Ankle proprioception in children with cerebral palsy.

IF 0.8 Q4 PEDIATRICS

Journal of pediatric rehabilitation medicine Pub Date : 2024-01-01 DOI:10.3233/PRM-220140

Elizabeth Boyer, Qiyin Huang, Stacy Ngwesse, Jennifer Nelson, Jinseok Oh, Jürgen Konczak

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引用次数: 0

Abstract

Purpose: There is no established clinical standard to evaluate ankle proprioception in children with cerebral palsy (CP). This study compared ankle position sense of children with CP to age-matched children who are typically developing (TD).

Methods: Children aged 6-17 years participated (15 CP, 58 TD). Using a custom-built device, the ankle was passively rotated to two positions for 25 trials. Using a psychophysical forced-choice paradigm, participants indicated which position was more plantarflexed. A psychometric function was fitted to the response data to determine the just noticeable difference (JND) threshold and the associated uncertainty (random error) for ankle position sense.

Results: Median JND thresholds for the CP group were elevated (CP: 4.3°, TD: 3.0°). Three children with CP exceeded the 95th percentile of TD. No differences in random error were found.

Conclusion: This method assessed ankle proprioception relative to norm data and identified position sense impairments in children with CP. Using this method can provide data on proprioceptive status in CP, augmenting the assessment of motor impairment.

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脑瘫患儿的踝关节本体感觉。

目的:评估脑瘫患儿踝关节本体感觉尚无既定的临床标准。本研究比较了CP患儿与年龄匹配的典型发育(TD)患儿的踝关节位置感。方法:6 ~ 17岁儿童(CP 15例，TD 58例)。使用定制的装置，踝关节被动地旋转到两个位置25次。使用心理物理强迫选择范式，参与者指出哪种姿势更容易弯曲。采用心理测量函数拟合反应数据，确定踝关节位置感的刚显差异阈值和相关的不确定性(随机误差)。结果:CP组的中位JND阈值升高(CP: 4.3°，TD: 3.0°)。三名患有CP的儿童超过了TD的95百分位。随机误差没有发现差异。结论:该方法与常规数据比较，评估了CP患儿的踝关节本体感觉，识别了体位感觉障碍，为CP患儿的本体感觉状态提供了数据，增强了对运动障碍的评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of pediatric rehabilitation medicine PEDIATRICS-

CiteScore

2.30

自引率

5.30%

发文量

139