Dynamic Bracing
Autor: | Roy M Nuzzo |
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Rok vydání: | 1980 |
Předmět: |
musculoskeletal diseases
Weakness medicine.medical_specialty business.industry General Medicine medicine.disease Gait Orthotic device Cerebral palsy Physical medicine and rehabilitation medicine.anatomical_structure medicine Deformity Spastic Physical therapy Orthopedics and Sports Medicine Surgery Muscular dystrophy medicine.symptom Ankle business human activities |
Zdroj: | Clinical Orthopaedics and Related Research. 148:263 |
ISSN: | 0009-921X |
DOI: | 10.1097/00003086-198005000-00043 |
Popis: | Conventional bracing places constraints on the determinants of gait, which in the borderline patient, may derange gait as much or more than the postural deformity being treated. A small number of children with cerebral palsy, spina bifida, and muscular dystrophy were treated with below-knee orthoses (BKO) along with elastic bracing of the remainder of the limb. The elastics were used to augment muscle power in weakness, oppose spastic muscles, supply antagonism to unopposed muscle, and improve function. The key elements in this system include proximal attachment of elastics to the below-knee orthosis resultin in effective knee action independent of foot control; variable 2-joint function of elastics; and emphasis on a BKO-shoe combination, which positions the knee in front of the ankle at midstance. Because a small number of components are employed to produce a variety of actions, an understanding of the mechanics fo gait is needed for the rational application of this method of treatment as well as for the selection of suitable patients. |
Databáze: | OpenAIRE |
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