回顾性病例系列研究，纳入三名患有HMSN的青少年（S1、S2、S3，平均年龄14岁）。通过以下方式对受试者进行评估：赤足状态、佩戴碳纤维AFO（Botter）以及佩戴固态AFO（SAFO）时的步态分析、稳定测量法和步态功能测试（10米步行测试、2分钟步行测试）。最后，发放CSD - OPUS问卷以评估矫形器的满意度及其对生活质量的影响。（3）结果：矫形器改善了步态和稳定性表现。与SAFO相比，Botter允许更大的踝关节活动度，并提供更大的蹬离力量。这与碳纤维的弹性能量回返相结合，可能解释了在2分钟步行测试中表现更好的原因，与SAFO相比，S1（110米对72米）和S2（170米对155米）行走的距离更远，与赤足行走相比，S3（211米对160米）也是如此，而S3未进行SAFO分析。两种矫形器在稳定测量分析中均改善了表现。CSD - OPUS问卷显示，完成比较的受试者（S1、S2）对Botter的满意度显著更高。（4）结论：两种矫形器均改善了步态和站立情况，不过事实证明Botter耐受性更好，在改善步态耐力方面更有效。
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