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首页> 外文期刊>BMC Musculoskeletal Disorders >Ankle-foot orthoses in children with cerebral palsy: a cross sectional population based study of 2200 children
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Ankle-foot orthoses in children with cerebral palsy: a cross sectional population based study of 2200 children

机译：脑瘫儿童的踝足矫形器：一项基于横断面人群的2200名儿童的研究

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Background Ankle-foot orthosis (AFO) is the most frequently used type of orthosis in children with cerebral palsy (CP). AFOs are designed either to improve function or to prevent or treat muscle contractures. The purpose of the present study was to analyse the use of, the indications for, and the outcome of using AFO, relative to age and gross motor function in a total population of children with cerebral palsy. Methods A cross-sectional study was performed of 2200 children (58% boys, 42% girls), 0–19 years old (median age 7?years), based on data from the national Swedish follow-up programme and registry for CP. To analyse the outcome of passive ankle dorsiflexion, data was compared between 2011 and 2012. The Gross motor classification system (GMFCS) levels of included children was as follows: I (n?=?879), II (n?=?357), III (n?=?230), IV (n?=?374) and V (n?=?355). Results AFOs were used by 1127 (51%) of the children. In 215 children (10%), the indication was to improve function, in 251 (11%) to maintain or increase range of motion, and 661 of the children (30%) used AFOs for both purposes. The use of AFOs was highest in 5-year-olds (67%) and was more frequent at lower levels of motor function with 70% at GMFCS IV-V. Physiotherapists reported achievement of functional goals in 73% of the children using AFOs and maintenance or improvement in range of ankle dorsiflexion in 70%. Conclusions AFOs were used by half of the children with CP in Sweden. The treatment goals were attained in almost three quarters of the children, equally at all GMFCS levels. AFOs to improve range of motion were more effective in children with a more significant decrease in dorsiflexion at baseline.
机译：背景踝足矫形器（AFO）是脑瘫（CP）儿童最常使用的矫形器。 AFO旨在改善功能或预防或治疗肌肉挛缩。本研究的目的是分析相对于年龄和脑瘫儿童总人口的年龄和总体运动功能，AFO的使用，适应症和使用结果。方法根据瑞典国家随访计划和CP登记数据，对2200名0-19岁（中位年龄7岁）的2200名儿童（男孩58％，女孩42％）进行了横断面研究。为了分析被动踝背屈的结果，比较了2011年和2012年的数据。纳入儿童的总运动分类系统（GMFCS）水平如下：I（n =？879），II（n？=？357） ，III（n≥230），IV（n≥374）和V（n ＝ 355）。结果1127名儿童中使用了AFO（51％）。在215名儿童（占10％）中，适应症是改善功能，在251名儿童（占11％）中保持或增加运动范围，其中661名儿童（占30％）同时使用了AFO。 AFO的使用在5岁儿童中最高（67％），在较低的运动功能水平上更为频繁，在GMFCS IV-V中为70％。物理治疗师报告说，使用AFO的儿童中73％的儿童达到了功能目标，而踝背屈范围的维持或改善为70％。结论瑞典有一半的CP儿童使用AFO。在所有GMFCS水平上，几乎四分之三的儿童均达到了治疗目标。 AFO可改善运动范围，对儿童的基线背屈明显减少，效果更显着。

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