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强化物理治疗对一名重度膝外翻畸形青少年的影响:病例报告

Impact of Intensive Physiotherapy on an Adolescent with Severe Genu Valgum Deformities: A Case Report.

作者信息

Agrawal Ayush S, Phansopkar Pratik

机构信息

Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Medical Sciences, Wardha, IND.

出版信息

Cureus. 2023 Jan 18;15(1):e33907. doi: 10.7759/cureus.33907. eCollection 2023 Jan.

DOI:10.7759/cureus.33907
PMID:36819397
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9936331/
Abstract

The genu valgum is one of the anomalies of the lower extremities in the coronal plane (knocked knees). Children might be vulnerable to it as well. It may also be hereditary, with females being more likely to develop it. A 14-year-old female patient had severe genu valgum anomalies of the bilateral lower extremities. The patient is in pain, unable to stand, and sit on the ground. On the numerical pain rating scale (NPRS), the level of pain was rated as 8/10 while activity and 5/10 during rest. The patient received physiotherapy treatment for a total of six weeks, which included exercises, electrotherapy, and gait training. As a result, the patient experienced a reduction in pain, which was rated 2/10 while activity and 1/10 during rest, and an improvement in range of motion, and functional activities. Correcting the gait, enhancing the quality of life, and restoring functional ability are all significantly impacted by physiotherapy. Based on the current case study, conventional physical therapy improved functional goals gradually and significantly, which in turn potentially aided in a successful recovery.

摘要

膝外翻是下肢在冠状面的畸形之一(膝内翻)。儿童也可能易患此病。它也可能具有遗传性,女性更易发病。一名14岁女性患者双侧下肢存在严重的膝外翻畸形。患者疼痛,无法站立,只能坐在地上。在数字疼痛评分量表(NPRS)上,活动时疼痛程度评分为8/10,休息时为5/10。患者总共接受了六周的物理治疗,包括运动疗法、电疗法和步态训练。结果,患者疼痛减轻,活动时评分为2/10,休息时为1/10,关节活动范围和功能活动得到改善。纠正步态、提高生活质量和恢复功能能力均受到物理治疗的显著影响。基于当前的病例研究,传统物理治疗逐渐且显著地改善了功能目标,这反过来可能有助于成功康复。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a1e/9936331/1ba11df33625/cureus-0015-00000033907-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a1e/9936331/1ba11df33625/cureus-0015-00000033907-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9a1e/9936331/1ba11df33625/cureus-0015-00000033907-i01.jpg

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本文引用的文献

1
An Abnormal Presentation of Pediatric Genu Varum, Managed by Bilateral Tibial and Fibular Osteotomies With External Spatial Frame Placement: A Case Report.小儿膝内翻的一种异常表现,采用双侧胫腓骨截骨术并放置外固定架治疗:一例报告
Cureus. 2022 Apr 8;14(4):e23953. doi: 10.7759/cureus.23953. eCollection 2022 Apr.
2
Wedge-less oblique supracondylar femoral osteotomy and casting for genu valgum in older children and young adults.无楔形斜行股骨髁上截骨术及石膏固定治疗大龄儿童和青年成人膝外翻
J Clin Orthop Trauma. 2021 Dec 5;25:101730. doi: 10.1016/j.jcot.2021.101730. eCollection 2022 Feb.
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Growth Modulation for Knee Coronal Plane Deformities in Children With Nutritional Rickets: A Prospective Series With Treatment Algorithm.
儿童营养性佝偻病膝冠状面畸形的生长调节:一项前瞻性系列研究及治疗方案
J Am Acad Orthop Surg Glob Res Rev. 2020 Jan 6;4(1). doi: 10.5435/JAAOSGlobal-D-19-00009. eCollection 2020 Jan.
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Posttraumatic tibia valga in children. A long-term follow-up note.儿童创伤后胫骨外翻。长期随访记录。
J Bone Joint Surg Am. 1999 Jun;81(6):799-810. doi: 10.2106/00004623-199906000-00007.
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Surgical correction of angular deformity of the knee in children with renal osteodystrophy.肾性骨营养不良患儿膝部角状畸形的手术矫正
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