Kraft Mareen, Hansmann Sandra
Abteilung I - Allgemeine Pädiatrie, Hämatologie und Onkologie, Universitätsklinik für Kinder- und Jugendmedizin Tübingen, Tübingen, Deutschland.
Abteilung III - Neuropädiatrie, Entwicklungsneurologie und Sozialpädiatrie, Universitätsklinik für Kinder- und Jugendmedizin Tübingen, Hoppe-Seyler-Str. 1, 72076, Tübingen, Deutschland.
Orthopadie (Heidelb). 2023 Aug;52(8):618-625. doi: 10.1007/s00132-023-04406-1. Epub 2023 Jun 30.
Rheumatic diseases in childhood and adolescence like juvenile idiopathic arthritis can cause movement disorders due to pain, swelling and limited range of motion. This article describes different possibilities and results of movement analysis for rheumatic diseases. The influence of JIA on specific movements in individual joints and complex movements such as gait is examined. The results of gait analyses show a great influence of the disease on spatiotemporal parameters such as gait speed, cadence and stride length, on joint angles during walking and on torques and forces. Furthermore, the importance of gait analysis for estimating the efficacy of interventions like intra-articular steroids is described. This article provides a summary of current studies on the effects of rheumatic diseases on movement disorders in children and adolescents, as well as an outlook on the increasing importance of movement analysis for therapy monitoring and optimisation.
儿童和青少年时期的风湿性疾病,如幼年特发性关节炎,可因疼痛、肿胀和活动范围受限而导致运动障碍。本文描述了风湿性疾病运动分析的不同可能性和结果。研究了幼年特发性关节炎对单个关节特定运动以及诸如步态等复杂运动的影响。步态分析结果表明,该疾病对时空参数(如步速、步频和步长)、行走时的关节角度以及扭矩和力量有很大影响。此外,还描述了步态分析对于评估关节内注射类固醇等干预措施疗效的重要性。本文总结了当前关于风湿性疾病对儿童和青少年运动障碍影响的研究,并展望了运动分析在治疗监测和优化方面日益增加的重要性。