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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Design and Effect of Ankle-Foot Orthoses Proposed to Influence Muscle Tone: A Review
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Design and Effect of Ankle-Foot Orthoses Proposed to Influence Muscle Tone: A Review

机译：脚踝矫形器的设计和影响拟议的影响肌肉音调：审查。

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摘要

Ankle-foot orthoses (AFOs) designed and proposed to influence muscle tone are generally called as "tone-reducing" AFOs, "tone-inhibiting" AFOs, or "dynamic" AFOs. These orthoses were originally evolved from the use of plaster casts to influence the positive support reflex or tonic reflex, which were either triggered by pressing reflexogenous areas on the plantar surface of the foot or suppressed by offloading them. The effects of wearing AFOs to influence muscle tone have mainly been studied in patients with cerebral palsy, stroke, or head injury. Although different AFO designs exist, it seems that there is a lack of evidence to demonstrate that these AFOs can actually reduce or inhibit spastic muscle tone. This article specifically reviews the classification of patient groups recruited in previous studies, the design characteristics of AFOs, and the clinical and biomechanical effects reported. The results of this review suggested that the level of evidence for AFOs being able to influence muscle tone was very low. Therefore, further research with randomized controlled trials is required to investigate their clinical effects.
机译：设计和建议用来影响肌肉张力的踝足矫形器（AFO）通常称为“减少音调” AFO，“抑制音调” AFO或“动态” AFO。这些矫形器最初是通过使用石膏模型来影响正支撑反射或强直反射而发展起来的，后者是通过将脚的足底表面上的反射区域压紧来触发的，或者是通过减轻它们的负荷来抑制的。主要在患有脑瘫，中风或头部受伤的患者中研究了佩戴AFO影响肌肉张力的作用。尽管存在不同的AFO设计，但似乎缺乏证据证明这些AFO实际上可以减少或抑制痉挛性肌张力。本文专门回顾了先前研究中招募的患者群体的分类，AFO的设计特征以及所报道的临床和生物力学效应。这项审查的结果表明，AFO能够影响肌张力的证据水平非常低。因此，需要进一步的随机对照试验研究以研究其临床效果。

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