ISSN:1040-8800    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:1040-8800    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The System for Cerebral Palsy Treatment Recording (SCePTRe)Database has been designed to provide clinicians treating children with cerebral palsy with an easy to use but comprehensive method of recording in a standardized manner information regarding both the status of their patients and the nature of the treatment they receive. The current version of the system, which is available on CD-ROM, is designed to be run on virtually any computer on the market today and may also be used as a multi-user system. The system is currently undergoing clinical evaluation and aSCePTReuser mailing list has also been established. Work is in progress to permit users of the system to transfer data to theSCePTRewebsite using the Internet and a shared database of patient records is planned.

ISSN:1040-8800    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

Cerebral palsy (CP) is the most common physical disability in childhood. The motor impairment syndrome is obligatory for the diagnosis, but a broad range of neurological deficits can be present as well. Professionals in pediatric rehabilitation are faced with a diversity of problems in the child and family (physical, psychological, communicative, and social), so a multidisciplinary approach for treatment is needed. The International Classification of Functioning offers a framework for team management in the treatment of children with CP. Based on this concept, an instrument for team conferences, the Children’s Rehabilitation Activities Profile is described. This instrument can be used for systematic evaluation of the needs of the children and parents, the total development and evaluation of the goals of rehabilitation on the level of activities. In children with CP, three main kinds of motor disorders are seen: spastic paresis; ataxic paresis, and dyskinetic paresis. In the most common disorder, spastic paresis, many different impairments of muscle function are described. Spasticity is only one of the components of a spastic paresis. The clinical consequences of these differences are discussed. In children with walking ability, the walking pattern is related to the functional prognosis of ambulation at adulthood. A classification of walking patterns is presented that can be used as a framework for treatment programs.

ISSN:1040-8800    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:1040-8800    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The most innovative technology in prosthetic components cannot fulfill its objective without a proper patient interface and a proper alignment. Alignment, the orientation of components with respect to one another, is an area of prosthetic practice in which quantification and repeatability are not clearly defined. Researchers have sought an optimum standard and methods for automated alignment. Before automation is sought, variability among practitioners using current methods should be assessed. This investigation determined the outcomes of the alignment of five different prosthetic practitioners given the same subject and components using kinematic and kinetic gait analysis. Differences in static alignment were quantified through instrumented gait analysis; however, these differences were relatively small. Similar small differences were noted in gait velocity and ground reaction force, and bilateral joint angles during walking were very similar. This consistency among practitioners with varying levels of experience suggests that automated alignment is probably feasible but may not be necessary.

ISSN:1040-8800    

出版商:OVID    

年代:2002

数据来源: OVID

摘要:

The Boston-low profile thoracolumbar sacral orthosis (TLSO) is a common treatment for idiopathic scoliosis (IS). Some have found that the forces applied in the brace are not optimal. For example, hypokyphosis, inherent to IS curves, is sometimes amplified by orthotic treatment. Hypokyphosis is a major concern with IS and it is important to reduce. Proper pad placement is therefore critical in achieving optimal correction in the coronal plane while not accentuating hypokyphosis in the sagittal plane. In correction of the thoracic spine, pads are placed either laterally or posterolaterally, pushing against the ribs, thereby correcting lateral curvature of the spine. The decision to use either lateral (L) pads or posterolateral (PL) pads) has raised some discussion. The current study evaluates the pads in the Boston brace in relation to percentage of thoracic correction and degrees increase in hypokyphosis. Charts and x-rays of 38 first-time bracing patients with adolescent and juvenile IS, between the ages of 7 and 15 years, from two ABC-certified orthotists, were examined. As a cross-sectional, retrospective analysis, it was hypothesized that the PL pads would offer no difference in desired coronal plane thoracic correction compared with L pads and that PL pads would create more unwanted increase in hypokyphosis than L pads. Results indicate that practitioners varied in their preference to pad styles, that there was no difference between pad styles for thoracic scoliosis correction (significant atp< 0.10, but not atp< 0.05), and that the PL pad induced more hypokyphosis than the L pad (p< 0.10 andp< 0.05). In conclusion, the use of L pads should be considered in the majority of IS cases, with the exception of scoliosis curves with excessive kyphosis. Scoliosis curves that are hyperkyphotic should be treated with a PL pad to induce thoracic extension.

ISSN:1040-8800    

出版商:OVID    

年代:2002

数据来源: OVID

ISSN:1040-8800    

出版商:OVID    

年代:2002

数据来源: OVID