先天肌肉性斜頸與慣用手發展之關係

The Relationship between Congenital Muscular Torticollis and the Development of Dominant Hand

王淑怡(Shu-Yi Wang) ； 梁秋萍(Chau-Peng Leong)

《中華民國復健醫學會雜誌》 26卷4期 (1998/12) Pp. 169-173

摘要

本研究以門診回診方式，追蹤自民國78年至84年間曾因先天肌肉性斜頸至高雄長庚醫院接受復健治療之患童，共計158人。並以512位正常的幼稚園小朋友為對照組，比較斜頸與慣用手發展之關係。
結果發現：36.9%的右側先天肌肉性斜頸患童慣用左手，與9.0%的正常小孩慣用左手相比，明顯增高，且具有統計上的差異。而左側先天肌肉性斜頸病人慣用左右手的比例，則與正常小孩相近。
又不論是右側或左側先天肌肉性斜頸的患童，隨著頸部活動逐漸受到限制，其慣用手為患側之對側的比率依序升高。
因此推論先天肌肉性斜頸病人可能會因為姿態上的異常，較注意患側對側事物，導致使用患側對側手的機會升高，進而造成慣用手比率上的差異。所以建議針對斜頸患童需加強促進對稱發展之相關治療。

關鍵字

先天肌肉性斜頸 ； 慣用手

並列摘要

We studied dominant hand development in 158 patients with congenital muscular torticollis who had received physical therapy in Chang Gung Memorial Hospital, Kaohsiung, from 1989 to 1995. There were 97 boys and 61 girls in the study group. The congenital muscular torticollis was right side in 84 patients and left side in 74 patients. We also enrolled 512 healthy children, aged from 3 to 5 years old, as the control group. Ninety-one percent of the control subjects were right handed, and nine percent of them were left handed. Subjects with right congenital muscular torticollis were right handed in 63.1% of cases and left handed in 36.9% of cases. Subjects with left congenital muscular torticollis were right handed in 90.5% of cases and left handed in 9.5% of cases. The percentage of left handed subjects with right congenital muscular torticollis was significantly higher than that of control subjects. The development of the dominant hand opposite to the lesion side was found to be increased as the severity of limitation of the neck mobility increased, although this finding was not statistically significant. We concluded that congenital muscular torticollis might affect the development of the dominant hand, especially in the patients with asymmetrical neck position. These findings stress the importance of early facilitation of symmetrical development for patients with congenital muscular torticollis.

並列關鍵字

congenital muscular torticollis ； dominant hand