Kreulen M, Smeulders M J C, Veeger H E J, Hage J J
Department of Plastic, Reconstructive and Hand Surgery, Academic Medical Centre, Suite G4-226, P.O. Box 22660, 1100 DD Amsterdam, The Netherlands.
Gait Posture. 2007 Mar;25(3):485-92. doi: 10.1016/j.gaitpost.2006.05.015. Epub 2006 Jul 18.
The aim of this study was to objectively assess the relationship between impaired forearm rotation and movement patterns of the upper arm and trunk in patients with hemiplegic cerebral palsy. For this purpose, 'extrinsic forearm rotation' was introduced as a parameter to quantify the cumulative result of all movements that supplement forearm rotation. The results of three-dimensional video analysis of the upper extremity and trunk in different reaching tasks in eight male and two female patients (mean age, 16 years and 2 months) were compared to those of 10 case-matched controls. The active forearm rotation impairment in the patient group as compared to the controls was combined with a significantly higher value for 'extrinsic forearm rotation'. In this way, we objectively measured compensatory movement patterns associated with impaired forearm rotation and, consequently, we advocate assessment of the overall movement strategy rather than just the forearm deformity in patients with hemiplegic cerebral palsy.
本研究的目的是客观评估偏瘫型脑瘫患者前臂旋转功能障碍与上臂和躯干运动模式之间的关系。为此，引入了“外在前臂旋转”作为一个参数，以量化补充前臂旋转的所有运动的累积结果。对8名男性和2名女性患者（平均年龄16岁2个月）在不同伸手任务中上肢和躯干的三维视频分析结果与10名病例匹配对照者的结果进行了比较。与对照组相比，患者组的主动前臂旋转功能障碍与“外在前臂旋转”的显著更高值相关。通过这种方式，我们客观地测量了与前臂旋转功能障碍相关的代偿运动模式，因此，我们主张评估偏瘫型脑瘫患者的整体运动策略，而不仅仅是前臂畸形。
