小学生关节过动症的筛查诊断特点

O. Vasilyev, V. Voynov, E. Achkasov, F. Takhavieva, A. Rokhlin
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引用次数: 0

摘要

在俄罗斯学校医学中,关节过度活动是一个研究较少且相对较新的危险因素,导致肌肉骨骼系统功能受损。这项研究涉及50名7岁至8.4岁的有条件健康的小学儿童。主要小组由26名一年级学生(12名男生,14名女生)组成,他们来自“Podosinki”(莫斯科地区)乡村学校。Сomparison组由24名年龄在7.7岁到8.3岁之间的女运动员(从事艺术体操至少一年)组成,生活在莫斯科和莫斯科地区。所有儿童都接受了对腕部、肘部、膝关节和髋关节以及手部小关节被动运动量的详细研究;采用无创方法测定体位变化。两组结果的比较表明,所有受访者都同样具有发生骨科疾病和病理状况的危险因素:姿势障碍(脊柱后凸型)、足部外翻和足弓变平(移动式扁平足)、关节活动过度。该研究的结果质疑了对该年龄组儿童的Beighton综合征的过度活动能力评估的充分性;根据研究,需要进一步的研究来找到儿童关节过度活动的测量方法。这项研究是在俄罗斯教育部的支持下进行的。关键词:关节过动症,儿童,肌肉骨骼系统,危险因素
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Features of screening diagnostics of joint hypermobility in primary school children
Joint hypermobility is a little-studied and relatively new risk factor for Russian school medicine, leading to impaired functions of the musculoskeletal system. The study involved 50 conditionally healthy children of primary school from 7 to 8.4 years. Main group consisted of 26 students of the 1st grade (12 boys, 14 girls) of the village school "Podosinki" (Moscow region). Сomparison group consisted of 24 female athletes (engaged in rhythmic gymnastics for at least one year) from 7.7 to 8.3 years, living in Moscow and Moscow region. All children underwent a detailed study of the volume of passive movements in the wrist, elbow, knee and hip joints, as well as in the small joints of the hand; Postural changes were determined by non-invasive methods. Comparison of the results in both groups showed that all respondents equally have risk factors for the development of orthopedic diseases and pathological conditions: posture disorders (kyphoscoliotic type), valgus installation of feet and flattening of their arches of the feet (mobile flat feet), hypermobility of the joints. The results of the study questioned the adequacy of the assessment of hypermobility on the Beighton scоre in children of this age group; According to studies, further research is needed to find a measure of joint hypermobility in children. The study was conducted with the support of the Ministry of Education of Russia. Key words: joint hypermobility, children, musculoskeletal system, risk factors
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来源期刊
Voprosy Prakticheskoi Pediatrii
Voprosy Prakticheskoi Pediatrii Medicine-Pediatrics, Perinatology and Child Health
CiteScore
1.20
自引率
0.00%
发文量
50
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