功能性神经障碍儿童普遍性关节高移动性的患病率和相关性:一项回顾性研究
Jana Landa1,2, Karin Mashevich3, Etzyona Eisenstein1
1Department of Pediatric Rehabilitation, Chaim Sheba Medical Center, Edmond and Lily Safra Children's Hospital, Ramat-Gan, Israel.
Physical & occupational therapy in pediatrics
|March 10, 2026
概括
通用性关节高移动性 (GJH) 在有功能神经障碍 (FND) 的儿童中很常见. GJH与症状严重程度和运动参与度的增加相关,这表明它可能是脆弱性因素.
科学领域:
- 神经学 神经学
- 儿科 儿科 儿科
- 类风湿病学 类风湿病学
背景情况:
- 功能神经障碍 (FND) 有复杂的,多因素的原因.
- 综合性关节多动性 (GJH) 是FND的一个潜在的促成因素.
- 了解GJH患病率及其对儿科FND的影响至关重要.
研究的目的:
- 确定诊断为FND的儿童中GJH的患病率.
- 调查GJH和FND严重程度,活动水平和参与之间的关联.
主要方法:
- 评估了53名患有FND的儿童 (平均年龄为14.2岁).
- 使用贝顿分数测量GJH.
- 使用CSSI-24评估FND的严重程度,四肢参与和行走后的疼痛.
主要成果:
- 在43% (比顿≥4) 和24% (比顿≥6) 的参与者中,GJH存在.
- 较高的比顿分数与增加的CSSI-24分数和更多受影响的四肢相关.
- 在6分钟步行测试后,在Beighton得分和疼痛之间发现了积极的关联.
结论:
- 在儿科FND中,GJH非常普遍,即使在更严格的值.
- GJH与更大的症状严重程度和运动参与有关.
- GJH可能是FND的体质脆弱性因素,指导个性化治疗方法.
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