中国组织工程研究

• 生物材料学术探讨 biomaterial academic discussion • 上一篇    下一篇

踝足矫形器材料学特点及其临床应用

郑  宏,张建奎,马丙祥   

  1. 河南中医学院第一附属医院小儿脑病诊疗康复中心,河南省郑州市  450003
  • 出版日期:2010-12-17 发布日期:2010-12-17
  • 作者简介:郑宏★,女,1972年生,河南省濮阳市人,汉族,2005年河南中医学院毕业,硕士,副主任医师,主要从事小儿神经康复方面的研究。 drzhenghs@126.com

Material characteristics and clinical treatment of ankle-foot orthosis

Zheng Hong, Zhang Jian-kui, Ma Bing-xiang   

  1. Department of Encephalopathy Diagnosis and Treatment of Pediatric Rehabilitation Center, First Affiliated Hospital of Henan University of TCM, Zhengzhou   450003, Henan Province, China
  • Online:2010-12-17 Published:2010-12-17
  • About author: Zheng Hong★, Master, Associate chief physician, Department of Encephalopathy Diagnosis and Treatment of Pediatric Rehabilitation Center, First Affiliated Hospital of Henan University of TCM, Zhengzhou 450003, Henan Province, China drzhenghs@126.com

摘要:

背景:用于脑性瘫痪患儿的传统金属踝足矫形器具有制作工序多,制作条件高、制作后不易修整和较笨重等缺点,越来越多的研究者将现代高分子材料用于踝足矫形器的制作。
目的:分析几种踝足矫形器的材料学特点,探讨各种材料的踝足矫形器在治疗脑性瘫痪患儿膝反张中的应用情况。
方法:作者应用计算机检索CNKI数据库(www.cnki.net/index.htm),在标题和摘要中以“膝反张,脑性瘫痪,踝足矫形器”为检索词进行检索。选择文章内容能及时准确地报道脑性瘫痪患儿应用踝足矫形器矫治的研究进展和运用情况,共纳入19篇文献。
结果与结论:踝足矫形器的制作材料包括高分子树脂材料、聚乙烯材料、聚丙烯材料、低温热塑板材料、半成品高分子纤维等。脑性瘫痪患儿佩戴以上材料制作的踝足矫形器可以增强踝关节稳定性,减轻肌张力,提高行走的速度及步幅,改善步态功能。

关键词: 膝反张, 异常步态, 脑性瘫痪, 矫形器, 生物材料

Abstract:

BACKGROUND: For children with cerebral palsy, the traditional metal ankle-foot orthosis have many shortcomings such as multiple manufacturing processes, high production conditions, difficult to repair post-production and heavy, a growing number of researchers have adopted modern polymer materials for the ankle-foot orthosis production.
OBJECTIVE: To analyze the materials science characteristics of several ankle-foot orthosis materials, and to investigate the application of ankle foot orthoses in the treatment of knee hyperextension in children with cerebral palsy.
METHODS: An online search of CNKI Database (www.cnki.net/index.htm) was performed by the first author using the key words of “knee hyperextension, cerebral palsy, ankle-foot orthosis” in Chinese to search the title and abstract. Articles that timely and accurately report the research progress and application of ankle-foot orthosis in treatment of children with cerebral palsy were selected, a total of 19 articles were included in the analysis.
RESULTS AND CONCLUSION: Ankle-foot orthosis production materials include polymer resins, polyethylene, polypropylene, low-temperature thermoplastic sheet, and semi-finished polymer fiber. Children with cerebral palsy carrying ankle-foot orthosis can enhance the stability of ankle joint, reduce muscle tension, improve walking speed and pace, improve gait function.

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