Ricks N R, Eilert R E
Department of Orthopaedic Surgery, Children's Hospital, Denver, CO 80218.
Dev Med Child Neurol. 1993 Jan;35(1):11-6. doi: 10.1111/j.1469-8749.1993.tb11546.x.
One theory about the improvements in gait seen in children with CP who use inhibitory casts holds that they are a result of better posture of the foot. To examine this theory, the authors used x-rays to document the position of the foot both before and during inhibitory casting to see whether there were measurable changes in foot posture that could be ascribed to the casts. The bony alignment of the ankle and foot was compared during weight-bearing with the children in and out of inhibitory casts (N = 12), static ankle-foot orthoses (N = 7) and articulated ankle-foot orthoses (N = 8). The only angle change which was significant was calcaneal inclination in the articulated AFOs versus out of the orthoses. There was no significant difference in any of the other angles in any of the groups.
一种关于使用抑制性支具的脑瘫儿童步态改善的理论认为，这是足部姿势改善的结果。为了验证这一理论，作者使用X射线记录了抑制性支具使用前后足部的位置，以观察足部姿势是否存在可归因于支具的可测量变化。对12名使用抑制性支具、7名使用静态踝足矫形器和8名使用活动踝足矫形器的儿童在负重时佩戴和不佩戴支具的情况下，比较了踝关节和足部的骨骼对线情况。唯一有显著变化的角度是活动踝足矫形器佩戴与不佩戴时的跟骨倾斜度。其他组的任何其他角度均无显著差异。
