Swinnen Eva, Goten Laura Vander, De Koster Berdien, Degelaen Marc
Vrije Universiteit Brussel, Rehabilitation Research (RERE), Brussel, Belgium.
Erasmus University College, Knowledge Centre Brussels Integrated Care (BIC), Brussel, Belgium.
NeuroRehabilitation. 2016;38(2):129-46. doi: 10.3233/NRE-161303.
Dysfunctional postural control and pathological thorax and pelvis motions are often observed in children with cerebral palsy (CP) and can be considered as an indicator of diminished dynamic stability.
The aim of this study was to identify the differences between children with CP and typically developing children in three-dimensional thorax and pelvis kinematics during walking.
Three electronic databases were searched by using different combinations of keywords. The methodological quality of the studies was assessed by two researchers with the Strobe quality checklist.
Ten studies (methodological quality: 32% to 74%) with in total 259 children with CP and 220 typically developing children (mean age: 7.6 to 13.6 year) were included. Compared to typically developing children, children with bilateral CP showed an increased range of motion of the thorax, pelvis and spine during walking. The results of the children with unilateral CP were less clear.
In general, children with bilateral CP showed larger movement amplitudes of the trunk compared to children without CP. This increase in movement amplitudes could influence the dynamic stability of the body during walking. In children with unilateral CP, the results were less obvious and further research on this topic is required.
姿势控制功能障碍以及病理性胸廓和骨盆运动在脑瘫（CP）患儿中经常可见，可被视为动态稳定性下降的一个指标。
本研究旨在确定脑瘫患儿与正常发育儿童在行走过程中三维胸廓和骨盆运动学方面的差异。
使用不同关键词组合检索三个电子数据库。由两名研究人员依据《加强流行病学观察性研究报告规范》（STROBE）质量清单评估研究的方法学质量。
纳入了10项研究（方法学质量：32%至74%），共计259例脑瘫患儿和220例正常发育儿童（平均年龄：7.6至13.6岁）。与正常发育儿童相比，双侧脑瘫患儿在行走过程中胸廓、骨盆和脊柱的运动范围增大。单侧脑瘫患儿的结果不太明确。
总体而言，与非脑瘫儿童相比，双侧脑瘫患儿的躯干运动幅度更大。这种运动幅度的增加可能会影响行走过程中身体的动态稳定性。对于单侧脑瘫患儿，结果不太明显，需要对此主题进行进一步研究。
Zotero 插件