婴幼儿颈部关节活动度的临床研究  

Cervical Spine Passive Range of Motion in Children 0-2 Years Old

作　　者：马建强[1,2] 吕忠礼 李海天[1] 王岩[1] 付晓虎[1] 穆晓红 MA Jianqiang;LYU Zhongli;LI Haitian;WANG Yan;FU Xiaohu;MU Xiaohong(National Children's Medical Center,Department of Rehabilitation,Beijing Children's Hospital,Capital Medical University,Beijing 100045,China;Dongzhimen Hospital,Beijing University of Chinese Medicine,Beijing 100700,China)

机构地区：[1]国家儿童医学中心,首都医科大学附属北京儿童医院康复科,北京100045 [2]北京中医药大学东直门医院骨科

出　　处：《中国中医骨伤科杂志》2023年第8期24-27,共4页Chinese Journal of Traditional Medical Traumatology & Orthopedics

基　　金：北京市自然科学基金项目(7222281)。

摘　　要：目的:测量0~2岁正常婴幼儿颈部被动关节活动度(PROM)的参考值,并探讨不同性别、年龄和左右侧之间的差异。方法:用关节量角器测量90例0~2岁正常婴幼儿双侧颈部前屈、后伸、侧屈和旋转的被动关节活动度,测量方法进行一致性评估,并比较不同性别、年龄及左右侧之间有无差异。结果:本方法测量前屈、后伸、侧屈和旋转的组内相关系数为0.774~0.888;颈椎前屈被动关节活动度为61.98°±10.80°,后伸被动关节活动度为83.05°±14.44°,侧弯被动关节活动度为69.72°±9.90°,旋转被动关节活动度为96.96°±11.22°;被动关节活动度在不同性别、年龄及左右侧间差异无统计学意义(P>0.05)。结论:关节量角器测量婴幼儿颈椎被动关节活动度一致性较好,临床应用方便。婴幼儿颈椎关节活动度在不同个体间差异大,本参考值可在斜颈病情评估和牵拉手法强度方面提供初步依据。Objective:To measure the reference value of cervical spine passive range of motion(PROM)in normal children aged from 0-2 years old,and to explore the differences between gender,age,and left and right sides.Methods:90 children aged 02 years old with flexion,extension,lateral flexion,and rotation of PROM was measured by using joint protractor.The consistency of the measurement methods was evaluated,and differences between gender,age,and left and right sides were compared.Results:The intra group correlation coefficient for measuring forward flexion,extension,lateral flexion,and rotation using this method was 0.7740.888;Cervical spine flexion,extension,lateral curvature,and rotation were 61.98°±10.80°,83.05°±14.44°,69.72°±9.90°,96.96°±11.22°,respectively.There was no significant difference in PROM among different gender,age,and left and right sides(P>0.05).Conclusion:The measurement of cervical spine PROM with a protractor in children aged 0-2 years has good consistency and is convenient for clinical application.Tcervical spine PROM in infants varies greatly among individuals.This reference value can provide assistance in evaluating and treating torticollis.

关 键 词：颈椎 被动关节活动度 婴幼儿 斜颈 

分 类 号：R685.1[医药卫生—骨科学]