在大脑麻的成年人上肢运动范围的纵向下降
Erika Cloodt1,2, Jenny Hedberg-Graff3,4, Anna Lindgren5
1Department of Clinical Sciences, Orthopaedics, Lund University, Lund, Sweden.
Developmental medicine and child neurology
|August 9, 2025
概括
大脑麻 (CP) 的成年人的被动运动范围不断下降,特别是在那些手动能力分类系统 (MACS) 水平较高的人群中. 这凸显了为维持功能而进行量身定制干预的必要性.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 整形外科 整形外科 整形外科
背景情况:
- 大脑 (CP) 影响运动功能,导致潜在的长期肌肉骨并发症.
- 了解被动运动范围 (ROM) 的纵向变化对于管理CP成年人的功能衰退至关重要.
研究的目的:
- 分析大脑 (CP) 的成年人上肢被动运动范围 (ROM) 的纵向变化.
主要方法:
- 一项纵向队列研究分析了来自瑞典CP注册的1395名CP成年人 (16-76岁) 的被动ROM (肩膀,肘部,手腕,前臂置).
- 在3至13年7个月的时间内,使用混合效应模型分析了数据.
- 手动能力分类系统 (MACS) 的水平被用来分层分析和检查ROM轨迹.
主要成果:
- 在所有MACS水平上观察到肩膀ROM,俯卧和手腕延伸的持续下降.
- 根据MACS水平,下降率有很大差异,在较高的MACS水平 (IV和V) 中,肩膀曲,肘部伸展和手腕伸展的下降更为急剧.
- 与MACS水平较高的人相比,MACS水平较低 (I和II) 的个体表现出较大的初始ROM和较慢的衰退率.
结论:
- 在患有CP的成年人中,上肢被动ROM持续下降,MACS水平较高的个体下降更明显.
- 不同的衰退率强调了需要个性化干预和系统监测来保护ROM和功能能力的必要性.
- 有针对性的管理策略是必不可少的,特别是对于患有CP的成年人来说,由于逐渐的ROM损失,功能障碍的风险更高.
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