Application of Orthosis for Patients with Large Femoral Bone Defect and Leg Length Discrepancy / 中国康复理论与实践

@#Objective To study the design and fabricating method, biomechanical effect and practicablity of the orthosis for patients suffering from large femoral bone defect and leg length discrepancy and study the effect of the orthosis on patients' equilibrium, walking function and gait. Methods By four stages we finally made ischial weight bearing orthosis with prosthetic feet, and then analysed its biomechanical effect and efficiency, evaluated balance and walking function of patients.Results The orthosis, according with principle of biomechanics, realized patients' wish of walking without crutch. The energy consumption and balanced capacity of patients wearing orthosis were much better while walking distance parameters came close to normal. Conclusion Ischial weight bearing orthosis with prosthetic feet can help patients reconstruct walking function, therefore can be recommended.

Effect of variable hip abduction orthosis on children spastic cerebral palsy / 中国康复理论与实践

@#ObjectiveTo explore the effect of variable hip abduction orthosis on children spastic cerebral palsy.Methods5 children with spastic diplegia cerebral palsy had used variable hip abduction orthosis to correct scissors gait which remained after rehabilitation. The stepping of 5 children was assessed with a gait analysis system base on digital video and image processing which could provide distance rate between knees and hips(K/I) in gait phase. One year Follow up was carried out.ResultsThere was significant difference on K/I before and after using variable hip abduction orthorsis (P<0.05).ConclusionThe variable hip abduction orthorsis can inhibit adductor muscles convulsion, improve model kinesis of scissors gait and stabilize stepping.

Research on the Clinical Usage of Orthosis / 中国康复理论与实践

@#This research focused on the rehabilitation effect of orthosis for cerebral palsy(CP) children.46 CP children with physical dysfunction used the orthosis as an auxiliary therapy.The gait analysis,equilibrium,and comprehensive ADL measurement had been administrated pretherapy and post-therapy.The results show that 94.25% of CP children had improved their functions.The conclusions of this study indicated that it is important to use orthosis as an auxiliary therapy for CP children.Some important items of therapy had been discussed and the experiences of making plastic AFO had been introduced.