典型发育的7-16岁儿童下肢的角度对齐,旋转形状和关节运动范围:一个横截面研究
Christian Wong1, Michael Mørk Petersen2, Trine Henriksen3
1Department of Orthopedic Surgery, Copenhagen University Hospital, Rigshospitalet; Copenhagen University Hospital, Hvidovre, Denmark. cwon0002@regionh.dk.
Acta orthopaedica
|May 5, 2025
概括
体重指数 (BMI) 显著影响儿童的关节运动范围 (ROM),而年龄和性别的影响最小. 这些发现更新了典型发育儿童下肢人体参数的参考间隔.
科学领域:
- 儿科整形医生 儿科整形医生
- 生物力学 生物力学
- 增长和发展 增长和发展
背景情况:
- 建立下肢人类学参数的规范性数据对于识别典型发育儿童 (TDC) 的偏差至关重要.
- 之前的参考间隔可能不反映当前的儿科人口.
研究的目的:
- 在TDC中更新被动关节运动范围 (ROM),旋转形状和下肢的角度对齐的参考间隔.
- 调查年龄,性别,体重指数 (BMI) 和侧面性与这些参数的关联.
主要方法:
- 从丹麦小学中对501名年龄在6~17岁之间的TDC进行了横截面研究.
- 在非临床环境中评估的人类测量参数.
- 统计分析包括邦费罗尼校正的t测试,ANOVA和线性回归.
主要成果:
- 随着年龄的增加,部,膝盖和脚的ROM,大腿前转和部扭转在统计学上显著但没有临床意义上的下降.
- 身体质量指数 (BMI) 显示出具有统计学意义和潜在的临床意义的关联与ROM,每个BMI单位下降0.4°1.2°.
- 在性别或侧面性和测量参数之间没有发现显著的关联.
结论:
- 在TDC中,下肢人体参数在7岁后基本稳定.
- 体重指数是影响关节ROM的重要因素,而年龄和性别的影响有限.
- 虽然ROM和扭曲的与年龄相关的变化在统计学上是显著的,但它们在临床上并不重要.
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