Unrau K, Hanrahan S M, Pitetti K H
St Joseph Medical Center, Wichita, KS 67218.
Phys Ther. 1994 Dec;74(12):1116-21; discussion 1122-4. doi: 10.1093/ptj/74.12.1116.
Standing from a supine position is important for physical independence. The purpose of this study was to determine the developmental level of movement in this righting task of adults with Down syndrome.
Fifteen subjects (mean age = 37.6 years, SD = 18, range = 22-65) with a diagnosis of Down syndrome and mild to moderate mental retardation participated in this study.
Subjects were videotaped rising from a supine to a standing position during 10 repeated trials. The video record was analyzed to categorize the standing movements according to VanSant's descriptions.
Sixty-four percent of the upper-extremity movements, 14.6% of the axial component movements, and 33.8% of the lower-extremity movements could not be categorized according to VanSant's descriptions. Additionally, developmentally less advanced movements dominated those movements that could be categorized.
The great variety of movements demonstrated by these subjects in the task of standing from a supine position suggests greater motor maturity than is apparent from the movement sequences described by VanSant. Identifying appropriate standing movements in persons with Down syndrome will require weighing numerous intrinsic factors (eg, physiological and anthropometric) other than motor maturity.
从仰卧位站立对于身体独立很重要。本研究的目的是确定唐氏综合征成年人在这种翻正任务中的运动发育水平。
15名被诊断为唐氏综合征且有轻度至中度智力障碍的受试者（平均年龄 = 37.6岁，标准差 = 18，范围 = 22 - 65岁）参与了本研究。
受试者在10次重复试验中从仰卧位起身至站立位的过程被录像。对视频记录进行分析，以根据范桑特的描述对站立动作进行分类。
根据范桑特的描述，64%的上肢动作、14.6%的轴向动作以及33.8%的下肢动作无法分类。此外，在可分类的动作中，发育较不成熟的动作占主导。
这些受试者在从仰卧位站立任务中表现出的动作种类繁多，这表明其运动成熟度高于范桑特所描述的动作序列所显示的成熟度。确定唐氏综合征患者合适的站立动作需要权衡除运动成熟度之外的众多内在因素（如生理和人体测量因素）。
