[Original Article] Study on ankle foot orthosis repair for patients with cerebral palsy

[ABSTRACT]【Introduction】An ankle-foot orthosis (AFO) for children with cerebral palsy (CP) improves gait but often requires repair. In this study, we investigated the reasons for repair in order to create an appropriate brace.【Methods】The subjects were 332 CP patients under the age of 18 (1-17 years old, average 8.6 years old) who visited the brace clinic of our hospital from November 2021 to June 2022. Of the 43 AFOs that underwent repairs, a total of 36 AFOs were subjected to investigation. Items examined were age, sex, Gross Motor Function Classification System (GMFCS), type of orthosis repaired, the ratio of repair and fabrication for double bar ankle-foot orthoses (double bar AFO) and shoe-horn braces (SHB), length of time from orthosis completion to repair, cause of repair, and the relationship between time to repair and cause of repair. 【Results】The mean age of repair patients (8.6 years) was comparable to that of fabrication patients (8.7 years). Repair patients were more likely to be male than fabrication patients, but the difference was not significant (. p = 0.101). The GMFCS score of repair patients (mean 2.8) was better than that of fabrication patients (mean 3.1). There were 16 double bar AFOs and 27 SHBs repairs. Sixty-eight double bar AFOs and 125 SHBs were fabricated. There was no significant difference in the percentage of repairs and fabrications between SLB and SHB (p =0.128). Nine AFOs required repair within 3 months, 17 AFOs between 3 months and 1 year, and 10 AFOs after 1 year. The causes for the need of repair were rubbing on the medial side of the foot (n = 6) , rubbing on the lateral side of the foot (n = 9) , rubbing on both sides of the foot (n = 3) , rubbing on other parts of the foot (n = 3), growth (n = 6), wear and parts deterioration (n = 4), and fitting failure (n = 5).【Conclusion】It is important to follow up after completion of the orthosis.

https://opac.ll.chiba-u.jp/da/curator/900121960/

https://opac.ll.chiba-u.jp/da/curator/900121960/S03035476-99E-5-P45.pdf

The Chiba Medical Society

千葉医学会

学術雑誌論文

AN00142148

Chiba medical journal

99E

5-6

45

50

2023-12-10

10.20776/S03035476-99E-5-P45

publisher

Chiba Medical Journal (ONLINE ISSN 2433-4235)