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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >Compensating Weakness of the Quadriceps Muscles Due to Poliomyelitis Using a Custom-Made Orthopedic Shoe
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Compensating Weakness of the Quadriceps Muscles Due to Poliomyelitis Using a Custom-Made Orthopedic Shoe

机译：使用定制的矫形鞋补偿小儿麻痹症引起的股四头肌的虚弱

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摘要

This case study illustrates the possibility to optimize gait in a patient with severe quadriceps weakness, using an orthopedic shoe. A knee-ankle-foot orthosis would have been a typical solution but did not suffice in this particular case. The case describes a 37-year-old woman with poliomyelitis who developed a peculiar way of walking, in which she wore a slipper only on the front part of her foot, so that her heel hung down over the back edge of the slipper. This probably moved the center of pressure anteriorly and created a greater extension moment on the knee to compensate the quadriceps weakness. Observation of the patient's gait pattern and compensating strategy led to the development of a custom-made orthopedic shoe which doubled her walking distance and enabled her to walk outside again.
机译：该案例研究说明了使用矫形鞋对患有严重股四头肌无力的患者的步态进行优化的可能性。膝踝足矫形器本来是典型的解决方案，但在这种特殊情况下还不够。该病例描述了一名37岁的脊髓灰质炎妇女，她发展出一种独特的步行方式，在该方式中，她只在脚的前部穿了拖鞋，脚跟垂在拖鞋的后边缘。这可能会使压力中心向前移动，并在膝盖上产生更大的伸展力矩，以补偿股四头肌的无力。通过观察患者的步态模式和补偿策略，可以开发出定制的矫形鞋，从而使步行距离加倍，并使她能够再次走出室外。

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