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首页> 外文期刊>Journal of prosthetics and orthotics: JPO >The Effects of Carbon and Plastic Ankle-Foot Orthoses on Gait, Balance, and Mobility in Persons with Multiple Sclerosis: A Pilot Study
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The Effects of Carbon and Plastic Ankle-Foot Orthoses on Gait, Balance, and Mobility in Persons with Multiple Sclerosis: A Pilot Study

机译：碳和塑料踝关节矫正物对多发性硬化症的步态，平衡和流动性的影响：试验研究

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Introduction: Ankle-foot orthoses (AFOs) are commonly prescribed to improve gait in individuals with multiple sclerosis (MS). However, there is currently little research to support their use or guide clinicians in the prescription process in this population. The purpose of this pilot study was to compare the effects of carbon and plastic AFOs on measures of gait, balance, and mobility in persons with MS. Materials and Methods: Ten individuals with MS who had not used an AFO previously had their gait, balance, mobility, and perception of benefit assessed under three different AFO conditions: no AFO, carbon AFO (C-AFO), and plastic AFO (P-AFO), on separate days. Gait was assessed using an instrumented 10-m walk, a 6-minute walk, the physiological cost index (PCI), and a visual analog fatigue rating scale. Static balance was assessed using posturography under different sensory conditions and dynamic balance using the limits of stability (LOS) test. Mobility was assessed using the timed up and go (TUG) test. The perceived benefit of using the AFO was measured with an eight-item Likert scale survey. Results: No significant differences were identified between the C-AFO and P-AFO conditions for any of the gait, balance, and mobility measures. Both AFO types tended to improve static balance but negatively impacted dynamic balance and mobility when compared with no AFO. There was no significant difference in the perceived benefit between the AFO types. However, there were differences in the PCI and perception of benefit for individual subjects that could be clinically meaningful. Conclusions: There were no differences in gait, balance, and mobility measures or perception of benefit between C-AFO and P-AFO in persons with MS. However, there were differences in individual performance that may warrant consideration when prescribing AFOs. Therefore, clinicians should consider using appropriate standardized assessment tools that measure various aspects of gait, balance, and mobility when evaluating individual responses to AFOs.
机译：简介：踝足矫形器（AFOs）通常用于改善多发性硬化（MS）患者的步态。然而，目前很少有研究支持它们的使用或指导临床医生在这一人群中的处方过程。这项初步研究的目的是比较碳纤维和塑料AFO对MS患者步态、平衡和活动度测量的影响。材料和方法：10名MS患者之前没有使用过AFO，他们在三种不同的AFO条件下评估了他们的步态、平衡、活动度和效益感知：无AFO、碳纤维AFO（C-AFO）和塑料AFO（P-AFO），在不同的日子。步态采用仪器化10米步行、6分钟步行、生理成本指数（PCI）和视觉模拟疲劳评定量表进行评估。在不同的感觉条件下，静态平衡通过姿势图进行评估，动态平衡通过稳定性极限（LOS）测试进行评估。使用定时上下（拖船）测试评估机动性。使用AFO的感知益处通过一项八项Likert量表调查进行测量。结果：在C-AFO和P-AFO条件下，任何步态、平衡和移动性测量均未发现显著差异。与无AFO相比，两种AFO都倾向于改善静态平衡，但对动态平衡和移动性产生负面影响。AFO类型之间的感知收益没有显著差异。然而，个体受试者在PCI和受益认知方面存在差异，这可能具有临床意义。结论：在MS患者中，C-AFO和P-AFO在步态、平衡和移动性测量或益处感知方面没有差异。然而，在开AFO处方时，个体表现存在差异，可能需要考虑。因此，临床医生应考虑使用适当的标准化评估工具，在评估个体对AFOS的反应时测量步态、平衡和移动性的各个方面。

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