How Does Standing Anteroposterior Stability Limits Correlate to Foot/ankle Functions in Bilateral Spastic Cerebral Palsy?

IF 1.3 4区医学 Q3 PEDIATRICS Pediatric Physical Therapy Pub Date : 2024-10-01 DOI:10.1097/PEP.0000000000001128

Hidehito Tomita, Shuhei Takahashi, Daisuke Kawaguchi, Yumi Aoki, Yoshiji Yamamoto, Hitoshi Asai

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Abstract

Purpose: To determine whether foot and ankle functions are correlated with the limits of stability (LoS) while standing in individuals with bilateral spastic cerebral palsy (BSCP).

Methods: Eighteen people who could walk and with BSCP and 18 people without disability participated. Anteroposterior LoS was measured using a force platform. To quantify ankle and foot functions, spasticity, isometric muscle strength, passive range of motion, and plantar light touch-pressure sensation were assessed.

Results: In the BSCP group, anteroposterior LoS was significantly decreased, and anterior LoS reduction was correlated with decreases in plantar flexor and toe flexor strength and in sensitivity of the forefoot to light touch-pressure sensation, whereas the posterior LoS reduction was correlated with reduced dorsiflexor strength.

Conclusions: The present findings suggest that improvement in these foot and ankle functions in BSCP may increase LoS while standing.

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双侧痉挛性脑瘫患者的站立前倾稳定性极限与足部/踝部功能有何关联？

目的：确定足踝功能是否与双侧痉挛性脑瘫（BSCP）患者站立时的稳定性极限（LoS）相关：方法：18 名能行走的双侧痉挛性脑瘫患者和 18 名非残疾患者参加了此次研究。使用测力平台测量前胸负重。为了量化踝关节和足部功能，对痉挛、等长肌力、被动运动范围和足底轻触压感进行了评估：结果：在 BSCP 组中，前后 LoS 显著降低，前 LoS 降低与跖屈肌和趾屈肌力量降低以及前足对轻触-压力感觉的敏感性降低相关，而后 LoS 降低与背屈肌力量降低相关：本研究结果表明，BSCP 患者足踝功能的改善可能会增加站立时的负重能力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Physical Therapy PEDIATRICS-REHABILITATION

CiteScore

1.50

自引率

18.80%

发文量

147

审稿时长

>12 weeks

期刊介绍： Pediatric Physical Therapy is an indexed international journal, that publishes peer reviewed research related to the practice of physical therapy for children with movement disorders. The editorial board is comprised of an international panel of researchers and clinical scholars that oversees a rigorous peer review process. The journal serves as the official journal for the pediatric physical therapy professional organizations in the Netherlands, Switzerland, New Zealand, Canada, and the United States. The journal includes articles that support evidenced based practice of physical therapy for children with neuromuscular, musculoskeletal, cardiorespiratory and developmental conditions that lead to disorders of movement, and research reports that contribute to the foundational sciences of pediatric physical therapy, ranging from biomechanics and pediatric exercise science to neurodevelopmental science. To these ends the journal publishes original research articles, systematic reviews directed to specific clinical questions that further the science of physical therapy, clinical guidelines and case reports that describe unusual conditions or cutting edge interventions with sound rationale. The journal adheres to the ethical standards of theInternational Committee of Medical Journal Editors.