姿势不对称在非行走脑瘫青年中的进展：一项探索性研究。
Progression of Postural Asymmetry in Young Adults With Cerebral Palsy Who Are Not Walking: An Exploratory Study.
机构信息
Young Adult Complex Disability Service (Ms Holmes), St Vincent's Hospital Melbourne, Australia; Physiotherapy Department (Dr Brock), St. Vincent's Hospital Melbourne; Physiotherapy Department (Ms Holmes and Dr Morgan), Monash University, Frankston, Australia.
出版信息
Pediatr Phys Ther. 2021 Apr 1;33(2):E94-E98. doi: 10.1097/PEP.0000000000000787.
PURPOSE
Young adults with cerebral palsy (CP) who are not walking are at risk of developing or increasing musculoskeletal asymmetries affecting the rib cage, spine, pelvis, and hips. This longitudinal study aimed to explore postural change using the Goldsmith Indices of Body Symmetry (GIofBS) over an 18-month period in adults with CP who are not walking.
METHODS
Demographic and medical data were accessed from participant's history. Posture was recorded using the GIofBS to collect data during an 18-month period following skeletal maturity.
RESULTS
All participants had postural asymmetry at study onset with evidence of minimal change in some GIofBS outcome measures and fluctuations in other outcomes over 18 months.
CONCLUSIONS
Physical therapists may use the GIofBS across the lifespan to screen for deterioration in musculoskeletal status or in assessing longer-term outcomes of interventions impacting posture in this complex population.
VIDEO ABSTRACT
For more insights from the authors, see Supplemental Digital Content 1, available at: http://links.lww.com/PPT/A314.
目的
不能行走的脑瘫青年存在胸廓、脊柱、骨盆和髋关节的骨骼肌肉不对称性发展或加重的风险。本纵向研究旨在探讨骨骼成熟后 18 个月内不能行走的脑瘫成人的姿势变化，使用戈德史密斯身体对称性指数（GIofBS）进行评估。
方法
从参与者的病史中获取人口统计学和医学数据。使用 GIofBS 记录姿势，在骨骼成熟后 18 个月内收集数据。
结果
所有参与者在研究开始时都存在姿势不对称，一些 GIofBS 结果指标有微小的变化，其他结果在 18 个月内波动。
结论
物理治疗师可以在整个生命周期内使用 GIofBS 来筛查骨骼肌肉状态的恶化，或评估影响该复杂人群姿势的干预措施的长期结果。
视频摘要
有关作者的更多见解，请查看补充数字内容 1，可在以下网址获取：http://links.lww.com/PPT/A314。
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