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患有Charcot-Marie牙病的儿童和青少年对振动的感知以及对足部姿势的影响
Juliana Cardoso1, Cyntia Rogean de Jesus Alves de Baptista1, Beatriz Parra Buzzetti1
1Health Science Department, Ribeirão Preto Medical School, University of São Paulo, São Paulo, Brazil.
Clinical biomechanics (Bristol, Avon)
|October 7, 2023
概括
患有Charcot-Marie-Tooth病的儿童和青少年在下肢的振动感知受损. 这一发现可以为受影响的年轻人提供临床评估和康复策略.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 儿科 儿科 儿科
背景情况:
- 沙科玛丽牙病 (CMT) 可以影响振动感知,可能会影响年轻人的脚姿势.
- 了解这些感官变化对于在儿科患者中管理CMT至关重要.
研究的目的:
- 为了比较CMT和没有CMT的儿童和青少年下肢振动感知.
- 为了确定CMT组中远距离振动感知诊断截止值.
- 在CMT中调查振动感知,动态脚压和肌肉力量之间的关联.
主要方法:
- 一项涉及64名9-18岁参与者的横截面研究 (32人患有CMT,32人典型发展).
- 使用128Hz调音叉评估振动感知;用脚姿势指数和压力分配系统评估脚姿势.
- 在CMT组中,以手持式动力表测量同度肌肉强度.
主要成果:
- 与对照人群相比,在CMT儿童的远端和第一足部头部观察到振动感知障碍.
- 患有CMT的青少年在所有测试的下肢区域显示知觉受损.
- 对于CMT组,确定了5.7的振动感知截止值;更大的远端幻觉感知与更长的后脚接触时间相关.
结论:
- 改变振动感知是CMT在年轻人中的关键特征,因年龄而异.
- 这些发现支持在临床评估和儿科CMT治疗干预中使用振动感知测试.
- 该研究强调了CMT中感官缺陷,足部生物力学和肌肉力量之间的潜在联系.
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