[{"data":1,"prerenderedAt":1140},["ShallowReactive",2],{"\u002Fblog\u002FHip-surveillance-for-children-with-CP":3,"post-count":781,"series-global-data":782,"authors-all":944,"series-sidebar-none":1139},{"id":4,"title":5,"author":6,"body":7,"date":768,"description":769,"draft":770,"edited_at":768,"extension":771,"featured_image":772,"meta":773,"navigation":774,"path":775,"pinned":770,"seo":776,"sitemap":777,"stem":778,"tags":779,"__hash__":780},"blog\u002Fblog\u002FHip-surveillance-for-children-with-CP.md","Hip surveillance for children with CP","hibiki12141132",{"type":8,"value":9,"toc":764},"minimark",[10,14,131,342,358,361,381,384,391,394,399,408,411,414,458,470,473,491,505,523,534,548,551,693,696,719,722,725,737,743,746,749,752,758],[11,12,13],"p",{},"先來說一下下肢發展的骨頭排列變化",[15,16,17,46],"table",{},[18,19,20],"thead",{},[21,22,23,31,36,41],"tr",{},[24,25,27],"th",{"align":26},"left",[28,29,30],"strong",{},"測量項目",[24,32,33],{"align":26},[28,34,35],{},"出生 (Birth)",[24,37,38],{"align":26},[28,39,40],{},"3歲 (3 Yr)",[24,42,43],{"align":26},[28,44,45],{},"成人 (Adult)",[47,48,49,67,83,99,115],"tbody",{},[21,50,51,58,61,64],{},[52,53,54,57],"td",{"align":26},[28,55,56],{},"髖臼頂角度"," (Acetabular roof)",[52,59,60],{"align":26},"垂直線往外 7 度",[52,62,63],{"align":26},"垂直線往外 17 度",[52,65,66],{"align":26},"—",[21,68,69,75,78,80],{},[52,70,71,74],{"align":26},[28,72,73],{},"股骨傾斜角"," (Femur: Angle of inclination)",[52,76,77],{"align":26},"135 - 145 度",[52,79,66],{"align":26},[52,81,82],{"align":26},"125 度",[21,84,85,91,94,96],{},[52,86,87,90],{"align":26},[28,88,89],{},"股骨扭轉角"," (Femur: Angle of torsion)",[52,92,93],{"align":26},"25 - 30 度前傾 (anteversion)",[52,95,66],{"align":26},[52,97,98],{"align":26},"10 - 15 度前傾 (anteversion)",[21,100,101,107,110,112],{},[52,102,103,106],{"align":26},[28,104,105],{},"脛骨扭轉角"," (Tibial torsion)",[52,108,109],{"align":26},"5 - 10 度內旋 (internal)",[52,111,66],{"align":26},[52,113,114],{"align":26},"20 - 25 度外旋 (external)",[21,116,117,123,126,128],{},[52,118,119,122],{"align":26},[28,120,121],{},"跟骨"," (Calcaneus)",[52,124,125],{"align":26},"22 度內翻 (varus)",[52,127,66],{"align":26},[52,129,130],{"align":26},"0 - 3 度內翻 (varus)",[15,132,133,152],{},[18,134,135],{},[21,136,137,142,147],{},[24,138,139],{"align":26},[28,140,141],{},"結構項目",[24,143,144],{"align":26},[28,145,146],{},"年齡",[24,148,149],{"align":26},[28,150,151],{},"平均值",[47,153,154,168,181,193,205,216,227,239,251,264,275,286,297,308,319,331],{},[21,155,156,162,165],{},[52,157,158,161],{"align":26},[28,159,160],{},"股骨頸角度"," (Femoral