Wearing Time of Ankle-Foot Orthoses with Modular Shank Supply in Cerebral Palsy: A Descriptive Analysis in a Clinically Prospective Approach

Rehabilitation Research and Practice
M SchwarzeT Dreher

Abstract

To date there is only limited knowledge about the wearing time of orthoses. Ankle-foot orthoses (AFOs) have not been studied with this research question. Additional influences of the orthotic design as well as weekdays and the weekend are also unknown. Monocentric, clinically prospective intervention study. Inclusion of 10 patients with bilateral spastic cerebral palsy. Equipment of all subjects with a dynamic ankle-foot orthosis (DAFO) and modular shank supply (MSS, dynamic elastic shank adaptation or ground reaction AFO). Integration of temperature sensors for recording the wearing time for a period of 3 months. The actual wearing time was below the recommendations on actually worn days as well as the average of the entire study period. In addition, the actual usage in terms of days and hours was well below the recommendations. The wearing time showed differences between weekdays and weekend. Differences between DAFO and MSS were not detectable. The actual usage behavior of ankle-foot orthoses differs from the recommendations of the prescriber. This applies to both DAFOs and modular use with shank supplies. Environmental factors may have a significant impact on wearing times on weekdays and the weekend.

References

Feb 1, 1988·Developmental Medicine and Child Neurology·C TardieuM D Bret
Feb 20, 2002·European Journal of Neurology : the Official Journal of the European Federation of Neurological Societies·J Rodda, H K Graham
Jul 20, 2007·Der Orthopäde·M AlimusajL Döderlein
Feb 8, 2008·Gait & Posture·Sebastian I WolfLeonhard Döderlein
Dec 8, 2009·Prosthetics and Orthotics International·Christopher MorrisJohn Fisk
Jun 3, 2010·The Journal of Bone and Joint Surgery. American Volume·Donald E KatzJohn G Birch
Aug 27, 2010·Prosthetics and Orthotics International·Jaap HarlaarFrans Nollet
Feb 22, 2011·NeuroRehabilitation·Christopher MorrisDavid Phillips
Aug 2, 2011·Journal of Children's Orthopaedics·Tariq RahmanJ Richard Bowen
Jan 15, 2013·Annals of Physical and Rehabilitation Medicine·E SacazeUNKNOWN Groupe de Recherche sur la paralysie cérébrale en Bretagne
Jun 7, 2013·American Journal of Physical Medicine & Rehabilitation·Xiaoke ZhaoSenjie Du
Sep 21, 2013·The New England Journal of Medicine·Stuart L WeinsteinMatthew B Dobbs
Nov 28, 2013·Journal of Clinical Epidemiology·Jim McCambridgeDiana R Elbourne
Oct 7, 2016·The Journal of Bone and Joint Surgery. American Volume·Sophia N SangiorgioLewis E Zionts
Jul 18, 2017·Annals of Physical and Rehabilitation Medicine·Atefeh AboutorabiJohn S Head
Nov 25, 2017·Developmental Medicine and Child Neurology·Thomas DreherH K Graham

❮ Previous
Next ❯

Software Mentioned

SPSS

Related Concepts

Related Feeds

Birth Defects

Birth defects encompass structural and functional alterations that occur during embryonic or fetal development and are present since birth. The cause may be genetic, environmental or unknown and can result in physical and/or mental impairment. Here is the latest research on birth defects.