大脑麻痺中的步:当前概念审查
Ritesh Arvind Pandey1, Ashok N Johari2, Triveni Shetty3
1Department of Orthopaedics, All India Institute of Medical Sciences (AIIMS), Phulwari Sharif, Aurangabad Road, Patna, Bihar 801507 India.
Indian journal of orthopaedics
|November 27, 2023
概括
大脑麻中步 presents管理挑战由于其复杂的原因. 目前的文献建议结合手术和非手术方法,增长调节对年轻患者来说是有前途的.
科学领域:
- 整形外科 整形外科 整形外科
- 神经学 神经学
- 生物医学工程 生物医学工程
背景情况:
- 步是脑性麻中最常见的病态步态,特别是性双.
- 它是由过度的膝盖曲在走路周期的姿势阶段定义的.
研究的目的:
- 综合审查当前关于脑性麻中着行走的文献.
- 了解它的病因学,病理生理学,生物力学,自然史,评估和治疗.
主要方法:
- 进行了一次文献综述.
- 研究的主要领域包括病因学,病理生理学,生物力学,自然史,临床/放射学评估和治疗选择.
主要成果:
- 病因学是多因素的,病理生理学不明,使管理复杂化.
- 非手术方法和减轻性对于较小的儿童是有效的.
- 外科干预,包括单次多层次手术和生长调节 (前偏骨半生理学),通常是必要的,因为着步行的渐进性质.
结论:
- 关于着行走的病原发生和生物力学,知识缺口仍然存在.
- 建议使用仪器步态分析进行进一步的研究.
- 需要对各种治疗方法的长期结果进行比较试验.
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