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检查广泛性关节活动过度儿童的足部感觉。

Examination of foot sensations in children with generalized joint hypermobility.

机构信息

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.

Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Gazi University, Ankara, Turkey.

出版信息

Early Hum Dev. 2023 May;180:105755. doi: 10.1016/j.earlhumdev.2023.105755. Epub 2023 Mar 21.

DOI:10.1016/j.earlhumdev.2023.105755
PMID:36965347
Abstract

BACKGROUND

Generalized joint hypermobility (GJH) is a condition that can be observed in children and children with GJH may have problems such as clumsiness, proprioceptive sensory loss, balance and coordination disorders.

AIMS

To evaluate foot and ankle senses in children with GJH and compare them with their healthy peers.

STUDY DESIGN

A cross-sectional study.

SUBJECTS

Children aged 5-14 years with and without GJH were included in the study.

OUTCOME MEASURES

After assessing the joint hypermobility of the children with the Beighton Score, tactile, vibration, two-point discrimination, and proprioception senses were evaluated.

RESULTS

A total of 40 children (15 females, 25 males, mean age 9.43 years, SD ± 2.98 years, 20 with GJH and 20 without GJH) were included in the study. In children with GJH, foot sole tactile sense and ankle dorsiflexion and plantar flexion joint position sense were deficient in comparison with healthy controls (p < 0.05).

CONCLUSIONS

There were deficiencies in foot and ankle tactile and proprioceptive senses in children with GJH. Neurosensorimotor examination of balance and coordination should be performed and appropriate intervention programs should be planned accordingly in children with GJH.

摘要

背景

全身性关节过度活动症(GJH)是一种可在儿童中观察到的病症,患有 GJH 的儿童可能会出现笨拙、本体感觉丧失、平衡和协调障碍等问题。

目的

评估患有 GJH 的儿童的足部和踝关节感觉,并将其与健康同龄人进行比较。

研究设计

横断面研究。

研究对象

纳入了患有和不患有 GJH 的 5-14 岁儿童。

观察指标

在使用 Beighton 评分评估儿童的关节过度活动后,评估其触觉、震动、两点辨别觉和本体感觉。

结果

共有 40 名儿童(15 名女性,25 名男性,平均年龄 9.43 岁,标准差 ± 2.98 岁,20 名患有 GJH,20 名不患有 GJH)纳入本研究。与健康对照组相比,患有 GJH 的儿童的足底触觉和踝关节背屈及跖屈关节位置觉存在缺陷(p<0.05)。

结论

患有 GJH 的儿童存在足部和踝关节触觉和本体感觉缺陷。应对患有 GJH 的儿童进行平衡和协调的神经感觉运动检查,并相应地制定适当的干预计划。

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