کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4050065 1603748 2015 17 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effects of ankle foot orthoses on body functions and activities in people with floppy paretic ankle muscles: a systematic review
ترجمه فارسی عنوان
اثرات آرتز پا در مفصل گردن بر فعالیت های بدن و فعالیت در افراد مبتلا به عضلات مچ پا مچ پا فلاپی: یک بررسی سیستماتیک؟
کلمات کلیدی
ارتز پا بر روی مچ پا، طبقه بندی بین المللی عملکرد، معلولیت و سلامت، عضلات مچ پا مچ پا، مرور سیستماتیک
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی


• Elastic ankle foot orthoses improve energy efficiency (dorsiflexor paresis).
• Dorsal ankle foot orthoses improve energy efficiency and comfortable walking speed (plantarflexor paresis both with and without a dorsiflexor paresis).
• Circular and elastic ankle foot orthoses are more suitable for dorsiflexor paresis.
• Dorsal ankle foot orthoses are more suitable for plantarflexor paresis both with and without a dorsiflexor paresis.

BackgroundPeople with floppy ankle muscles paresis use ankle foot orthoses to improve their walking ability. Ankle foot orthoses also limit ankle range of motion thereby introducing additional problems. Insight in effects of ankle foot orthoses on body functions and activities in people with floppy paretic ankle muscles aids in clinical decision making and may improve adherence.MethodsStudies published before October 27th, 2014, were searched in Pubmed, Embase, Cinahl, and Cochrane Library. Studies evaluating effects of ankle foot orthoses on body functions and/or activities in people with floppy paretic ankle muscles were included. Studies solely focusing on people with spastic paretic ankle muscles were excluded. Study quality was assessed using a custom-made scale. Body functions and activities were defined according to the International Classification of Functioning, Disability and Health.FindingsTwenty-four studies were included, evaluating 394 participants. Participants were grouped according to paresis type (i) dorsiflexor paresis, (ii) plantar flexor paresis, (iii) both dorsiflexor and plantar flexor paresis. Dorsal, circular, and elastic ankle foot orthoses increased dorsiflexion during swing (by 4–6°, group i). Physical comfort with dorsal ankle foot orthoses was lower than that with circular ankle foot orthoses (groups i and iii). Dorsal ankle foot orthoses increased push-off moment (by 0.2–0.5 Nm/kg), increased walking efficiency, and decreased ankle range of motion (by 12-30°, groups ii and iii).InterpretationPeople with dorsiflexor paresis benefit more from circular and elastic ankle foot orthoses while people with plantar flexor paresis (and dorsiflexor paresis) benefit more from dorsal ankle foot orthoses.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Biomechanics - Volume 30, Issue 10, December 2015, Pages 1009–1025
نویسندگان
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