HEREDİTER SENSORYAL MOTOR NÖROPATİ (HSMN) TANILI ÇOCUKLARDA FARKLI AYAK-AYAKBİLEĞİ ORTEZLERİNİN (AFO) ETKİLERİ

Year 2008, Issue: 1, 59 - 66, 01.05.2008

Nilgün Bek

Abstract

Çalışmamızın amacı, farklı yürüyüş problemleri gelişen çocuklar için sıklıkla önerilen AFO ların, HSMN li çocuklarda yürüyüş üzerine olan etkilerini araştırmaktır. Bu amaca yönelik olarak, tanıları konmuş ve yürüyüş problemi ile başvuran, yaş ortalamaları 9,11± 2,09 yıl olan 9 çocuk incelenmiştir. Çocukların tümüne rijit AFO ve eklemli AFO yapılmış, çocuklardan her durum için, yürüyüşün zaman – mesafe özellikleri ve merdiven çıkma ve inme süreleri kaydedilmiştir. Alınan sonuçlara göre ortezsiz, rijit AFO ve eklemli AFO arasında ölçülen yürüme parametreleri açısından fark bulunamamış (p>0,05), ancak merdiven çıkma ve inme aktivitelerini rijit AFO nun zorlaştırdığı tespit edilmiştir (p>0,05). Sonuç olarak, yürüme ortezleri, ayak çevresi kaslarındaki kuvvet dengesizliği olan hastalar için yürüme pateninin korunmasında ve sekonder deformite oluşumunun önlenmesi konusunda kullanılmakla birlikte, yürümede kısıtladığı hareketler nedeniyle ortaya çıkardığı zorluklar da göz ardı edilmemelidir

Keywords

nöromuskuler hastalık, düşük ayak, ayak-ayakbileği ortezleri

HEREDİTER SENSORYAL MOTOR NÖROPATİ (HSMN) TANILI ÇOCUKLARDA FARKLI AYAK-AYAKBİLEĞİ ORTEZLERİNİN (AFO) ETKİLERİ

Abstract

In this study, it is aimed to investigate the effect of frequently suggested AFO’s on gait patterns of children with HSMN. Regarding this aim, nine children (mean age 9,11± 2,09 years) who are diagnosed as HSMN and have problems in walking were taken to the study. Rigid and hinged AFO were provided for all children and time- distance characteristics of gait, duration of climbing stairs with each AFO was recorded. Difference between without orthoses, with hinged and rigid orthoses was not statistically meaningful according to time-distance characteristics of gait (p<0,05), but it is found that there was a significant difficulty with rigid AFO in climbing stairs (p>0,05). As a result, it is thought that AFO’s should be recommended to maintain accurate gait pattern and to prevent secondary deformity development in patients with ankle –foot muscle imbalance. However, difficulties in gait pattern as result of limitation in joint movement because of AFO should be considered

Keywords

neuromuscular disease, drop-foot, foot and ankle orthoses

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