不对称性限制髋关节屈曲对坐姿、脊柱侧凸和风吹臀部畸形的影响。
The effect of asymmetrical limited hip flexion on seating posture, scoliosis and windswept hip distortion.
机构信息
University of Iceland, School of Health Sciences, Research Centre of Movement Science, Reykjavík, Iceland.
Centre for Clinical Research, Uppsala University, Vestmanland County Hospital, Västerås, Sweden; Department of Clinical Sciences Lund, Orthopaedics, Lund University, Lund, Sweden.
出版信息
Res Dev Disabil. 2017 Dec;71:18-23. doi: 10.1016/j.ridd.2017.09.019. Epub 2017 Oct 5.
BACKGROUND
Postural asymmetries with seating problems are common in adults with cerebral palsy.
AIMS
To analyse the prevalence of asymmetrical limited hip flexion (<90°) in adults with CP, and to evaluate the association between asymmetrical limited hip flexion and postural asymmetries in the sitting position.
METHODS AND PROCEDURES
Cross-sectional data of 714 adults with CP, 16-73 years, GMFCS level I-V, reported to CPUP, the Swedish cerebral palsy national surveillance program and quality registry, from 2013 to 2015. Hip range of motion was analysed in relation to pelvic obliquity, trunk asymmetry, weight distribution, scoliosis and windswept hip distortion.
OUTCOMES AND RESULTS
The prevalence of asymmetrical limited hip flexion increased as GMFCS level decreased. Of adults at GMFCS level V, 22% had asymmetrical limited hip flexion (<90°). The odds of having an oblique pelvis (OR 2.6, 95% CI:1.6-2.1), an asymmetrical trunk (OR 2.1, 95% CI:1.1-4.2), scoliosis (OR 3.7, 95% CI:1.3-9.7), and windswept hip distortion (OR 2.6, 95% CI:1.2-5.4) were higher for adults with asymmetrical limited hip flexion compared with those with bilateral hip flexion>90°.
CONCLUSIONS AND IMPLICATIONS
Asymmetrical limited hip flexion affects the seating posture and is associated with scoliosis and windswept hip distortion.
背景
坐姿问题导致的姿势不对称在脑瘫成人中较为常见。
目的
分析脑瘫成人髋关节屈曲受限不对称（<90°）的发生率，并评估坐姿中髋关节屈曲受限不对称与姿势不对称之间的关系。
方法和程序
2013 年至 2015 年，CPUP（瑞典脑瘫全国监测计划和质量登记处）共纳入 714 例脑瘫成人患者的横断面数据，这些患者的 GMFCS 分级为 I-V 级，年龄为 16-73 岁。分析髋关节活动范围与骨盆倾斜度、躯干不对称、体重分布、脊柱侧凸和髋关节外展畸形之间的关系。
结果
随着 GMFCS 分级的降低，髋关节屈曲受限不对称的发生率增加。GMFCS 分级为 V 级的成年人中，有 22%存在髋关节屈曲受限不对称（<90°）。骨盆倾斜（OR 2.6，95%CI：1.6-2.1）、躯干不对称（OR 2.1，95%CI：1.1-4.2）、脊柱侧凸（OR 3.7，95%CI：1.3-9.7）和髋关节外展畸形（OR 2.6，95%CI：1.2-5.4）的成年人发生髋关节屈曲受限不对称的可能性更高。
结论和意义
髋关节屈曲受限不对称影响坐姿，与脊柱侧凸和髋关节外展畸形有关。
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