足部姿势对痉挛性偏瘫脑瘫儿童稳定极限的影响

IF 1 4区 医学 Q3 PEDIATRICS Clinical Pediatrics Pub Date : 2025-03-01 Epub Date: 2024-08-14 DOI:10.1177/00099228241271399
Arshin Tamboli, Radha Bhattad
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引用次数: 0

摘要

脑性瘫痪(CP)是一种影响肌肉骨骼系统的神经系统疾病,会导致平衡控制发生改变,而平衡控制则受肌肉活动和关节定位的不断调整所支配。由于足部是我们站立和保持平衡的平台,因此研究和描述脊髓灰质炎患者足部姿势异常的特征非常重要,以便更好地了解它们对站立时多向稳定性极限(MDLS)可能产生的影响。我们的目的是研究双腿截瘫儿童的足部姿势与多向稳定性极限之间的关系。本研究共纳入了 30 名双腿截瘫儿童(13 名趾平面截瘫和 17 名趾凹陷截瘫),他们的年龄在 6 至 14 岁之间,粗大运动功能分类系统(GMFCS)分级为 I 级和 II 级,并征得了家长的同意。无法在无支撑的情况下站立<2分钟、在6个月内接受过下肢手术、有视力障碍的双腿瘫痪者不包括在内。用足弓指数评估足部姿势,用 GEAMASTER 稳定计测量 MDLS。足部姿势与稳定性极限之间存在明显的正相关。与趾骨凹陷相比,患有趾骨平面凹陷的偏瘫儿童的 MDLS 更好。
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Effect of Foot Posture on Limits of Stability in Children With Spastic Diplegic Cerebral Palsy.

Cerebral palsy (CP) is a neurological condition that affects musculoskeletal system causing altered balance control, which is governed by constant adjustments by muscular activity and joint positioning. Since the foot is the platform upon which we stand and balance, it is important to study and characterize foot posture abnormalities in CP to better understand their possible effect on multidirectional limits of stability (MDLS) in standing. Our aim was to find relation between foot posture and MDLS in diplegic children. Thirty diplegics (13 pes-planus and 17 pes-cavus) between the age of 6 to 14, gross motor function classification system (GMFCS) levels I and II, whose parents consented were included in this study. Diplegics unable to stand unsupported for < 2 minutes, undergone lower-limb surgeries in 6 months, having visual impairments were excluded. Foot posture was assessed with arch index, MDLS were measured by GEAMASTER stabilometer. There was significant positive correlation between foot posture and limits of stability. Diplegic children having pes-planus have better MDLS as compared with pes-cavus.

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来源期刊
Clinical Pediatrics
Clinical Pediatrics 医学-小儿科
CiteScore
2.10
自引率
6.20%
发文量
189
审稿时长
3-8 weeks
期刊介绍: Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.
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