脑瘫儿童的髋关节发育：7 年后的效果。
Abducted Standing in Children With Cerebral Palsy: Effects on Hip Development After 7 Years.
机构信息
Habilitation & Health, Children and youth habilitation Borås (Ms Martinsson), Region Västra Götaland, Sweden; Department of Pediatrics (Dr Himmelmann), The Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
出版信息
Pediatr Phys Ther. 2021 Apr 1;33(2):101-107. doi: 10.1097/PEP.0000000000000789.
PURPOSE
The effects of abducted standing on hip migration percentage (MP) and range of hip and knee motion in children with cerebral palsy were studied for more than 7 years in 2 case-control groups. One group had adductor-psoas tenotomy and the other did not.
METHODS
Case participants performed 15° to 30° of abduction per hip. Controls performed 0° to 10° of abduction and were matched on age, surgery, and follow-up time.
RESULTS
Median MP decreased 7.0% in the participants without surgery, increased 6.5% in their matched participant, and decreased 3.5% in the participants who had adductor-psoas tenotomy. Migration percentage decreased 18% in participants who after surgery performed abducted standing. Range of motion was greater after surgery in participants who performed standing abduction.
CONCLUSIONS
Standing abduction at 15° to 30° for 10 h/wk reduces MP and preserves range of motion for up to 7 years. This is a new contribution to research for children with cerebral palsy.
目的
研究了 2 组病例对照中，脑瘫儿童在接受阔筋膜张肌和髂腰肌松解术后，7 年以上时间内，外展立位对髋关节移行百分比（MP）和髋关节及膝关节活动范围的影响。一组接受了内收肌和髂腰肌松解术，另一组未接受手术。
方法
病例组的髋关节外展 15°到 30°，对照组的髋关节外展 0°到 10°，并按年龄、手术和随访时间进行匹配。
结果
未手术组的 MP 中位数降低了 7.0%，匹配组的 MP 中位数增加了 6.5%，接受了内收肌和髂腰肌松解术的组的 MP 中位数降低了 3.5%。术后进行外展立位的患者 MP 降低了 18%。术后，进行外展站立的患者的运动范围更大。
结论
每周进行 10 小时 15°至 30°的外展站立可以降低 MP，并在长达 7 年内保持运动范围。这是对脑瘫儿童研究的新贡献。
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