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


Journal

Rehabilitation research and practice
ISSN: 2090-2867
Titre abrégé: Rehabil Res Pract
Pays: United States
ID NLM: 101566862

Informations de publication

Date de publication:
2019
Historique:
received: 05 04 2019
revised: 07 06 2019
accepted: 19 06 2019
entrez: 6 8 2019
pubmed: 6 8 2019
medline: 6 8 2019
Statut: epublish

Résumé

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.

Identifiants

pubmed: 31380119
doi: 10.1155/2019/2978265
pmc: PMC6662432
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2978265

Déclaration de conflit d'intérêts

The authors declare that they have no conflicts of interest.

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Auteurs

M Schwarze (M)

Clinic for Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Germany.

L Horoba (L)

Clinic for Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Germany.

J Block (J)

Clinic for Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Germany.

C Putz (C)

Clinic for Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Germany.

M Alimusaj (M)

Clinic for Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Germany.

S I Wolf (SI)

Clinic for Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Germany.

T Dreher (T)

Clinic for Orthopedics and Trauma Surgery, Center for Orthopedics, Trauma Surgery and Spinal Cord Injury, Heidelberg University Hospital, Germany.
Pediatric Orthopaedics and Traumatology, University Children's Hospital Zurich, Zurich, Switzerland.

Classifications MeSH