Youn Pong Sub, Cho Kyun Hee, Park Shin Jun
Department of Physical Therapy, Kyungbok University, Namyangju-si 425, Korea.
AVENS Hospital, Dongan-gu, Anyang-si 307, Korea.
Children (Basel). 2020 Sep 18;7(9):142. doi: 10.3390/children7090142.
The aim of this study was to investigate the effect of ankle joint mobilization in children with cerebral palsy (CP) to ankle range of motion (ROM), gait, and standing balance. We recruited 32 children (spastic diplegia) diagnosed with CP and categorized them in two groups: the ankle joint mobilization ( = 16) group and sham joint mobilization ( = 16) group. Thus, following a six-week ankle joint mobilization, we examined measures such as passive ROM in ankle dorsiflexion in the sitting and supine position, center of pressure (COP) displacements (sway length, area) with eyes open (EO) and closed (EC), and a gait function test (timed up and go test (TUG) and 10-m walk test). The dorsiflexion ROM, TUG, and 10-m walk test significantly increased in the mobilization group compared to the control group. Ankle joint mobilization can be regarded as a promising method to increase dorsiflexion and improve gait in CP-suffering children.
本研究的目的是调查踝关节松动术对脑瘫（CP）患儿踝关节活动范围（ROM）、步态和站立平衡的影响。我们招募了32名被诊断为CP的儿童（痉挛性双侧瘫），并将他们分为两组：踝关节松动术组（n = 16）和假关节松动术组（n = 16）。因此，在进行为期六周的踝关节松动术后，我们检查了以下指标：坐位和仰卧位时踝关节背屈的被动ROM、睁眼（EO）和闭眼（EC）时的压力中心（COP）位移（摆动长度、面积），以及步态功能测试（定时起立行走测试（TUG）和10米步行测试）。与对照组相比，松动术组的背屈ROM、TUG和10米步行测试结果均显著增加。踝关节松动术可被视为一种有前景的方法，用于增加CP患儿的背屈并改善其步态。
