ABSTRACT

Objectives: To map the presence, severity, and distribution of spasticity and passive range of motion (pROM) deviations in dyskinetic cerebral palsy (DCP), and to explore their relation with dystonia, choreoathetosis, and functional abilities.

Methods: This cross-sectional study included 53 participants with DCP. Spasticity was assessed with the Modified Ashworth Scale, limited- and increased pROM (hypermobility) with a goniometer, dystonia and choreoathetosis with the Dyskinesia Impairment Scale, gross motor and manual abilities with corresponding functional classification systems.

Results: Spasticity and limited pROM were correlated with dystonia of the upper limbs (0.41< r_s<0.47, <0.001 < p < .002) and lower limbs (0.31< r_s<0.41, 0.002 < p < .025), and both functional systems of gross motor (0.32< r_s<0.51, <0.001 < p < .018) and fine manual abilities (0.34< r_s<0.44, 0.001 < p < .014). Hypermobility is correlated only with choreoathetosis of the lower limbs (0.44, p = .001).

Conclusions: Coexisting spasticity and pROM deviations in DCP are functionally limiting and should be addressed accordingly. Hypermobility may lead to an increased luxation risk.

抽象的

目的：绘制运动障碍性脑瘫（DCP）的痉挛和被动运动范围（pROM）偏差的存在，严重性和分布，并探讨其与肌张力障碍，舞蹈性运动症和功能能力的关系。

方法：这项横断面研究包括53名DCP参与者。用改良的Ashworth量表评估痉挛状态，用测角计限制和增加pROM（超活动性），用运动障碍障碍量表，肌张力障碍和舞蹈性胸膜炎，总运动和手动能力以及相应的功能分类系统进行评估。

结果：痉挛和有限的pROM与上肢（0.41 <r _s <0.47，<0.001 <  p <.002）和下肢（0.31 <r _s <0.41，0.002 <  p <.025）的肌张力障碍相关，并且大运动功能系统（0.32 <r _s <0.51，<0.001 <  p <.018）和精细的手动操作能力（0.34 <r _s <0.44，0.001 <  p <.014）。运动过度仅与下肢舞蹈性运动相关（0.44，p = .001）。

结论：DCP中并存的痉挛和pROM偏差在功能上受到限制，应相应解决。运动过度可能会导致脱臼风险增加。