소아 경골 내염전에서 경골 역회전 교정 장치의 효과에 대한 예비 연구
Effect of the Tibia Counter Rotator Orthosis for Tibial Internal Torsion Children: A Preliminary Study
2
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
Objective: To evaluate the therapeutic effect of the tibia counter rotator orthosis for tibial internal torsion children. Method: The 16 limbs included in this study were both lower extremities of 6 subjects and unilateral ones of 4 subjects (7 female and 3 male), ranging in age from less than 3 year to 11 years. These subjects were diagnosed as in-toeing gait with tibial internal torsion and had no history of forefoot adductus or other musculoskeletal abnormality. Tibial torsion was evaluated by thigh-foot angle and computed tomography before and after applying the Tibia Internal BraceⓇ (TIBⓇ). Results: Thigh-foot angle and computed tomography showed significant improvement of tibial internal torsion before and after applying the TIBⓇ (p<0.05). There was no significant correlation between duration of the TIBⓇ application and improvement of tibial internal torsion (p>0.05). And there was no significant correlation between age and improvement of tibial internal torsion (p>0.05). Conclusion: TIBⓇ was effective for in-toeing gait children with tibial internal torsion.
Abstract
Objective: To evaluate the therapeutic effect of the tibia counter rotator orthosis for tibial internal torsion children. Method: The 16 limbs included in this study were both lower extremities of 6 subjects and unilateral ones of 4 subjects (7 female and 3 male), ranging in age from less than 3 year to 11 years. These subjects were diagnosed as in-toeing gait with tibial internal torsion and had no history of forefoot adductus or other musculoskeletal abnormality. Tibial torsion was evaluated by thigh-foot angle and computed tomography before and after applying the Tibia Internal BraceⓇ (TIBⓇ). Results: Thigh-foot angle and computed tomography showed significant improvement of tibial internal torsion before and after applying the TIBⓇ (p<0.05). There was no significant correlation between duration of the TIBⓇ application and improvement of tibial internal torsion (p>0.05). And there was no significant correlation between age and improvement of tibial internal torsion (p>0.05). Conclusion: TIBⓇ was effective for in-toeing gait children with tibial internal torsion.
참고문헌 (19)
- Staheli LT, "Lower-extremity rotational problems in children. Normal values to guide management", J Bone Joint Surg Am, 67, pp.39~47 (1985)
- Rethlefsen SA, "Causes of intoeing gait in children with cerebral palsy", J Bone Joint Surg Am, 88, pp.2175~2180 (2006)
- Tunner MS, "The association between tibial torsion and knee joint pathology", Clin Orthop, 302, pp.47~51 (1994)
- Nagamine R, "Medial torsion of the tibia in japanese patients with osteoarthritis of the knee", Clin Orthop, 408, pp.218~224 (2003)
- Valmassy RL, "Pediatric treatment modalities of the lower extremity", J Am Podiatr Med Assoc, 78, pp.69~80 (1988)
- Valmassy RL, "Torsional and frontal plane coniditions of the lower extremities. in: Introduction to podopediatrics", pp.248~253 (1993), WB Saunders
- 송동호, "경골 내염전 환아에서 경비골 역회전 교정장치(TCR)의 치료 효과", Korean Journal of Pediatrics, 50(1), pp.79~84 (2007), 대한소아과학회
- Weseley MS, "Thoughts on in- toeing and out-toeing: twenty years' experience with over 5000 cases and a review of the literature", Foot Ankle, 2, pp.49~57 (1981)
- Valmassy R, "Tibial torsion: normal values in children", J Am Podiatr Med Assc, 79, pp.432~435 (1989)
- Hutter CG, "Tibial torsion", J Bone Joint Surg Br, 31A, pp.511~518 (1949)
- 송동호, "제주지역 소아의 경골 염전", Korean Journal of Pediatrics, 48(1), pp.75~80 (2005), 대한소아과학회
- Lang LM, "Measurement of tibial torsion", J Am Podiatr med assoc, 88, pp.160~165 (1998)
- Stuberg W, "Measurement of tibial torsion and thigh-foot angle using goniometry and computed tomography", Clin Orthop Relat Res, 272, pp.208~212 (1991)
- Liu X, "Tibial torsion measurement by surface curvature", Clin Biomech, 20, pp.443~450 (2005)
- Jakob RP, "Tibial torsion calculated by computerised tomography and compared to other methods of measurement", J Bone Joint Surg Br, 62B, pp.238~242 (1980)
- Somerville EW, "Persistent foetal alignment of the hip", J Bone Joint Surg Br, 39B, pp.106~113 (1957)
- Tunner MS, "The effect of tibial torsion of the pathology of the knee", J Bone Joint Surg Br, 63B, pp.396~398 (1981)
- Arkin AM, "Effects of pressure on epiphyseal growth. The mechanism of plasticity of growing bone", J Bone Joint Surg Am, 38, pp.1056~1076 (1956)
- Bresnahan PJ, "The tibial torsion transformer", J Am Podiatr Med Assoc, 82, pp.42~44 (1992)
