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首页> 外文期刊>Gait & posture >Joint stiffness and gait pattern evaluation in children with Down syndrome.
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Joint stiffness and gait pattern evaluation in children with Down syndrome.

机译:唐氏综合症儿童的关节僵硬和步态模式评估。

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摘要

Hypotonia, ligament laxity and motor alterations are characteristic for patients with Down syndrome (DS). The purpose of this study was the evaluation of typical gait pattern of subjects with Down syndrome and the quantification of their joint stiffness, connected with ligament laxity and hypotonia, as a possible compensation. 98 children with DS (mean age: 11.7 years; range: 6-15 years) and 30 healthy children (control group (CG); mean age: 11 years; range: 5-13 years) underwent full 3D gait analysis at self-selected speed. Subjects with DS walked with more hip flexion during the whole gait cycle, knee flexion in stance phase, a limitation of the knee range of motion, and plantarflexion of the ankle at initial contact. Ankle power was limited as evident in terminal stance and pre-swing, represented by a low propulsive capacity at push-off, too. Hip joint stiffness was increased in general in patients with DS versus normal subjects while ankle joint stiffness revealed a lower value instead.
机译:低唐氏综合征,韧带松弛和运动改变是唐氏综合症(DS)患者的特征。这项研究的目的是评估唐氏综合症患者的典型步态模式,并量化其关节僵硬程度(与韧带松弛和肌张力低下有关),以作为可能的补偿。 98例DS儿童(平均年龄:11.7岁;范围:6-15岁)和30例健康儿童(对照组(CG);平均年龄:11岁;范围:5-13岁)在自测时进行了完整的3D步态分析选定的速度。患有DS的受试者在整个步态周期中行走时会出现更多的髋部弯曲,站立阶段的膝盖弯曲,膝盖运动范围的限制以及初次接触时脚踝的plant屈。脚踝力量受限,表现在末梢姿势和前摆,这也表现为下推时的低推进力。与正常人相比,DS患者的髋关节刚度总体上增加了,而踝关节刚度却显示出较低的值。

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