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首页> 外文期刊>Journal of NeuroEngineering Rehabilitation >Quadriceps femoris spasticity in children with cerebral palsy: measurement with the pendulum test and relationship with gait abnormalities
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Quadriceps femoris spasticity in children with cerebral palsy: measurement with the pendulum test and relationship with gait abnormalities

机译：股四头肌痉挛在脑性瘫痪患儿中的应用：摆度测试及其与步态异常的关系

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Background Development of a reliable and objective test of spasticity is important for assessment and treatment of children with cerebral palsy. The pendulum test has been reported to yield reliable measurements of spasticity and to be sensitive to variations in spasticity in these children. However, the relationship between the pendulum test scores and other objective measures of spasticity has not been studied. The present study aimed to assess the effectiveness of an accelerometer-based pendulum test as a measurement of spasticity in CP, and to explore the correlation between the measurements of this test and the global index of deviation from normal gait in in children with cerebral palsy. Methods We studied thirty-six children with cerebral palsy, including 18 with spastic hemiplegia and 18 with spastic diplegia, and a group of 18 typically-developing children. Knee extensor spasticity was assessed bilaterally using the accelerometer-based pendulum test and three-dimensional gait analysis. The Gillette Gait Index was calculated from the results of the gait analysis. Results The data from the accelerometer-based pendulum test could be used to distinguish between able-bodied children and children with cerebral palsy. Additionally, two of the measurements, first swing excursion and relaxation index, could be used to differentiate the degree of knee extensor spasticity in the children with cerebral palsy. Only a few moderate correlations were found between the Gillette Gait Index and the pendulum test data. Conclusions This study demonstrates that the pendulum test can be used to discriminate between typically developing children and children with CP, as well as between various degrees of spasticity, such as spastic hemiplegia and spastic diplegia, in the knee extensor muscle of children with CP. Deviations from normal gait in children with CP were not correlated with the results of the pendulum test.
机译：背景技术开发一种可靠，客观的痉挛测试对评估和治疗脑瘫患儿很重要。据报道，摆锤测试能够可靠地测量痉挛，并对这些儿童的痉挛变化敏感。但是，尚未研究摆测验分数与其他客观的痉挛程度之间的关系。本研究旨在评估基于加速度计的摆锤测试在CP痉挛测量中的有效性，并探讨该测试的测量值与脑瘫患儿与正常步态的整体偏离指数之间的相关性。方法我们研究了36例脑瘫患儿，包括18例痉挛性偏瘫和18例痉挛性双瘫，以及18例典型发育中的儿童。使用基于加速度计的摆锤试验和三维步态分析，双侧评估膝伸肌痉挛。从步态分析的结果计算吉列步态指数。结果基于加速度计的摆锤测试数据可用于区分健康的儿童和脑瘫儿童。此外，两种测量方法，即第一次摆动偏移和放松指数，可用于区分脑瘫患儿膝伸肌痉挛的程度。在吉列步态指数和摆测试数据之间仅发现了一些中等相关性。结论该研究表明，钟摆测试可用于区分典型的成长期儿童和CP患儿，以及CP患儿膝伸肌中不同程度的痉挛，例如痉挛性偏瘫和痉挛性截瘫。 CP儿童步态正常与钟摆测试结果无关。

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