Use of a static adjustable ankle-foot orthosis following tibial nerve block to reduce plantar-flexion contracture in an individual with brain injury

被引:12
作者
Blanton, S
Grissom, SP
Riolo, L
机构
[1] Emory Ctr Rehabil Med, EXCITE Natl Clin Trial, Atlanta, GA 30322 USA
[2] Virginia Mason Med Ctr Phys Med & Rehabil, Seattle, WA USA
[3] Univ Oklahoma, Hlth Sci Ctr, Dept Rehabil Sci, Oklahoma City, OK USA
[4] Univ Oklahoma, Hlth Sci Ctr, Dept Geriatr Med, Oklahoma City, OK USA
来源
PHYSICAL THERAPY | 2002年 / 82卷 / 11期
关键词
ankle joint; brain injury; contracture; range of motion; static adjustable orthosis;
D O I
10.1093/ptj/82.11.1087
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Background and Purpose. Ankle plantar-flexion contractures are a common complication of brain injuries and can lead to secondary limitations in mobility. Case Description. The patient was a 44-year-old woman with left hemiplegia following a right frontal arteriovenous malformation resection. She had a left ankle plantar-flexion contracture of -31 degrees from neutral. After a tibial nerve. block, an adjustable ankle-foot orthosis was applied 23 hours a day for 27 days. Adjustments of the orthosis were made as the contracture was reduced. The patient received physical therapy during the 27-day period for functional mobility activities and stretching the plantar flexors outside of the orthosis. Outcomes. The patient's dorsiflexion passive range of motion increased from -31 degrees to +10 degrees. Discussion. The application of an adjustable ankle-foot orthosis following a tibial nerve block, as an addition to a physical therapy regimen of stretching and mobility training, may reduce plantar-flexion contractures in patients with brain injury. [Blanton S, Grissom SP, Riolo L. Use of a static adjustable ankle-foot orthosis following tibial nerve block to reduce plantar-flexion contracture in an individual with brain injury.
引用
收藏
页码:1087 / 1097
页数:11
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