在患有脑的人群中,不充分识别腿部 dystonia
Bhooma Aravamuthan1, Toni S Pearson1,2, Keerthana Chintalapati1
1Division of Pediatric Neurology, Department of Neurology, Washington University School of Medicine, St. Louis, MO.
概括
在临床文档中,对于脑性麻 (CP) 和的人来说,腿部 dystonia 经常被遗漏. 改进的文档和持续的评估对于准确的诊断和护理至关重要.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 运动障碍 运动障碍
背景情况:
- 大脑 (CP) 是一种常见的神经发育障碍.
- 腿部 dystonia 是 CP 相关的性的常见并发症.
- 准确的纪录 dystonia 对于有效的管理至关重要.
研究的目的:
- 确定大脑麻 (CP) 的门诊患者腿部 dystonia 的临床不足记录率.
主要方法:
- 对116名独立的门诊患者 (10-20岁) 进行前性队列研究,他们患有CP相关的性.
- 运动障碍专家使用全球 dystonia 评分表进行了行走视频的评估.
- 专家评估与同时临床文档和纵向医疗记录进行了比较.
主要成果:
- 在116人中,有70人 (60%) 通过行走视频分析确定了腿部 dystonia.
- 只有13%的 dystonia 在他们的诊所访问期间记录了它.
- 纵向记录显示,只有54%的案件有记录.
结论:
- 在患有CP和性的人群中,腿部 dystonia 记录不足.
- 即使是受过训练的临床医生的评估也经常错过了这种情况.
- 警和纵向评估对于弥合这种诊断差距至关重要.
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