外展支具治疗儿童发育性髋关节发育不良对其运动发育的影响。
Influence of the treatment of developmental dysplasia of the hip by the abduction brace on locomotor development in children.
作者信息
Zgoda Marcin, Wasilewski Piotr, Wasilewska Iwona, Golicki Dominik
出版信息
J Child Orthop. 2010 Feb;4(1):9-12. doi: 10.1007/s11832-009-0219-0. Epub 2009 Nov 24.
PURPOSE
To assess the influence of treating developmental dysplasia of the hip (DDH) with the abduction brace on locomotor development in children.
METHODS
One hundred children treated for DDH served as the study group. There were 80 girls and 20 boys. The children's average age at the beginning of the treatment was 8 weeks. The control group consisted of 100 healthy children with normal hips and without any locomotor system disorders. We have evaluated factors such as the age at which the treatment started, the duration of the treatment, the birth weight of the child and the time when the children started sitting and walking independently.
RESULTS
On average, treatment with the abduction brace lasted 13 weeks (ranging from 6 to 26 weeks). The mean age at which the patients began to sit was 7 months, which was one week later compared to children from the control group (P = 0.28). The age at which they started walking was 12 months and 2 weeks, which was 3 weeks later than in the control group (P = 0.002).
CONCLUSION
For children with DDH, the abduction brace is a safe and effective method of treatment and, although the infants begin to walk about 3 weeks later compared to healthy children, this practice does not seriously affect the child's locomotor development.
目的
评估外展支具治疗儿童发育性髋关节发育不良（DDH）对其运动发育的影响。
方法
100例接受DDH治疗的儿童作为研究组。其中女孩80例，男孩20例。治疗开始时儿童的平均年龄为8周。对照组由100例髋关节正常且无任何运动系统疾病的健康儿童组成。我们评估了治疗开始的年龄、治疗持续时间、儿童出生体重以及儿童开始独立坐立和行走的时间等因素。
结果
平均而言，外展支具治疗持续13周（范围为6至26周）。患者开始坐立的平均年龄为7个月，比对照组儿童晚1周（P = 0.28）。他们开始行走的年龄为12个月零2周，比对照组晚3周（P = 0.002）。
结论
对于DDH患儿，外展支具是一种安全有效的治疗方法，尽管婴儿开始行走的时间比健康儿童晚约3周，但这种做法不会严重影响儿童的运动发育。
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