This study aimed to investigate the effects of functional improvement in the upper extremity on gait and balance in children with upper extremity affected. What are the effects of functional improvement in the upper extremity on gait and balance in children with upper extremity affected? Eighteen children with a diagnosis of rheumatologic diseases and 15 healthy children were evaluated with Shriners Hospital Upper Extremity Assessment, Jebsen-Taylor Hand Function Test, Abilhand Rheumatoid Arthritis Scale, 10-meter walk test and Childhood Health Assessment Questionnaire. For static balance assessment, the Biodex Balance was used. Ground reaction forces (peak forces (heel strike and push-off) and minimum force (loading response), single-limb support duration, Center-of-Force displacement and walking speed were evaluated with the Sensor Medica. Arm swing was evaluated with the Kinovea 2D motion analysis. Before treatment, single-limb support duration and push-off force was higher and center-of-force displacement was lower on affected side compared to unaffected side in rheumatologic group. After the 6-week rehabilitation program, upper extremity function, quality of life and functional gait score improved. Single-limb support duration decreased on affected side and increased on unaffected side. On affected side, push-off force decreased. The arm swing parameters were similar before and after treatment. Improving upper extremity function can help with gait balance by decreasing the difference in walking and balance parameters between the affected and unaffected sides and providing for more symmetrical weight transfer.

中文翻译：

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上肢功能改善对上肢受影响儿童步态和平衡的影响

本研究旨在探讨上肢功能改善对上肢受影响儿童的步态和平衡的影响。上肢功能改善对上肢受影响儿童的步态和平衡有何影响？对18名被诊断为风湿病的儿童和15名健康儿童进行了圣地兄弟会医院上肢评估、捷成泰勒手功能测试、Abilhand类风湿性关节炎量表、10米步行测试和儿童健康评估问卷的评估。对于静态平衡评估，使用 Biodex Balance。使用 Sensor Medica 评估地面反作用力（峰值力（脚跟着地和推出）和最小力（负载响应）、单肢支撑持续时间、力中心位移和行走速度。 Kinovea 2D 运动分析。治疗前，风湿病组的单肢支撑持续时间和推出力较高，力心位移较低，风湿病组的上肢在 6 周康复计划后。患侧的功能、生活质量和功能步态评分有所改善，患侧的单肢支撑持续时间有所改善，上肢的推力参数有所改善。该功能可以通过减少受影响侧和未受影响侧之间的行走和平衡参数差异并提供更对称的重量转移来帮助步态平衡。