烧伤后足部畸形儿童身体平衡控制系统的病理性超同步化.pdf

原始论文 ORIGINAL PAPERS 61 /10.17816/PTORS7261-68 烧伤后足部畸形儿童身体平衡控制系统的病理性超同步化 ABNORMAL HYPERSYNCHRONIZATION OF BODY BALANCE CONTROL SYSTEM IN CHILDREN WITH POST-BURN FOOT DEFORMITY © I.E. Nikityuk, E.L. Kononova, M.S. Nikitin, K.A. Afonichev The Turner Scientific Research Institute for Children’s Orthopedics, Saint Petersburg, Russia Received: 03.12.2018 Revised: 18.02.2019 Accepted: 06.06.2019 背景。烧伤后足部畸形儿童的治疗是再造整形手术的一项重大任务。急性热烧伤后，即使采取了充分 的手术方法治疗，足部背面上形成的疤痕通常也会导致足部畸形，且最终有损足部功能。关键问题 在于，随着儿童不断成长，继发性异常变化会出现在下肢关节和脊柱上，因此导致运动功能受损， 包括身体平衡控制受损。 目标。本研究旨在探究烧伤后足部畸形儿童在手术治疗前后的姿势稳定性。 材料与方法。本稳定性测定研究在患有烧伤后瘢痕性足部畸形的 12 名患者中进行；患者的平均年 龄是 9.8 ± 0.93 岁。对照组包含无骨科异常迹象的 12 名年龄匹配的儿童。采用相关性分析和 回归分析来分析数据。 结果。在烧伤后结疤和足部畸形患者中（治疗前阶段），显示出静负荷的补偿性重新分配至完好 下肢。在姿势控制指标的分析中，主组患者呈现身体平衡控制系统的同步化异常增加。受影响的足部 完成再造手术后，可注意到负荷分配的对称和肢体功能的恢复。相关性分析显示，稳定性测定参数之 间的异常超同步化有明显增加，表明接受治疗的患者姿势控制策略的正常化。 结论。烧伤后足部畸形的消除修复了足部解剖外形，同时实现患者身体直立平衡的显著良好动态。 关键词：足部；烧伤；儿童；稳定性测定；姿势平衡。 Relevance. Treatment of children with post-burn foot deformities is an important task of reconstructive plastic surgery. The scars formed on the back surface of the feet, even with adequate surgical approach, in the acute period of thermal injury, further often lead to deformities of the entire foot, which leads to a derangement of its support function. The importance of the problem lies in the fact that with the growth of the child, secondary abnormal changes develop on the part of the joints of the lower extremities and the spine, leading to impaired locomotor function, including deviations in the body balance control system. Purpose of the study. To study pos