高分子踝足矫形器矫治脑瘫踝足畸形的初步观察

目的 观察自制高分子踝足矫形器(ankle—foot orthrosis，AFO)配合脑瘫(cerebral palsy，CP)康复治疗的效果。方法 64例有踝足畸形的痉挛型CP患儿(双足畸形52例，单足畸形12例，共116足)经矫形外科会诊后，在进行运动疗法等治疗的同时采用自制高分子AFO进行矫治，并随访畸形矫正效果。结果 穿戴AFO3～14月后，共有98足畸形得到矫正，优良率84．5％。结论 自制高分子AFO为CP康复治疗的有效配合手段，具有重量轻、弹性好、穿戴方便等优点。

Preliminary Observation on Oneself-making Ankle-foot Orthosis Correcting Malformation of Cerebral Palsy

Objective To observe the therapeutic effect of oneself-making macromolecular polymer ankle-foot orthosis(AFO)combined with rehabilitation of cerebral palsy (CP).Methods After consultation of orthopedic surgery,64children of spastic type CP accompanied with ankle-foot malformation,including52cases of talipes with bifeet,12cases of talipes with one foot(altogether116feet)were orthotic treated with oneself-making AFO,simultaneous with that have undergoing physical therapy etc,then followed up the orthotreatment outcome.Results Three to fourteen months afte r AFO treatment,,ninty -eight feet were corrected,excellent rate was84.5%.Conclusions Macromolecular polymer AFO is an effective assited medical appliance for CP,it have advantage s in light weight,good elasticity and facilities for put on.