ABSTRACT

Aims: This study aimed to investigate the relationship between lumbar lordosis angle (LLA) and trunk functions, sitting balance, functional independence, and lesion level in children with spina bifida (SB).

Methods: Thirty children with SB were included. LLA was measured with a flexible ruler. The Pediatric Functional Reach Test (PRT), Trunk Impairment Scale (TIS), Functional Independence Measure for Children (WeeFIM), and International Myelodysplasia Study Group Criteria were used to evaluate sitting balance, trunk functions, functional independence, and motor lesion level respectively. The correlations were performed by using Spearman’s correlation test.

Results: There were significant correlations between the LLA and PRT, TIS, and WeeFIM results. Also, a significant correlation was found between the LLA and lesion level (p < .05).

Conclusions: The development of the LLA in the normal range should be supported in rehabilitation approaches aiming to increase sitting balance, functional independence, and trunk functions in children with SB.Abbreviations: SB: Spina Bifida; LLA: Lumbar Lordosis Angle; MMS: Meningomyelocele; WeeFIM: Functional Independence Measure for Children; TIS: Trunk Impairment Scale; PRT: Pediatric Functional Reach Test

摘要

目的：本研究旨在探讨脊柱裂（SB）儿童腰椎前凸角（LLA）与躯干功能、坐姿平衡、功能独立性和病变水平之间的关系。

方法：包括30名SB儿童。LLA 是用灵活的尺子测量的。儿科功能范围测试 (PRT)、躯干损伤量表 (TIS)、儿童功能独立性测量 (WeeFIM) 和国际骨髓增生异常研究小组标准分别用于评估坐姿平衡、躯干功能、功能独立性和运动损伤水平。相关性是通过使用 Spearman 相关性检验进行的。

结果：LLA 与 PRT、TIS 和 WeeFIM 结果之间存在显着相关性。此外，还发现 LLA 与病变水平之间存在显着相关性 ( p < .05)。

结论：在旨在提高 SB 儿童坐姿平衡、功能独立性和躯干功能的康复方法中应支持 LLA 在正常范围内的发展。缩写：SB：脊柱裂；LLA：腰椎前凸角；MMS：脑膜脊髓膨出；WeeFIM：儿童功能独立性测量；TIS：躯干损伤量表；PRT：儿科功能范围测试