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Biomechanical Outcomes Related with Gait in Children with Cerebral Palsy Using Ankle-Foot Orthotic - A Systematic Review

机译:脚踝矫形器治疗儿童脑瘫步态相关的生物力学结果-系统评价

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摘要

Gait in children with cerebral palsy (CP) is often affected by motor impairments which limit the patient's ability to walk. To improve gait and reduce walking limitations, children with CP need to use ankle foot orthoses. An orthosis is an externally applied device that is designed and fitted to the body to achieve one or more of the following goals: a) Control biomechanical alignment. b) Correct or accommodate deformity, and 3) Protect and support an injury. This systematic review aims to describe research evidence supporting the use of ankle-foot orthoses to improve gait biomechanical outcomes among individuals with CP. Literature search was pursued from PubMed database. Studies were included if (1) they evaluated an outcome measure related with gait using ankle-foot orthotic (AFO) in children (2) considered children with a diagnosis of CP and have a (3) GMFCS classification of I, II or III. Papers were excluded if they evaluated (1) other population besides CP, (2) the use of orthoses other than AFOs and (3) gait analysis procedure was not presented. All the included studies have analyzed spatiotemporal parameters, the step length (m), stride length (m) and cadence (steps/minute) were the most frequently reported. Our findings showed that several studies have investigated the effects of AFOs, all of which have reported positive influences on at least one gait parameter, as well as positive changes in joint kinematics and kinetic in children with CP.
机译:脑性瘫痪(CP)儿童的步态通常会受到运动障碍的影响,这会限制患者的行走能力。为了改善步态并减少步行受限,患有CP的儿童需要使用踝足矫形器。矫形器是一种外部应用的设备,其设计并安装在人体上可实现以下一个或多个目标:a)控制生物力学对准。 b)纠正或适应畸形,以及3)保护和支撑伤害。本系统综述旨在描述支持踝足矫形器改善CP患者步态生物力学结果的研究证据。文献检索来自PubMed数据库。包括以下方面的研究:(1)他们对儿童脚踝矫形器(AFO)评估了与步态有关的结局指标(2)被认为患有CP的儿童,并且(3)GMFCS分为I,II或III。如果论文评估(1)CP以外的其他人群,(2)不使用AFO的矫形器,以及(3)步态分析程序,则排除论文。所有纳入的研究都分析了时空参数,步长(m),步幅(m)和节奏(步数/分钟)是最常报告的。我们的发现表明,有几项研究调查了AFO的影响,所有这些都报告了对至少一个步态参数的积极影响,以及CP儿童的关节运动学和动力学方面的积极变化。

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