评估患有姿势性斜头畸形婴儿的颈椎活动范围。
Assessing the Cervical Range of Motion in Infants With Positional Plagiocephaly.
作者信息
Murgia Massimiliano, Venditto Teresa, Paoloni Marco, Hodo Brunilda, Alcuri Rosaria, Bernetti Andrea, Santilli Valter, Mangone Massimiliano
机构信息
*Physical Medicine and Rehabilitation Unit, Azienda Policlinico Umberto I †Board of Physical Medicine and Rehabilitation, Department of Anatomy, Histology, Forensic Medicine and Orthopedics, "Sapienza" University, Rome ‡Don Carlo Gnocchi ONLUS Foundation, Milan, Italy.
出版信息
J Craniofac Surg. 2016 Jun;27(4):1060-4. doi: 10.1097/SCS.0000000000002644.
PURPOSE
To determine if infants with positional plagiocephaly have limitations of active and passive cervical range of motion measured with simple and reliable methods.
METHODS
The examiners assessed bilateral active and passive cervical rotations and passive cervical lateral flexion. Cervical assessment was performed twice by 2 different physicians to assess intertester reliability. To assess intratester reliability the first investigator performed a second examination 48 hours after the first one.
RESULTS
One-hundred nine subjects were analyzed; 70.7% of the sample had head positional preference on the right, while 29.3% had head positional preference on the left (χ 35.52, P <0.001). Cervical rotations and lateral flexion showed reliable levels of agreement for intra and intertester reliability.
CONCLUSIONS
The most limited range of motion in infants with positional plagiocephaly was cervical active rotation which affected more than 90% of patients. Passive cervical rotations and lateral flexion were limited in more than 60% of patients.
目的
使用简单可靠的方法确定患有体位性斜头畸形的婴儿在主动和被动颈部活动范围方面是否存在限制。
方法
检查者评估双侧主动和被动颈部旋转以及被动颈部侧屈。由两名不同的医生进行两次颈部评估，以评估检查者间的可靠性。为评估检查者内可靠性，第一名研究者在第一次检查48小时后进行了第二次检查。
结果
对109名受试者进行了分析；样本中70.7%的人头部位置偏好右侧，而29.3%的人头部位置偏好左侧（χ² = 35.52，P < 0.001）。颈部旋转和侧屈在检查者内和检查者间可靠性方面显示出可靠的一致性水平。
结论
患有体位性斜头畸形的婴儿中，活动范围受限最明显的是颈部主动旋转，超过90%的患者受此影响。超过60%的患者被动颈部旋转和侧屈受限。
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