Département de médecine physique et réadaptation, cliniques universitaires de Mont-Godinne, université catholique de Louvain, Yvoir, Belgium.
Ann Phys Rehabil Med. 2010 Apr;53(3):189-99. doi: 10.1016/j.rehab.2010.01.001. Epub 2010 Jan 28.
We carried out a systematic review of the literature on treatment of genu recurvatum in hemiparetic adult patients by searching the PubMed, Pedro, Trip Database and Science Direct databases. The following keywords were used: (recurvatum or hyperextension or knee) and (hemiplegia or hemiparesis).
Nine articles met our selection criteria. Four assessed retraining methods (functional electric stimulation or electrogoniometric feedback), two assessed orthopaedic or neurosurgical treatments and three articles focused on orthoses.
Even though all the various treatments produced encouraging results, most of the reviewed studies presented methodological limitations. Moreover, none of the selected articles suggested a treatment strategy which takes account of the various aetiologies in genu recurvatum. On the basis of some of the reviewed articles and our own clinical experience, we propose an aetiology-specific treatment strategy for genu recurvatum patients. In a broad patient population, this categorization could form the basis for testing the specificity of each treatment method as a function of the cause of genu recurvatum. This approach could help confirm the clinical indications and identify the most appropriate treatment for each patient.
我们通过检索 PubMed、PEDro、Trip 数据库和 Science Direct 数据库，对成人偏瘫患者膝过伸（即足内翻）的治疗文献进行了系统评价。使用的关键词如下：（过伸或过伸或膝）和（偏瘫或偏瘫）。
符合选择标准的文章有 9 篇。其中 4 篇评估了再训练方法（功能性电刺激或电子角度反馈），2 篇评估了矫形或神经外科治疗，3 篇文章则专注于矫形器。
尽管所有的各种治疗都取得了令人鼓舞的结果，但大多数综述研究都存在方法学上的局限性。此外，所选文章中没有一篇提出了一种治疗策略，考虑到膝过伸的各种病因。基于一些已审查的文章和我们自己的临床经验，我们为膝过伸患者提出了一种病因特异性的治疗策略。在广泛的患者群体中，这种分类可以作为测试每种治疗方法特异性的基础，具体取决于膝过伸的原因。这种方法可以帮助确认临床适应证，并为每位患者确定最合适的治疗方法。