neck-shaft angle)",[52,163,164],{"align":26},"妊娠十六週",[52,166,167],{"align":26},"140度",[21,169,170,175,178],{},[52,171,172],{"align":26},[173,174],"br",{},[52,176,177],{"align":26},"妊娠三十二週",[52,179,180],{"align":26},"128度",[21,182,183,187,190],{},[52,184,185],{"align":26},[173,186],{},[52,188,189],{"align":26},"出生",[52,191,192],{"align":26},"135度",[21,194,195,199,202],{},[52,196,197],{"align":26},[173,198],{},[52,200,201],{"align":26},"一至三歲",[52,203,204],{"align":26},"145度",[21,206,207,211,214],{},[52,208,209],{"align":26},[173,210],{},[52,212,213],{"align":26},"四至五歲",[52,215,192],{"align":26},[21,217,218,222,225],{},[52,219,220],{"align":26},[173,221],{},[52,223,224],{"align":26},"九至十三歲",[52,226,192],{"align":26},[21,228,229,233,236],{},[52,230,231],{"align":26},[173,232],{},[52,234,235],{"align":26},"十五至十七歲",[52,237,238],{"align":26},"130度",[21,240,241,245,248],{},[52,242,243],{"align":26},[173,244],{},[52,246,247],{"align":26},"成人",[52,249,250],{"align":26},"125度",[21,252,253,259,261],{},[52,254,255,258],{"align":26},[28,256,257],{},"股骨傾度"," (Femoral version)",[52,260,164],{"align":26},[52,262,263],{"align":26},"前傾 12 度",[21,265,266,270,272],{},[52,267,268],{"align":26},[173,269],{},[52,271,177],{"align":26},[52,273,274],{"align":26},"前傾 28 度",[21,276,277,281,283],{},[52,278,279],{"align":26},[173,280],{},[52,282,189],{"align":26},[52,284,285],{"align":26},"前傾 30 度",[21,287,288,292,294],{},[52,289,290],{"align":26},[173,291],{},[52,293,201],{"align":26},[52,295,296],{"align":26},"前傾 35 度",[21,298,299,303,305],{},[52,300,301],{"align":26},[173,302],{},[52,304,213],{"align":26},[52,306,307],{"align":26},"前傾 25 度",[21,309,310,314,317],{},[52,311,312],{"align":26},[173,313],{},[52,315,316],{"align":26},"十至十二歲",[52,318,307],{"align":26},[21,320,321,325,328],{},[52,322,323],{"align":26},[173,324],{},[52,326,327],{"align":26},"十三至二十歲",[52,329,330],{"align":26},"前傾 14 度",[21,332,333,337,339],{},[52,334,335],{"align":26},[173,336],{},[52,338,247],{"align":26},[52,340,341],{"align":26},"前傾 15 度",[343,344,345,349,352,355],"ul",{},[346,347,348],"li",{},"髖外翻：出生時為150度：成年人為125~130度",[346,350,351],{},"髖內翻：角度小於125度",[346,353,354],{},"股骨前傾：正常的嬰幼兒角度超過25度，成年人在15度",[346,356,357],{},"股骨後傾：前傾角度小於15度",[11,359,360],{},"接著是臨床觀察發展的時序",[343,362,363,366,369,372,375,378],{},[346,364,365],{},"Toe walking 墊腳尖走路：3歲以下兒童會表現出來",[346,367,368],{},"in-toeing 