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肌肉强度对肩转移后功能性的影响 带出生损伤:它们之间有联系吗?
Zeynep Hoşbay1, Gülsena Utku Umut2, Müberra Tanrıverdi3
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Biruni University, Istanbul 34015, Turkey.
Children (Basel, Switzerland)
|September 28, 2024
概括
手臂出生损伤 (BPBI) 的儿童在手术后表现出更大的远距离肌肉力量,但这并没有改善整体功能. 康复应该专注于远端关节和双月活动,以获得更好的日常生活结果.
科学领域:
- 儿科整形外科 儿科整形外科
- 康复医学 康复医学 康复医学
- 儿科物理治疗 儿科物理治疗
背景情况:
- 腕出生损伤 (BPBI) 的二次并发症源于上肢肌肉力量的减少.
- 综合性评估对于理解结构性问题和指导BPBI儿童的干预至关重要.
- 这项研究检查了BPBI后肩肌转移的儿童的远距离肌肉强度,运动范围 (ROM) 和功能.
研究的目的:
- 研究患有BPBI的儿童的远端肌肉强度,ROM和功能之间的关系.
- 为了比较患有BPBI后肩肌转移的儿童中受影响和未受影响侧面之间的远端肌肉力量.
主要方法:
- 包括25名患有BPBI的儿童 (4-7岁),肩移植后至少一年.
- 使用数字手动动力表测量肌肉力量 (肘部,前臂,手腕).
- ROM和功能分别使用通用气球计和儿科残疾评估库存 (PEDI) 进行了评估.
主要成果:
- 患有BPBI的儿童在受影响的一侧与未受影响的一侧相比,肘部,前臂和手腕肌肉强度显著增加 (p < 0.001).
- 在受影响四肢的肌肉强度,ROM和功能之间没有发现显著的相关性 (p > 0.005).
结论:
- 尽管手术后肩部功能得到改善,但BPBI儿童的远端关节问题可能会阻碍日常功能.
- 康复计划应包括远端关节强化,ROM练习和双手功能活动,用于BPBI后肩肌转移的儿童.
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