区分特发性足尖行走与脑瘫：一项系统综述
Differentiating Between Idiopathic Toe Walking and Cerebral Palsy: A Systematic Review.
作者信息
Schlough Kathleen, Andre Kerryn, Owen Marley, Adelstein Lindsey, Hartford Mary Claire, Javier Bernadette, Kern Rachel
机构信息
Ithaca College (Dr Schlough), Ithaca, New York; Kessler Institute for Rehabilitation (Dr St. Andre), Saddle Brook, New Jersey; Spaulding Rehabilitation Center for Children (Dr Owen), Cape Cod, Massachusetts; Nicklaus Children's Hospital (Dr Adelstein), Miami, Florida; The Therapy Spot (Dr Hartford), Pikesville, Maryland; Rochester Regional Health (Dr Javier), Rochester, New York; The Mount Sinai Hospital (Dr Kern), New York, New York.
出版信息
Pediatr Phys Ther. 2020 Jan;32(1):2-10. doi: 10.1097/PEP.0000000000000659.
PURPOSE
The purpose of this systematic review is to identify evidence-based examination components that enable a clinician to distinguish between participants with idiopathic toe walking (ITW) and cerebral palsy (CP) to accurately categorize them into their respective movement system diagnosis.
SUMMARY OF KEY POINTS
Five articles were used that compared key clinical findings, walking characteristics, and muscle firing patterns of participants with CP and ITW. Differences in these components allow participants with CP and ITW to be classified into different movement system diagnoses to better target plan of care.
CONCLUSIONS AND RECOMMENDATIONS FOR CLINICAL PRACTICE
The authors recommend that clinicians perform specific evidence-based tests and measures in accordance with the International Classification of Functioning, Disability and Health model.
目的
本系统评价的目的是确定基于证据的检查内容，使临床医生能够区分特发性足尖行走（ITW）参与者和脑瘫（CP）参与者，以便将他们准确分类到各自的运动系统诊断中。
要点总结
使用了五篇文章，比较了CP和ITW参与者的关键临床发现、行走特征和肌肉放电模式。这些组成部分的差异使CP和ITW参与者能够被分类到不同的运动系统诊断中，从而更好地制定护理计划。
临床实践的结论和建议
作者建议临床医生根据国际功能、残疾和健康分类模型进行特定的基于证据的测试和测量。
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