School of Comprehensive Rehabilitation, Osaka Prefecture University, Osaka, Japan.
Disabil Rehabil. 2010;32(7):598-605. doi: 10.3109/09638280903171501.
The purpose of this study was to assess sit-to-stand (STS) movements of a child with cerebral palsy before and after physiotherapy (PT), based on objective kinematic data.
A child with cerebral spastic diplegia, aged 4 years and 6 months, and had no prior surgery, was the subject. In order to assess the STS movements before and after PT, a motion analysis system was used. STS movements data before and after PT which included the total duration of STS movement and angular movement of each joint were collected and compared.
The total duration of STS movement was 3.06 s before PT and 2.44 s after PT. As for angular movement before PT, knee, hip joint, and trunk were flexed strongly just after ankle joint was in plantarflexion, in shifting the center of mass forward. In contrast, these flexion patterns were less noticeable after PT. In addition, standing postures showed marked improvement. Range of motion of ankle dorsiflexion was -25 degrees before PT; after PT, it was 6 degrees.
These findings lead us to conclude that the effect of PT on STS movement before and after PT showed objective kinematic data.
本研究旨在通过客观运动学数据评估脑瘫儿童在物理治疗（PT）前后的坐站（STS）运动。
研究对象为一名 4 岁零 6 个月、无既往手术史的痉挛性双侧脑瘫儿童。为了评估 PT 前后的 STS 运动，使用了运动分析系统。收集并比较了 PT 前后的 STS 运动数据，包括 STS 运动的总持续时间和每个关节的角度运动。
PT 前 STS 运动的总持续时间为 3.06 秒，PT 后为 2.44 秒。在 PT 前的角度运动中，踝关节在跖屈后，膝关节、髋关节和躯干强烈弯曲，以向前转移重心。相比之下，PT 后这些弯曲模式不太明显。此外，站立姿势有明显改善。PT 前踝关节背屈的活动范围为-25 度，PT 后为 6 度。
这些发现使我们得出结论，PT 对 STS 运动的影响在 PT 前后的客观运动学数据中得到了体现。
