Ofir R, Sell H
Arch Phys Med Rehabil. 1980 May;61(5):216-20.
Of the patients with hemiplegia who had undergone active rehabilitation at the Institute of Rehabilitation Medicine (IRM), New York University Medical Center, from the years 1968 through 1977, 843 were reviewed for functional ambulatory status on admission and at discharge, type of orthotic devices used, time elapsed from onset to admission for rehabilitation, and length of stay at IRM, to determine whether a consistent change had occurred in prescribing lower extremity orthoses for patients with hemiplegia, and if so, to assess the impact of such changes on the ambulation status. Of the 843 patients reviewed, 773 (91%) were partial or nonambulators on admission. Of these, 62% of the nonambulators and 66% of the partial ambulators improved significantly. A consistent decline in the use of metal orthoses, especially of long-leg orthoses, together with an increase in the use of plastic-knee ankle-foot orthoses was demonstrated. A 20% decline in prescription of lower extremity orthoses of all kinds was also observed. The rate of neuromuscular return as mwasured by attainment of functional gait has remained stable, and the proportion of numbers of patients attaining functional gait also was unchanged.
对1968年至1977年间在纽约大学医学中心康复医学研究所（IRM）接受积极康复治疗的偏瘫患者进行了回顾性研究。对其中843例患者入院时和出院时的功能性步行状态、使用的矫形器类型、从发病到入院接受康复治疗的时间以及在IRM的住院时间进行了评估，以确定偏瘫患者在开具下肢矫形器方面是否发生了持续变化，如果发生了变化，则评估这种变化对步行状态的影响。在接受评估的843例患者中，773例（91%）入院时为部分步行者或非步行者。其中，62%的非步行者和66%的部分步行者有显著改善。结果表明，金属矫形器尤其是长腿矫形器的使用持续减少，而塑料膝踝足矫形器的使用有所增加。还观察到各类下肢矫形器的处方量下降了20%。通过达到功能性步态来衡量的神经肌肉恢复率保持稳定，达到功能性步态的患者比例也没有变化。
