双瘫型脑瘫患儿的足尖类型是否会影响平衡？一项观察性横断面研究。
Does the Type of Toeing Affect Balance in Children With Diplegic Cerebral Palsy? An Observational Cross-sectional Study.
作者信息
Abd El Aziz Heba G, Khatib Ayman H El, Hamada Hamada A
机构信息
Department of Physical Therapy for Pediatric and Its Surgery, Faculty of Physical Therapy, Cairo University, Cairo, Egypt.
Department of Physical Therapy, Faculty of Health Sciences, Beirut Arab University, Beirut, Lebanon.
出版信息
J Chiropr Med. 2019 Sep;18(3):229-235. doi: 10.1016/j.jcm.2019.01.005. Epub 2020 Aug 21.
OBJECTIVE
The purpose of the study was to find out effect of toeing on balance in children with diplegic cerebral palsy.
METHODS
An observational study was conducted. Thirty children with spastic diplegic cerebral palsy, aged 5 to 8 years, participated in this study. They were classified into 2 groups: group A was children with out-toeing, and group B was children with in-toeing. Foot progression angle was measured by using dynamic footprint, and balance was evaluated using Biodex Balance System equipment. The outcome of interest was postural control (overall stability, anteroposterior stability, and mediolateral stability).
RESULTS
Statistical analysis revealed a significant difference for the tested variables of interest between the 2 tested groups. Multiple pairwise comparison tests revealed that there was significantly better overall stability, anteroposterior stability, and mediolateral stability ( < .05) in group A.
CONCLUSION
It can be concluded that children with out-toeing have higher balance and stability than children with in-toeing.
目的
本研究旨在探究足尖内/外翻对双侧痉挛型脑性瘫痪患儿平衡能力的影响。
方法
开展一项观察性研究。30名年龄在5至8岁的痉挛型双侧脑性瘫痪患儿参与了本研究。他们被分为两组：A组为足尖外翻患儿，B组为足尖内翻患儿。采用动态足迹法测量足前进角，并使用Biodex平衡系统设备评估平衡能力。感兴趣的结果指标为姿势控制（整体稳定性、前后稳定性和内外侧稳定性）。
结果
统计分析显示，两个测试组之间在感兴趣的测试变量上存在显著差异。多重两两比较检验显示，A组的整体稳定性、前后稳定性和内外侧稳定性显著更好（P < .05）。
结论
可以得出结论，足尖外翻患儿比足尖内翻患儿具有更高的平衡能力和稳定性。
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