康复学报 (Dec 2022)
Research Progress on Foot Deformity Assessment Methods of Children with Cerebral Palsy
Abstract
The incidence of cerebral palsy (CP) is high in China, which brings huge economic burden to patients, families and society. Foot deformities such as scissors gait, flat foot, varus or valgus are the main manifestations of lower limb spasm in patients with spastic cerebral palsy. Cerebral palsy is a kind of non-progressive brain injury and nerve damage. At present, there is no effective treatment. If the foot deformity was not corrected for a long time, the muscles, fascia and ligament will change and contracture will occur, which can lead to secondary skeletal deformity, osteoarthritis of talocalcaneal, talonavicular and phalangeal joints, bony deformities of talocalcaneal joints and talonavicular joints, and miss the opportunity for passive traction correction. Patients with flat feet are prone to limb fatigue and pain when standing, walking, running and jumping for a long time, so it is necessary to screen and diagnose as soon as possible and implement rehabilitation training. Currently, there is no unified standard for the evaluation of foot deformity in children with CP. This review summarizes the evaluation methods for foot deformity in children with CP, mainly inclu-ding the principles, evaluation methods, advantages, disadvantages and scope of application of related evaluation tools for static analysis (footprint analysis, imaging evaluation, angle of standing calcaneus rest position, subtalar joint hardness, surface electromyography, etc.) and dynamic analysis (gross motor function grading system, Berg balance scale, plantar pressure system, etc.). The purpose is to provide reference for the diagnosis, rehabilitation treatment and rehabilitation outcomes evaluation of foot deformities in children with CP. The review found that the static analysis and evaluation method was mainly used for structure evaluation, while the dynamic analysis and evaluation method was mainly used for the evaluation of balance and motor function.
