斜颈合并扁头畸形对婴儿运动发育的影响。
Impact of torticollis associated with plagiocephaly on infants' motor development.
作者信息
Cabrera-Martos Irene, Valenza Marie Carmen, Valenza-Demet Gerald, Benítez-Feliponi Ángela, Robles-Vizcaíno Concepción, Ruíz-Extremera Ángeles
机构信息
From the *Department of Physical Therapy, Faculty of Health Sciences, University of Granada; †Early Care and Monitoring Unit, San Cecilio Clinical Hospital; and ‡Department of Pediatrics, Faculty of Medicine, University of Granada, Granada, Spain.
出版信息
J Craniofac Surg. 2015 Jan;26(1):151-6. doi: 10.1097/SCS.0000000000001402.
OBJECTIVE
This study investigated whether torticollis (congenital or acquired) in infants with plagiocephaly affects the achievement of specific gross motor milestones.
METHODS
A total of 175 infants affected by plagiocephaly with or without torticollis were recruited and included in this prospective trial. Anthropometric and clinical variables were recorded at baseline. The infants were included in a physiotherapy treatment program, and they were monthly assessed until hospital discharge.
RESULTS
Significant differences (P < 0.05) were observed in the achievement of rolling over, crawling, and standing skills depending on the specific profile (plagiocephaly and plagiocephaly with congenital or acquired torticollis). After adjusting for the severity of the plagiocephaly and the age at referral, the torticollis was significantly (P < 0.05) associated with crawling and standing skills.
CONCLUSIONS
The findings suggest that the presence or absence of congenital or acquired torticollis is an important factor that affects gross motor development in infants with plagiocephaly.
目的
本研究调查了患有扁头畸形的婴儿（先天性或后天性）斜颈是否会影响特定粗大运动里程碑的达成。
方法
总共招募了175名患有或未患有斜颈的扁头畸形婴儿，并将其纳入这项前瞻性试验。在基线时记录人体测量和临床变量。这些婴儿被纳入物理治疗计划，并每月进行评估直至出院。
结果
根据具体情况（扁头畸形以及伴有先天性或后天性斜颈的扁头畸形），在翻身、爬行和站立技能的达成方面观察到显著差异（P < 0.05）。在对扁头畸形的严重程度和转诊年龄进行调整后，斜颈与爬行和站立技能显著相关（P < 0.05）。
结论
研究结果表明，先天性或后天性斜颈的存在与否是影响扁头畸形婴儿粗大运动发育的一个重要因素。
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