产科手臂麻和功能影响:上肢的哪个关节更密切相关?
Gülsena Utku Umut1, Zeynep Hoşbay1, Müberra Tanrıverdi2
1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Biruni University, 34015 Istanbul, Turkey.
Medicina (Kaunas, Lithuania)
|November 27, 2024
概括
这项研究发现,在肌移植手术后患有产科手臂麻 (OBPP) 的儿童的运动范围与功能结果相关. 改善肩膀曲和肘部伸展与更好的功能和外观有关.
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
- 神经肌肉疾病 神经肌肉疾病
背景情况:
- 产科手臂麻 (OBPP) 影响儿童上肢功能.
- 修改后的霍弗移动是一种OBPP的手术干预.
- 了解运动范围和功能之间的关系对于治疗至关重要.
研究的目的:
- 调查受影响的上肢活动运动范围 (ROM) 与功能能力之间的相关性.
- 为了分析患有OBPP后改性霍弗尔移动的儿童的这些相关性.
主要方法:
- 研究了一组52名患有OBPP的儿童 (4-14岁),他们接受了肩移植.
- 活跃的ROM使用度仪测量.
- 功能能力的评估是使用臂结局测量 (BPOM) 进行的.
主要成果:
- 在肩膀曲和肩膀功能之间发现了显著的正相关性 (p=0.017,r=0.351).
- 肩部内部旋转与外观得分相关 (p=0.001,r=0.481).
- 肘部延伸与肘部和前臂活动有显著的负面关系 (p<0.001,r=-0.512).
结论:
- 评估关节运动范围对于患有OBPP的儿童至关重要.
- 身体感知评估对于有效的治疗和随访也至关重要.
- 这些评估可以改善OBPP儿童的功能和生活质量.
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