下肢收缩症在儿童和成年人脑的定义:一个系统的审查
Andrea Marron1, Jasmine Milnes1, Laura Conry2
1Movement Analysis Laboratory, Central Remedial Clinic, Dublin, Ireland.
Gait & posture
|April 3, 2025
概括
这项研究发现,在患有脑 (CP) 的人群中,下肢收缩如何定义和测量有显著的变化. 拟定标准化定义以提高未来的研究质量和一致性.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科康复儿童康复中心
- 临床测量 临床测量
背景情况:
- 固定下肢收缩在脑 (CP) 中很常见.
- 目前这些合症的定义和流行率缺乏标准化.
- 定义的变化会影响研究质量和临床可比性.
研究的目的:
- 系统地审查 CP 下肢收缩的定量定义和流行率.
- 为定义合同提出标准化的截止值,以加强未来的研究.
主要方法:
- 在遵守PRISMA指南的基础上进行系统审查.
- 从创立到2024年4月,搜索了四个数据库.
- 由两名审查员进行独立选,数据提取和质量评估;对数据进行描述性综合.
主要成果:
- 包括44项研究,揭示了关节,膝盖和部缩的定义和患病率的广泛范围.
- 脚足部屈曲收缩症的定义各不相同,患病率从32%到90%不等.
- 膝盖和部屈曲收缩症的定义也显示出显著的变化,患病率差异很大. 部延伸和绑架收缩很少被定义.
结论:
- 在报告的定义和 CP 下肢收缩的患病率中存在相当大的异质性.
- 拟议的标准化定义包括:脚脚下曲<0°背部曲,膝盖曲<0°延伸,部曲<0°延伸,部拉伸<30°拉伸,部延伸≤90°曲的运动范围.
- 标准化对于提高PC相关合同研究的质量和可比性至关重要.
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