Rethlefsen Susan A, Kay Robert M
Children's Orthopaedic Center, Children's Hospital Los Angeles, Los Angeles, CA 90027, USA.
J Pediatr Orthop. 2013 Jun;33(4):422-30. doi: 10.1097/BPO.0b013e3182784e16.
Transverse plane deviations are significant contributors to pathologic gait in children with cerebral palsy (CP). Due to limitations in neuromuscular control, balance, strength and coordination, transverse plane gait deviations are poorly tolerated in these children. Transverse plane malalignment results in lever arm dysfunction and can be seen with either intoeing or out-toeing. Frequent causes of transverse plane problems and lever arm dysfunction include long bone (femoral and/or tibial) torsion, pelvic rotation, and pes varus or valgus. Computerized motion analysis facilitates accurate identification of transverse plane abnormalities. This article addresses appropriate identification and treatment of transverse plane gait deviations in children with CP.
横断面平面偏差是导致脑瘫（CP）患儿病理性步态的重要因素。由于神经肌肉控制、平衡、力量和协调性存在局限，这些患儿对横断面平面步态偏差的耐受性较差。横断面平面排列不齐会导致力臂功能障碍，内八字或外八字都可能出现这种情况。横断面平面问题和力臂功能障碍的常见原因包括长骨（股骨和/或胫骨）扭转、骨盆旋转以及内翻足或外翻足。计算机化运动分析有助于准确识别横断面平面异常情况。本文探讨了脑瘫患儿横断面平面步态偏差的恰当识别与治疗方法。
