在儿童前十字带重建后,步态的变化
Monica Urseï1, Jérôme Briot2, Marino Scandella1
1Orthopédie Traumatologie, Hôpital Des Enfants, CHU de Toulouse, Avenue de Grande Bretagne, 31059, Toulouse Cedex 9, France.
International orthopaedics
|February 12, 2024
概括
前十字带 (ACL) 受伤的儿童在重建后两年表现出持续的步态异常,即使在康复后也是如此. 这凸显了针对性神经肌肉训练的必要性,以改善儿童ACLR患者的治疗结果并降低再突破风险.
科学领域:
- 儿科整形外科 儿科整形外科
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 儿童前十字带 (ACL) 重建的目的是防止进一步的关节损伤和不稳定.
- 在ACL重建后的成年人中观察到改变的步态模式.
- 了解儿科ACLR中的步态适应对于优化康复至关重要.
研究的目的:
- 在ACL重建后,分析儿童的步态异常.
- 专门检查儿科ACLR患者在步行过程中膝盖和脚运动适应的情况.
主要方法:
- 对50名患有单边ACL缺陷的儿童 (9-15岁) 进行前性研究.
- 手术前和24个月后进行的行走分析.
- 将ACL缺陷四肢动力学与逆侧四肢和健康对照组进行比较.
主要成果:
- 在手术前的ACL缺陷和逆侧膝盖中观察到膝盖曲的减少,在重建后持续.
- 在手术前的两只四肢中观察到脚背部屈曲的减少.
- 在重建后,脚运动在逆侧肢体中正常化,但在初始接触时在ACL重建的肢体中仍然存在变化.
结论:
- 在儿童的ACL重建后两年,异常的步行模式仍然存在,尽管康复和没有临床投诉.
- 这些持续的步态偏差表明需要加强神经肌肉训练.
- 有针对性的干预措施可以改善临床结果,并降低儿科ACLR复发的风险.
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