CHARACTERIZATION OF CERVICAL SPINE IMPAIRMENTS IN CHILDREN AND ADOLESCENTS POST-CONCUSSION
CHARACTERIZATION OF CERVICAL SPINE IMPAIRMENTS IN CHILDREN AND ADOLESCENTS POST-CONCUSSION
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DOI：
10.26603/ijspt20190282
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发表时间：
2019-04-01
影响因子：
1.7
通讯作者：
Alsalaheen, Bara
中科院分区：
文献类型：
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作者：
Tiwari, Devashish;Goldberg, Allon;Alsalaheen, Bara
背景资料：脑震荡患者可能会出现颈椎损伤，因此需要准确描述脑震荡后颈椎损伤，以制定有针对性的物理治疗干预措施。目的：描述脑震荡后接受物理治疗的儿童和青少年颈椎损伤的类型、频率和严重程度。研究设计：回顾性、描述性研究方法：对73名连续的儿童和青少年进行了回顾性分析，他们在脑震荡后接受了颈椎物理治疗。数据分为六大类。的频率和强度的宫颈损伤内和跨categorized.Results：百分之九十的患者表现出至少有三个五个评估类别的障碍，而55%的表现出至少有四个五个评估类别的障碍。在五个评估类别中，姿势（99%）和肌筋膜损伤（98%）表现出最高的损伤频率，其次是关节活动度（86%）和肌肉力量（62%）。颈椎关节本体感觉是最不常见的评估category.Conclusion：高患病率的颈椎损伤，观察包括在本研究中的受试者与肌肉张力，关节活动度，肌肉力量是最常见的影响。该队列中检查的损伤类别与最新的颈部疼痛临床实践指南的建议一致。这项研究提供了初步的数据，以支持儿童和青少年脑震荡后的颈椎评估工具的框架。
Background: Patients with concussion may present with cervical spine impairments, therefore accurate characterization of cervical post-concussion impairments is needed to develop targeted physical therapy interventions.Purpose: To characterize the type, frequency and severity of cervical impairments in children and adolescents referred for physical therapy after concussion.Study design: Retrospective, descriptive studyMethods: A retrospective analysis was conducted for 73 consecutive children and adolescents who received cervical physical therapy following a concussion. Data was classified into six broad categories. The frequency and intensity of cervical impairments within and across the categories was reported.Results: Ninety percent of patients demonstrated impairments in at least three out of five assessment categories whereas 55% demonstrated impairments in at least four out five assessment categories. Of the five assessment categories, posture (99%) and myofascial impairment (98%) demonstrated highest impairment frequency followed by joint mobility (86%) and muscle strength (62%). Cervical joint proprioception was the least commonly evaluated assessment category.Conclusion: High prevalence of cervical spine impairments was observed in the subjects included in this study with muscle tension, joint mobility, and muscle strength being most commonly affected. The categories of impairments examined in this cohort were consistent with the recommendations of the most recent clinical practice guidelines for neck pain. This study provides preliminary data to support the framework for a cervical spine evaluation tool in children and adolescents following concussion.