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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Efficacy for Maintenance of Elbow Range of Motion of Two Types of Orthotic Devices: A Case Series
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Efficacy for Maintenance of Elbow Range of Motion of Two Types of Orthotic Devices: A Case Series

机译：维持两种类型的矫形器的肘部运动范围的功效：病例系列

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This pilot study was designed to examine the efficacy of maintaining elbow range of motion using two different programs, Ultraflex and bivalve cast, following botulinum toxin type A (BTX) injection and serial casting. The subjects included three children, 7 years of age, with primary diagnoses of cerebral palsy who demonstrated severe-to-moderate spasticity interfering with passive or active movements at both elbows. Before the BTX injection, a baseline evaluation was performed that included the Modified Ashworth Scale, passive range of motion, and caregiver questionnaire. Evaluation occurred pre-BTX, and at 2, 6, and 8 months after BTX. One week after BTX injection, each child underwent an initial serial casting program for both elbows. As the child plateaued with passive range of motion, a bivalve fiberglass long arm cast was applied to one of the involved limbs and a definitive orthotic device, Ultraflex, was applied to the other limb to maintain the range. The use of the Ultraflex showed better maintenance of elbow range of motion when compared with the bivalve cast. Overall, parents preferred the Ultraflex and were pleased with the long-term results. After the serial casting program, the findings suggested that the increase in range of motion was temporary. The results of this study suggest that the Ultraflex offered easier adjustments to the length-tension change at the elbow and ability to maintain range of motion when compared with a bivalve cast, although further research is needed.
机译：这项初步研究旨在检查使用A型肉毒杆菌毒素（BTX）注射和连续铸造后，使用Ultraflex和Bivalve铸造两种不同程序来维持肘部运动范围的功效。受试者包括3名7岁的儿童，主要诊断为脑瘫，他们表现出严重到中度的痉挛，干扰了两个肘部的被动或主动运动。在注射BTX之前，进行了基线评估，包括改良的Ashworth量表，被动运动范围和看护者问卷。评估发生在BTX之前，以及BTX之后的2、6和8个月。 BTX注射后一周，每个孩子都接受了两个肘部的初始连环铸造程序。当孩子处于被动运动范围的高原期时，将双瓣玻璃纤维长臂石膏施加到其中一个涉及的肢体上，并将确定的矫形器Ultraflex应用于另一个肢体以保持该范围。与双瓣式石膏相比，使用Ultraflex可以更好地保持肘部运动范围。总体而言，父母更喜欢Ultraflex，并且对长期效果感到满意。经过连续铸造程序后，研究结果表明运动范围的增加是暂时的。这项研究的结果表明，尽管需要进一步的研究，但与双瓣式石膏相比，Ultraflex可以更轻松地调节肘部的长度张力变化，并能够保持运动范围。

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