Effect of the Tibia Counter Rotator Orthosis for Tibial Internal Torsion Children: A Preliminary Study.

, Lee, So Young; , Jung, Yoon Tae; , Lee, Sung Moon

Original Article

Journal of the Korean Academy of Rehabilitation Medicine 2009;33(4):470-476.

Lee, So Young , Jung, Yoon Tae , Lee, Sung Moon

¹Department of Rehabilitation Medicine, Keimyung University School of Medicine, Korea. re@dsmc.or.kr
²Department of Radiology, Keimyung University School of Medicine, Korea.

소아 경골 내염전에서 경골 역회전 교정 장치의 효과에 대한 예비 연구

이소영, 정윤태, 이성문¹

계명대학교 의과대학 재활의학교실, ¹영상의학교실

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^Ⱂ (TIB^Ⱂ).
Results
Thigh-foot angle and computed tomography showed significant improvement of tibial internal torsion before and after applying the TIB^Ⱂ (p＜0.05). There was no significant correlation between duration of the TIB^Ⱂ 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^Ⱂ was effective for in-toeing gait children with tibial internal torsion. (J Korean Acad Rehab Med 2009; 33: 470-476)

Key Words: Tibia, Torsion, Computed tomography, Orthosis