双侧脑瘫患儿站立时的姿势定向
Postural orientation during standing in children with bilateral cerebral palsy.
作者信息
Lidbeck Cecilia M, Gutierrez-Farewik Elena M, Broström Eva, Bartonek Åsa
机构信息
Department of Women's and Children's Health (Ms Lidbeck and Drs Gutierrez-Farewik, Broström, and Bartonek) Karolinska Institutet, Stockholm, Sweden; KTH Mechanics (Dr Gutierrez-Farewik), Royal Institute of Technology, Stockholm, Sweden.
出版信息
Pediatr Phys Ther. 2014 Summer;26(2):223-9. doi: 10.1097/PEP.0000000000000025.
PURPOSE
To investigate postural orientation and maintenance of joint position during standing in children with bilateral spastic cerebral palsy (BSCP).
METHODS
Standing was examined with 3-D motion analysis in 26 children with BSCP, and 19 children typically developing (TD). Two groups of children with cerebral palsy (CP) were analyzed: 15 who were able to maintain standing without support and 11 who needed support.
RESULTS
Children with CP stood with more flexion than children TD. In the CP groups, children standing without support stood more asymmetrically with less hip and knee flexion and less movement than those who required support.
CONCLUSION
Children with CP had varying abilities to stand and maintain standing posture with or without support. Both CP groups stood with more flexion than their potential passive joint angle, more obvious in children requiring support. Investigations on how muscle strength and spatial perception influence posture remains to be explored.
目的
研究双侧痉挛性脑瘫（BSCP）患儿站立时的姿势定向和关节位置维持情况。
方法
采用三维运动分析对26例双侧痉挛性脑瘫患儿和19例发育正常（TD）儿童进行站立检查。分析两组脑瘫（CP）患儿：15例能够独立维持站立，11例需要支撑。
结果
脑瘫患儿站立时比发育正常儿童有更多的屈曲。在脑瘫组中，独立站立的患儿比需要支撑的患儿站立时更不对称，髋部和膝部屈曲更少，活动也更少。
结论
脑瘫患儿在有或没有支撑的情况下站立和维持站立姿势的能力各不相同。两个脑瘫组站立时的屈曲都比其潜在的被动关节角度更大，在需要支撑的患儿中更为明显。关于肌肉力量和空间感知如何影响姿势的研究仍有待探索。
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