在脑麻中出现多重运动障碍.
Hayim Dar1, Kirsty Stewart2,3, Sarah McIntyre2,3,4
1Sydney University Medical School, The University of Sydney, Sydney, Australia.
Developmental medicine and child neurology
|August 14, 2023
概括
多重运动障碍在患有脑 (CP) 的儿童中很常见,超过一半的儿童经历了它们. 在60%的患者中存在的 dystonia 与更严重的功能障碍和非运动性问题有关.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 康复医学 康复医学 康复医学
背景情况:
- 大脑 (CP) 是一组影响运动和姿势的疾病,经常带来复杂的运动挑战.
- 了解儿科 CP 中运动障碍的范围对于有效的管理和预后至关重要.
研究的目的:
- 综合描述运动障碍的类型和组合在患有CP的儿童和年轻人的队列中.
- 调查特定运动障碍模式与功能性结果 (包括非运动性并发症) 之间的关联.
主要方法:
- 进行了一项涉及582名患有CP的儿童和青少年 (平均年龄为9岁7个月) 的横截面研究.
- 使用澳大利亚脑麻登记 CP 描述表格收集数据,详细说明运动障碍,地形,功能分类和非运动特征.
- 参与者在2018年5月至2020年3月期间参加了专门的儿童医院康复诊所.
主要成果:
- 超过一半 (55%) 的参与者出现了多种运动障碍,经常影响相同的四肢.
- 最常见的疾病是性和 dystonia (50%),单独的性 (36%),单独的 dystonia (6%).
- 与具有性和 dystonia 儿童相比,只有性儿童表现出不那么严重的功能缺陷,以及较低的智力障碍和率.
结论:
- 多重运动障碍是儿科脑的常见特征,与更严重的功能障碍相关.
- 在60%的参与者中发现了 dystonia,并且与更大的功能缺陷和非运动性并发症有关.
- 对运动障碍的准确评估对于指导预后和为患有CP的儿童实施个性化,基于证据的干预措施至关重要.
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