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Rehabilitation Practice and Science

Translated Title

低溫成形前方踝足裝具對習慣性足尖步行兒童之臨床試用

Abstract

Six children with idiopathic (habitual) toe walking were fitted with a new type of plastic anterior ankle foot orthosis made from a low-temperature thermoplast. The age of the children ranged from 2 to 6 years and none had an associated neuromuscular disorder. The splint could be taken off and put on at will. The child wore it for a duration of 5 to 8 hours daily for a period of 3 to 8 weeks. At the end of treatment, all children had improved their range of dorsiflexion by at least 20 degrees. No recurrence was found at one to two years follow-up. The orthosis fits on the front of the shin and extends around the malleoli behind the metatarsal heads in the sole of the foot. It allows the child to walk barefoot indoors which is an important feature especially in oriental cultures. This splint is inexpensive, comfortable, easily molded and remolded. It is an alternative form of treatment for toe walking and only a short period of time is needed for treatment. The use of this splint may avoid unnecessary heel cord lengthening surgery.

Language

English

First Page

129

Last Page

134

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