Caudill Angela, Flanagan Ann, Hassani Sahar, Graf Adam, Bajorunaite Ruta, Harris Gerald, Smith Peter
Shriners Hospitals for Children, Chicago, Illinois 60707, USA.
Pediatr Phys Ther. 2010 Fall;22(3):288-95. doi: 10.1097/PEP.0b013e3181ea8b8d.
To determine whether children with type I osteogenesis imperfecta (OI) exhibit ankle plantar flexor weakness and whether this correlates with physical function.
Twenty children and adolescents with type I OI and 20 age-matched controls (age 6-18 years) participated in a single evaluation session. Data included strength assessment, Gillette Functional Assessment Questionnaire, Pediatric Outcome Data Collection Instrument (PODCI), and Faces Pain Scale-Revised.
Ankle plantar flexor weakness was evident in the OI group compared with the control group. Heel-rise strength correlated with ankle isometric plantar flexion strength. Limitations in PODCI subscales-sports and physical function and pain/comfort-are present in the OI group.
Ankle plantar flexor weakness is present in children and adolescents with type I OI and correlates with function. Gillette Functional Assessment Questionnaire, PODCI, and strength assessment are valuable evaluation tools for children and adolescents with type I OI and can aid therapists in goal setting.
确定I型成骨不全症（OI）患儿是否存在踝关节跖屈肌无力，以及这是否与身体功能相关。
20名患有I型OI的儿童和青少年以及20名年龄匹配的对照组（6 - 18岁）参与了单次评估。数据包括力量评估、吉列特功能评估问卷、儿科结果数据收集工具（PODCI）和面部疼痛量表修订版。
与对照组相比，OI组踝关节跖屈肌无力明显。提踵力量与踝关节等长跖屈力量相关。OI组在PODCI子量表——运动和身体功能以及疼痛/舒适度方面存在局限性。
I型OI患儿和青少年存在踝关节跖屈肌无力且与功能相关。吉列特功能评估问卷、PODCI和力量评估是评估I型OI患儿和青少年的有价值工具，可帮助治疗师设定目标。
