Hylton N, Allen C
Pediatr Rehabil. 1997 Apr-Jun;1(2):109-16. doi: 10.3109/17518429709025853.
The use of flexible compression bracing in persons with neuromotor deficits offers improved possibilities for stability and movement control without severely limiting joint movement options. At the Children's Therapy Center in Kent, Washington, this treatment modality has been explored with increasing application in children with moderate to severe cerebral palsy and other neuromotor deficits over the past 6 years, with good success. Significant functional improvements using Neoprene shoulder/trunk/hip Bracing led us to experiment with much lighter compression materials. The stabilizing pressure input orthosis or SPIO bracing system (developed by Cheryl Allen, parent and Chief Designer, and Nancy Hylton, PT) is custom-fitted to the stability, movement control and sensory deficit needs of a specific individual. SPIO bracing developed for a specific child has often become part of a rapidly increasing group of flexible bracing options which appear to provide an improved base of support for functional gains in balance, dynamic stability, general and specific movement control with improved postural and muscle readiness. Both deep sensory and subtle biomechanical factors may account for the functional changes observed. This article discusses the development and current use of flexible compression SPIO bracing in this area.
在患有神经运动功能障碍的人群中使用柔性加压支具，为稳定性和运动控制提供了更好的可能性，同时不会严重限制关节的活动选择。在华盛顿州肯特市的儿童治疗中心，在过去6年里，这种治疗方式在中度至重度脑瘫及其他神经运动功能障碍儿童中的应用越来越广泛，并取得了良好的效果。使用氯丁橡胶肩部/躯干/髋部支具取得的显著功能改善，促使我们试用更轻便的加压材料。稳定压力输入矫形器或SPIO支具系统（由家长兼首席设计师谢丽尔·艾伦和物理治疗师南希·希尔顿研发）是根据特定个体的稳定性、运动控制和感觉缺陷需求定制的。为特定儿童开发的SPIO支具，常常成为越来越多的柔性支具选择之一，这些支具似乎为平衡、动态稳定性、一般和特定运动控制方面的功能改善提供了更好的支撑基础，同时改善了姿势和肌肉准备状态。深层感觉因素和微妙的生物力学因素可能都对观察到的功能变化起到了作用。本文讨论了该领域柔性加压SPIO支具的发展及当前应用情况。
