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題名 | 小兒麻痺患者骨盆傾斜與脊椎側彎之關聯性 |
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作 者 | 周文博; | 書刊名 | 中華民國物理治療學會雜誌 |
卷期 | 13 1988.09[民77.09] |
頁次 | 頁14-20 |
分類號 | 418.92 |
關鍵詞 | 小兒麻痺患者; 脊椎側彎; 骨盆傾斜; |
語文 | 中文(Chinese) |
中文摘要 | 自民國七十一年八月至七十二年十二月私立振興復健醫學中心小兒麻 痺症患者有骨盆板斜老203人,弱側下肢骨盆上傾者103人,骨盆下料者100人, 經分析發現骨盆上傾者軀幹肌肉衰弱(70fair、30 trace/poor、0good)與脊椎側彎(77) 的比例甚高,而且兩者在程度上互有關聯性,與上傾角度也有正相關,強側下肢 肌力也頗衰弱,95坐姿重心落在強側臂部。骨盆下斜者軀幹肌力較為強壯,只有 6有較微的脊椎側彎,強側下肢肌力強壯者多,82坐姿重心落在弱側下肢的臀部, 因而判斷骨盆上傾者主因脊髓灰白質炎波及軀幹肌肉,而骨盆下斜者主因下肢麻 痺所帶來的繼發性畸型。 |
英文摘要 | From August 1982 through December 1983,203 patients of post-poliomyelitis with pelvicobliquity In Cheng Hsin Rehabilitation Center werestudied. Patients could be classified into twogroups based on the muscle power of the lowerextremites: the pelvis on weak-side tilted up( n=103 ) and that tilted down ( n=lOO ). It wasobserved that the trunk muscles were much weakerfor the tilted-up group (70 fair, 30 trace/poor,0 good), scollosis was very common (77),muscle power and severity of scoliosis correlatedwith each other and generally agreed with pelvicobliquity angle, the muscle power of the strongerleg was quite weak, 95 of the patients shifted the center of gravity toward the stronger buttockwhen they were sitting. On the other hand, thetrunk muscle power of the tilted-down group wasstronger, only 6 had scoliosis and most of themwere mild with a smaller obliquity angle. Themuscle power of the stronger leg was strongerthan the tilted-up group; when sitting, 82 of thepatients shifted the center of gravity toward theweaker buttock. These findings suggested thatthe principle mechanism of pelvic tilling upwardon th@, weak-side was due to trunk muscleparalysis. While the downward tilling of thepelvis was secondary to the paralysis of theipsilateral leg. |
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