Stabilometry in Relation to Hip and Knee Muscle Force in Children with Surgically Treated Unilateral Slipped Capital Femoral Epiphysis.

IF 2 4区 医学 Q2 PEDIATRICS Children-Basel Pub Date : 2024-09-28 DOI:10.3390/children11101186
Marius Negru, Anca Raluca Dinu, Elena Amaricai, Liliana Catan, Andrei Daniel Bolovan, Adrian Emil Lazarescu, Corina Maria Stanciulescu, Eugen Sorin Boia, Calin Marius Popoiu
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Abstract

Background/objectives: The main aim of our study was to analyze the stabilometric parameters in relation to hip and knee muscle force in children with unilateral slipped capital femoral epiphysis (SCFE) who had undergone surgical treatment. Another objective was to compare the stabilometry in three testing situations (eyes open, eyes closed, and head retroflexed).

Methods: In total, 26 patients with unilateral right SCFE treated via in situ fixation with one percutaneous screw performed stabilometry assessments under three different situations (with their eyes open, with their eyes closed, and with their head retroflexed) and isometric muscle force assessment of the bilateral hip flexors, extensors, abductors and adductors and bilateral knee flexors and extensors.

Results: No significant differences between the right side (affected hip) and left side (non-affected hip) were recorded for all of the tested muscle groups. We found significant negative correlations between the 90% confidence ellipse area (eyes open condition) and left knee extensors (p = 0.028), right knee flexors (p = 0.041), and left knee flexors (p = 0.02), respectively. When performing the comparison between the eyes open and eyes closed situations, there were significant differences in CoP path length (p < 0.0001) and maximum CoP speed (p = 0.048); the parameters increased in the eyes closed situation.

Conclusions: Better postural stability is acquired when assessed with eyes open or with the head retroflexed in contrast with eyes closed testing.

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手术治疗单侧股骨骺滑脱儿童的稳定测量与髋关节和膝关节肌肉力量的关系
背景/目的:我们研究的主要目的是分析接受过手术治疗的单侧股骨头骨骺滑脱(SCFE)患儿的稳定测量参数与髋关节和膝关节肌肉力量的关系。另一个目的是比较三种测试情况(睁眼、闭眼和头后屈)下的稳定度:共有 26 名单侧右侧 SCFE 患者接受了经皮螺钉原位固定治疗,在三种不同情况下(睁眼、闭眼和头部后屈)进行了稳定度评估,并对双侧髋关节屈肌、伸肌、内收肌和外展肌以及双侧膝关节屈肌和伸肌进行了等长肌力评估:在所有测试的肌肉群中,右侧(受影响的髋关节)和左侧(未受影响的髋关节)没有明显差异。我们发现 90% 置信椭圆区(睁眼状态)与左膝伸肌(p = 0.028)、右膝屈肌(p = 0.041)和左膝屈肌(p = 0.02)之间分别存在明显的负相关。在睁眼和闭眼情况下进行比较时,CoP 路径长度(p < 0.0001)和最大 CoP 速度(p = 0.048)存在显著差异;在闭眼情况下,这些参数都有所增加:结论:与闭眼测试相比,在睁眼或头部后屈的情况下进行评估能获得更好的姿势稳定性。
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来源期刊
Children-Basel
Children-Basel PEDIATRICS-
CiteScore
2.70
自引率
16.70%
发文量
1735
审稿时长
6 weeks
期刊介绍: Children is an international, open access journal dedicated to a streamlined, yet scientifically rigorous, dissemination of peer-reviewed science related to childhood health and disease in developed and developing countries. The publication focuses on sharing clinical, epidemiological and translational science relevant to children’s health. Moreover, the primary goals of the publication are to highlight under‑represented pediatric disciplines, to emphasize interdisciplinary research and to disseminate advances in knowledge in global child health. In addition to original research, the journal publishes expert editorials and commentaries, clinical case reports, and insightful communications reflecting the latest developments in pediatric medicine. By publishing meritorious articles as soon as the editorial review process is completed, rather than at predefined intervals, Children also permits rapid open access sharing of new information, allowing us to reach the broadest audience in the most expedient fashion.
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