连续石膏固定法用于杜氏肌营养不良症踝关节挛缩的治疗
Serial casting for the management of ankle contracture in Duchenne muscular dystrophy.
作者信息
Glanzman Allan M, Flickinger Jean M, Dholakia Kripa H, Bönnemann Carsten G, Finkel Richard S
机构信息
Department of Physical Therapy, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA.
出版信息
Pediatr Phys Ther. 2011 Fall;23(3):275-9. doi: 10.1097/PEP.0b013e318227c4e3.
Abstract
PURPOSE
To evaluate the effect of serial casting in boys with Duchenne muscular dystrophy.
METHODS
Chart review of 9 patients with Duchenne muscular dystrophy, mean age 8.9 (±2.1) years.
RESULTS
Initial dorsiflexion -6.2° and -5.2° right and left, respectively. The mean improvement was 12° and 11.6° on the right and left (knee extended) and 7.7° and 8.7° on the right and left (knee flexed) or 2.7° and 3.9° per cast, respectively. Times to run 10 m, climb 4 steps, and get off the floor were unchanged. Correlations between range-of-motion change/cast and age were r = -0.86 right and r = -0.84 left. Three patients had delayed onset foot pain; one child had redness with symptom resolution in all cases.
CONCLUSIONS
Improvement in range of motion with the application of serial casting was found with no loss of function or speed despite the period of immobilization.
摘要
目的
评估连续石膏固定对杜氏肌营养不良男孩的疗效。
方法
回顾性分析9例杜氏肌营养不良患者的病历，平均年龄8.9（±2.1）岁。
结果
初始时右侧和左侧背屈分别为-6.2°和-5.2°。右侧和左侧（膝关节伸直）平均改善分别为12°和11.6°，右侧和左侧（膝关节屈曲）平均改善分别为7.7°和8.7°，即每次石膏固定分别改善2.7°和3.9°。10米跑步、爬4级台阶和从地面站起的时间未改变。活动度变化/石膏固定与年龄之间的相关性，右侧r = -0.86，左侧r = -0.84。3例患者出现延迟性足部疼痛；1例患儿出现红肿，但所有病例症状均缓解。
结论
尽管有固定期，但应用连续石膏固定可改善活动度，且功能和速度未丧失。
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