Ganley Kathleen J, Behnke Claire
Department of Physical Therapy and Athletic Training, Northern Arizona University, Phoenix, Arizona.
Pediatr Phys Ther. 2016 Summer;28(2):187-91. doi: 10.1097/PEP.0000000000000241.
To compare distal vibratory perception threshold and sensation in children who toe walked (TW) and controls.
Vibration perception threshold was measured at the metacarpal and metatarsal phalangeal (MCP and MTP) joints in 11 TW and 15 age-matched controls. Mean vibratory threshold (MVT) was calculated for each site; a Pearson correlation coefficient was determined for MVT at MCP and MTP joints. Groups were compared using a Mann-Whitney U test. Parent/caregiver responses on the Short Sensory Profile (SSP) were compared using a χ test.
MVTs at the MCP and MTP joints were highly correlated in both groups. MVT was higher in TW compared with controls at each site. Children who TW were more likely to have a total SSP score in the "probable difference" or "definite difference" categories compared with the "no difference" category.
Sensation should not be overlooked in the evaluation and clinical management of toe walking.
比较踮脚行走儿童与对照组儿童的远端振动觉阈值及感觉情况。
对11名踮脚行走儿童和15名年龄匹配的对照组儿童的掌指关节和跖趾关节进行振动觉阈值测量。计算每个部位的平均振动阈值（MVT）；确定掌指关节和跖趾关节MVT的Pearson相关系数。采用Mann-Whitney U检验对两组进行比较。使用χ检验比较家长/照顾者在简短感觉概况量表（SSP）上的回答。
两组中掌指关节和跖趾关节的MVT高度相关。在每个部位，踮脚行走儿童的MVT均高于对照组。与“无差异”类别相比，踮脚行走儿童更有可能在SSP总分中处于“可能有差异”或“肯定有差异”类别。
在踮脚行走的评估和临床管理中，感觉不应被忽视。
