Uğur Fatma, Gürbüz İpek, Köken Özlem Yayıcı, Kurt Ayşegül Neşe Çıtak, Yılmaz Öznur
Karamanoglu Mehmetbey University, Faculty of Health Sciences - Karaman, Turkey.
Hacettepe University, Faculty of Physical Therapy and Rehabilitation - Ankara, Turkey.
Rev Assoc Med Bras (1992). 2024 Dec 2;70(12):e20241109. doi: 10.1590/1806-9282.20241109. eCollection 2024.
The aim of this study was to investigate the relationship between pelvic obliquity and trunk control, spinal deformity, upper extremity functional performance, and motor function in patients with non-ambulatory Duchenne muscular dystrophy.
This cross-sectional study included 21 patients with Duchenne muscular dystrophy aged 8-18 years. In the study, participants' upper extremity functional levels, pelvic obliquity degrees, spinal deformity, trunk control, upper extremity performance, and motor functions were evaluated using various tools such as the Brooke Upper Extremity Functional Scale, baseline scoliometer, spinal mouse, Trunk Control Measurement Scale, Upper Extremity Performance Scale, and Egen Klassifikation Scale Version 2, respectively.
The study found a strong correlation between pelvic obliquity and frontal spine deformity (p<0.01), as well as moderate relationships between pelvic obliquity, motor function, wheelchair usage duration, and knee flexion contractures (p<0.05).
The study found that pelvic obliquity may lead to spinal health deterioration and motor function limitations in non-ambulatory patients with Duchenne muscular dystrophy, especially those with lower extremity joint contractures and long-term wheelchair use.
本研究旨在探讨非行走型杜氏肌营养不良症患者骨盆倾斜与躯干控制、脊柱畸形、上肢功能表现及运动功能之间的关系。
这项横断面研究纳入了21名年龄在8至18岁的杜氏肌营养不良症患者。在研究中，分别使用布鲁克上肢功能量表、基线脊柱侧凸测量仪、脊柱鼠标、躯干控制测量量表、上肢表现量表和埃根分类量表第2版等各种工具，对参与者的上肢功能水平、骨盆倾斜度、脊柱畸形、躯干控制、上肢表现和运动功能进行了评估。
研究发现骨盆倾斜与额状面脊柱畸形之间存在强相关性（p<0.01），骨盆倾斜、运动功能、轮椅使用时长和膝关节屈曲挛缩之间存在中度相关性（p<0.05）。
研究发现，骨盆倾斜可能导致非行走型杜氏肌营养不良症患者的脊柱健康恶化和运动功能受限，尤其是那些存在下肢关节挛缩和长期使用轮椅的患者。
