Clinical evaluation of spina bifida patients using hip guidance orthosis / G. K. ROSE in Developmental Medicine & Child Neurology, 23-1 (February 1981)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 23-1 (February 1981) . - p.30-40 Titre : Clinical evaluation of spina bifida patients using hip guidance orthosis Type de document : Texte imprimé et/ou numérique Auteurs : G. K. ROSE, Auteur ; J. STALLARD, Auteur ; M. SANKARANKUTTY, Auteur Année de publication : 1981 Article en page(s) : p.30-40 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : A hip guidance orthosis has been designed to provide the highest potential level of ambulation for the child with myelomeningocele. It permits low energy-cost ambulation at a reasonable speed, and independent transfer from chair to walking and vice versa. It also enables some patients to ascend or descend steps of up to 150mm, as well as gradients of up to one in 10. A review of 27 patients who had used the orthosis for periods of between six and 45 months was undertaken in order to establish the degree of benefit. 17 patients had no power in hips or below, the rest having some power in one or both hips. 17 patients had dorsal lesions and the remainder had lumbar lesions. Using Hoffer's (1973) classification, 13 patients had improved ambulation when using the hip guidance orthosis, and most of the remainder showed some measurable improvement in ambulation. 14 patients were tested for speed of ambulation and heart rate before and after use of the orthosis, and the mean increase in speed was 87.3 per cent, with a mean decrease in heart rate of 10bpm--a clear improvement in efficiency. The results indicate that the hip guidance orthosis can provide low-energy ambulation for spina bifida patients with dorsal and high lumbar lesions in a form acceptable both to patients and parents. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=515 [article] Clinical evaluation of spina bifida patients using hip guidance orthosis [Texte imprimé et/ou numérique] / G. K. ROSE, Auteur ; J. STALLARD, Auteur ; M. SANKARANKUTTY, Auteur . - 1981 . - p.30-40. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 23-1 (February 1981) . - p.30-40 Index. décimale : PER Périodiques Résumé : A hip guidance orthosis has been designed to provide the highest potential level of ambulation for the child with myelomeningocele. It permits low energy-cost ambulation at a reasonable speed, and independent transfer from chair to walking and vice versa. It also enables some patients to ascend or descend steps of up to 150mm, as well as gradients of up to one in 10. A review of 27 patients who had used the orthosis for periods of between six and 45 months was undertaken in order to establish the degree of benefit. 17 patients had no power in hips or below, the rest having some power in one or both hips. 17 patients had dorsal lesions and the remainder had lumbar lesions. Using Hoffer's (1973) classification, 13 patients had improved ambulation when using the hip guidance orthosis, and most of the remainder showed some measurable improvement in ambulation. 14 patients were tested for speed of ambulation and heart rate before and after use of the orthosis, and the mean increase in speed was 87.3 per cent, with a mean decrease in heart rate of 10bpm--a clear improvement in efficiency. The results indicate that the hip guidance orthosis can provide low-energy ambulation for spina bifida patients with dorsal and high lumbar lesions in a form acceptable both to patients and parents. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=515

Physiological cost index of walking for normal children and its use as an indicator of physical handicap / P. BUTLER in Developmental Medicine & Child Neurology, 26-5 (October 1984)

Public ISBD [article]  inDevelopmental Medicine & Child Neurology > 26-5 (October 1984) . - p.607-612 Titre : Physiological cost index of walking for normal children and its use as an indicator of physical handicap Type de document : Texte imprimé et/ou numérique Auteurs : P. BUTLER, Auteur ; J. STALLARD, Auteur ; M. ENGELBRECHT, Auteur ; R. E. MAJOR, Auteur ; J. H. TAIT, Auteur ; J. H. PATRICK, Auteur Année de publication : 1984 Article en page(s) : p.607-612 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Seventy-two normal children aged between three and 12 years were assessed to establish their walking function. Speed of walking and heart rate were monitored continuously, both barefoot and in shoes, over eight consecutive lengths of a 25m walkway. Since heart rate is affected by speed, the physiological cost index (PCI)--which combines the two parameters--was calculated for each child, both barefoot and in shoes. Speed tends to increase and walking heart rate to decrease with age. However, resting heart rate also decreases with age, so the PCI has the same range for all ages. The mean PCI in shoes was 0.4 and barefoot was 0.38. The PCI for children with pathological gait is appreciably greater than that for normal children, so the PCI is a valuable quantitative indicator of the level of handicap. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=582 [article] Physiological cost index of walking for normal children and its use as an indicator of physical handicap [Texte imprimé et/ou numérique] / P. BUTLER, Auteur ; J. STALLARD, Auteur ; M. ENGELBRECHT, Auteur ; R. E. MAJOR, Auteur ; J. H. TAIT, Auteur ; J. H. PATRICK, Auteur . - 1984 . - p.607-612. Langues : Anglais (eng) in Developmental Medicine & Child Neurology > 26-5 (October 1984) . - p.607-612 Index. décimale : PER Périodiques Résumé : Seventy-two normal children aged between three and 12 years were assessed to establish their walking function. Speed of walking and heart rate were monitored continuously, both barefoot and in shoes, over eight consecutive lengths of a 25m walkway. Since heart rate is affected by speed, the physiological cost index (PCI)--which combines the two parameters--was calculated for each child, both barefoot and in shoes. Speed tends to increase and walking heart rate to decrease with age. However, resting heart rate also decreases with age, so the PCI has the same range for all ages. The mean PCI in shoes was 0.4 and barefoot was 0.38. The PCI for children with pathological gait is appreciably greater than that for normal children, so the PCI is a valuable quantitative indicator of the level of handicap. Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=582

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