Department of Orthopaedic and Trauma Surgery, Heidelberg University Clinics, Heidelberg, Germany.
Gait Posture. 2013 May;38(1):148-52. doi: 10.1016/j.gaitpost.2012.11.005. Epub 2012 Dec 4.
Investigations using motion capture to analyze limitations in range of motion (ROM) of the upper extremity in adults with cerebral palsy (CP) are scarce. To evaluate the influence of those limitations on activities of daily living (ADL) and to determine potential mechanisms of compensation, we investigated 15 adults with hemiplegic CP using motion capture while they performed 10 defined ADLs. Data from the nonaffected body side and those from an age-matched able-bodied group were also collected and compared with our subjects. We measured motion of the elbow, shoulder, and trunk and found significant differences in ROM at these sites. The most pronounced reduction in ROM was observed distally in supination and pronation of the elbow. Here, the affected body side of the adults showed a reduction in supination of 45° compared to the able-bodied group. Furthermore we found a correlation between the Manual Ability Classification System (MACS) and the limitations in ROM. In summary, adults with spastic, hemiplegic CP show limitations in ROM accentuated distally during ADLs. The MACS gives conclusive information about those limitations.
使用运动捕捉技术分析脑瘫（CP）成人上肢活动范围（ROM）受限的研究较少。为了评估这些限制对日常生活活动（ADL）的影响，并确定潜在的代偿机制，我们使用运动捕捉技术对 15 名偏瘫 CP 成人进行了研究，同时他们完成了 10 项定义明确的 ADL。还收集了非受累侧的数据以及与我们的受试者相匹配的年龄匹配的健全组的数据，并将其与我们的受试者进行了比较。我们测量了肘部、肩部和躯干的运动，发现这些部位的 ROM 存在显著差异。在肘部的旋前和旋后，ROM 减少最明显。在这里，与健全组相比，成人的受累侧肘部的旋前减少了 45°。此外，我们还发现手动能力分类系统（MACS）与 ROM 受限之间存在相关性。总之，痉挛性偏瘫 CP 成人在进行 ADL 时表现出明显的远端 ROM 受限。MACS 提供了关于这些限制的明确信息。
