Doll B, Michael T
Abtlg. für Techn. Orthopädie, Dysmelie und Rehabilitation, Klinik der FU Berlin, Oskar-Helene-Heim.
Z Orthop Ihre Grenzgeb. 1994 May-Jun;132(3):201-6. doi: 10.1055/s-2008-1039963.
The supplying of Spina bifida children with orthotic devices leads to a remarkable success only, if it is based on the preexisting possibilities of the overall development and the present situation of the child. To realize the aim of maximum autonomy in standing and walking this overall analytic perspective is a must for all therapeutic planing and decisions. Therefore, static and dynamic orthoses like hip guidance-combined with above-knee orthoses, standing and walking-aids like reciprocating gait orthoses etc. are decisive assumptions. The most important characteristics of all orthoses are, the child to feel the economizing effect concerning standing and walking. Then only optimum acceptance and integration of the orthotic devices into activities of daily living can be achieved.
只有基于脊柱裂患儿整体发育的既有可能性及患儿当前状况，为其提供矫形器械才能取得显著成效。为实现站立和行走时最大程度的自主性这一目标，这种全面分析的视角对于所有治疗方案规划和决策而言必不可少。因此，诸如髋部引导装置与大腿假肢相结合的静态和动态矫形器、往复式步态矫形器等站立和行走辅助器具是关键要素。所有矫形器的最重要特性是让患儿在站立和行走时感受到省力效果。只有这样，才能使矫形器械在日常生活活动中得到最佳接受和融入。
