Mudge Anita J, Bau Karen V, Purcell Leanne N, Wu Jenny C, Axt Matthias W, Selber Paulo, Burns Joshua
aPaediatric Gait Analysis Service of New South Wales, Sydney Children's Hospitals Network bArthritis and Musculoskeletal Research Group, The University of Sydney cInstitute for Neuroscience and Muscle Research, The Children's Hospital at Westmead, Sydney, New South Wales dOrthopaedic Department, Royal Children's Hospital, Melbourne, Victoria, Australia.
J Pediatr Orthop B. 2014 Jan;23(1):15-25. doi: 10.1097/BPB.0b013e328364220a.
Normative reference values are essential to identify deviation from normal and evaluate response to treatment. As joint range of motion datasets specific to the pediatric population are infrequently reported in the literature, we determined lower limb passive joint range of motion and bone torsion values from 53 typically developing children aged 4-16 years. Our reference values were consistent with previously published norms, although for some measures, large variability in the literature exists. A clear correlation between joint range and age was observed in most measures. Our results highlight the importance of applying age-matched norms when attempting to identify deviation from normal in the growing child.
标准参考值对于识别与正常情况的偏差以及评估治疗反应至关重要。由于文献中很少报道特定于儿科人群的关节活动范围数据集,我们测定了53名4至16岁正常发育儿童的下肢被动关节活动范围和骨扭转值。我们的参考值与先前发表的标准一致,尽管对于某些测量指标,文献中存在很大的变异性。在大多数测量指标中都观察到关节活动范围与年龄之间存在明显的相关性。我们的结果强调了在试图识别成长中儿童与正常情况的偏差时应用年龄匹配标准的重要性。