Davis Melinda F, Worden Katherine, Clawson Diane, Meaney F John, Duncan Burris
Department of Pediatrics, University of Arizona, Tucson, USA.
J Am Osteopath Assoc. 2007 Jun;107(6):226-32.
While numerous measures are available to assist physicians in assessing patients with cerebral palsy, there is a paucity of instruments that capture data relevant to osteopathic assessment. The lack of such tools limits the reach of research in key osteopathic indicators.
A structured objective form designed to assist osteopathic physicians in the evaluation of fascial restriction, restriction of spinal motion, and muscle spasticity was developed for use during osteopathic musculoskeletal structural examinations. Data were collected as part of a larger study investigating the effects of osteopathic manipulative treatment versus acupuncture in children with cerebral palsy. In the present study, confirmatory factor analysis was used to examine the relationships between fascial and spinal motion restrictions in addition to spasticity.
In 57 children with spastic cerebral palsy, latent factors for fascial restrictions and spinal motion restriction fit the data well and both factors were correlated with a visual analog scale rating of the child's muscle spasticity.
These findings provide preliminary evidence for the factorial and concurrent validity of fascial and spinal motion restrictions, demonstrating the benefits of an instrument for assessing the results of osteopathic musculoskeletal structural examinations.
虽然有许多措施可帮助医生评估脑瘫患者，但缺乏能够收集与整骨疗法评估相关数据的工具。此类工具的缺乏限制了关键整骨疗法指标的研究范围。
设计了一种结构化的客观表格，用于在整骨疗法肌肉骨骼结构检查期间协助整骨疗法医生评估筋膜受限、脊柱运动受限和肌肉痉挛情况。作为一项关于整骨手法治疗与针灸对脑瘫患儿影响的大型研究的一部分收集了数据。在本研究中，使用验证性因素分析来检验筋膜和脊柱运动受限以及痉挛之间的关系。
在57名痉挛型脑瘫患儿中，筋膜受限和脊柱运动受限的潜在因素与数据拟合良好，且这两个因素均与儿童肌肉痉挛的视觉模拟量表评分相关。
这些发现为筋膜和脊柱运动受限的因子效度和同时效度提供了初步证据，证明了一种用于评估整骨疗法肌肉骨骼结构检查结果的工具的益处。