內八：可能是因為1)持續性的股骨前傾 2)脛骨內旋扭轉 3)蹠骨內收",[346,370,371],{},"bow leg O型腿：常伴有外八，大多在1.5歲前消退",[346,373,374],{},"knock knees X型腿：常伴有內八，大多在7歲前消退",[346,376,377],{},"flat foot 偏平足：大多數兒童是柔軟性肩平足，墊腳尖時能看到足弓；在6歲前會消退",[346,379,380],{},"crooked toes：在學會承重後就會消退",[11,382,383],{},"再給一張足部的發展",[11,385,386],{},[387,388],"img",{"alt":389,"src":390},"1.00","https:\u002F\u002Fraw.githubusercontent.com\u002FChinHongTan\u002Fblog\u002Fmain\u002Fpublic\u002Fimages\u002Fuploads\u002F1781786045671-Screenshot_2026-06-18_203336.png",[11,392,393],{},"FPA是足部前進線與跟骨到第二蹠骨連線的夾角",[11,395,396],{},[387,397],{"alt":389,"src":398},"data:image\u002Fpng;base64,iVBORw0KGgoAAAANSUhEUgAAATgAAAFACAYAAAAoDmDGAAAAAXNSR0IArs4c6QAAAARnQU1BAACxjwv8YQUAAAAJcEhZcwAAEnQAABJ0Ad5mH3gAAGv9SURBVHhe7Z13fBRl\u002FsffM7PJpndIAoRqILTQpYOiWEDxwI54ig2Vw\u002F5T8dCzoJ7t9PQ8O+p5WFEUBCwgRTxEEaUEAoSSQAKE9L5lZn5\u002F7M6wmQQIkLJJnvfrta9sZp6Z3Z2d57Pf7\u002Ff5Pt9Hqqys1BEIBIIWiGzdIBAIBC0FIXACgaDFIgROIBC0WITACQSCFosQOIFA0GIRAicQCFosQuAEAkGLRQicQCBosQiBEwgELRYhcIIWg3vzFopS+5MfHkHJ9BvQKyqsTQStDCFwgpaDrKDbI5HiO6JExoIkWVsIWhlC4AQCQYtFCJxAIGixCIETCAQtFiFwAoGgxSIETiAQtFiEwAkEghaLEDiBQNBiEQInEAhaLELgBAJBi0UInEAgaLEIgRMIBC0WIXACgaDFIgROIBC0WITACQQtAHXPHkquv4XCbt2oeP550DRrk1aJEDiBANCdToqnXUfFu+9bdwGgl5RSPPFiyu75P\u002FSiYuvupsXlouyRx9F37cV23sXICUnWFq0WIXACASBJElJgCFKA3boLACk4mJAHHyDoumuRQkKsu5sU1\u002FZ09EOHCH70AcJfe4mgaVeCLLo2QuAEgjoSYCNg9Chs\u002FVIhMMC6t0mRqhxI0TFIsXHWXa0eIXACQR3QXS4cS5bg3r3b3Ob6+Rec33+PevgwjsVfU\u002Fnqqzg+\u002Fgx1\u002FwHQ9WrHa4cO41jwJZWvvkrVe++jZhw9zzHRNNSM3VR98CGVr75K5auv4ly5Cr2qCgC9rBzHwsU4Pl8AB3NxLVpE1Vtv496VUeP1WytC4ASCuuBwUDXvv2jbdhzdtGo1la+8TvldD1D5\u002FD9xzP+U8rtmU3bXXWjZOWY75+YtlM66k4qH\u002F4Zz1Voq\u002F\u002FEqJRddguvnX0FVzXZWqpYso\u002FSaaTgefwrH0m+p\u002FPfblE27lfKHHkIvLkavrMSxajXOpcvR8vJxfLuCqnf\u002Fi5axG4S+gRA4geBkkKvHtiQJ9ZdN2EYOJWLlt0T9bzXBL\u002F8d7WAezt\u002F\u002FAEDLPULVP1+F\u002FCNELPqcyM8+IvL7xSijxlDx3HOoRUVHz+eDa9t2ql55FWXQQCL\u002F+IWoJYuISfudoKf+inPRCpxrfkKOiSbin88T\u002Fs7ryH17EvHOG0T9bxWBF54PsliPAiFwAsHpoZzZm6DLpiB7hc8+7mzkTklw+DAA6r596GvXEPz3Z1DO6AaAHB9PwMTzYMcu1L37anUnXT+shMJ8Qu6+B0KPDmoEX3YptrNH4VyyDL20rNoxmtd1FRxFCJxAcKpIEkqvVKSoSHOTHBeLJHF0yUKXC9UhU3bBeRTExVEQG0tBbCwV029CLSpCLy6pVeD0iiqkLmcgta0+cCAF2LB1PwN101a0SrEs4okQAicQnCo66MXFtcTRqguWEhpM4I0zsP\u002Ffg+Yj6MEHsN96K7bOnUA6Rjcsr26hAei6ju5wIIWHISmKdbfAwjGurOBUcLlcfPnll9x9993k5+dbd9c7H330Ec8995x1s8CfsNlQiyuwnT2W0P+7l9AH\u002F+\u002FoY84DKN26Qi3hMikqEv3IEdRdu6tbeC4X7s3bsY0agRwW7nuIoBbqVeA0TePBBx+kffv21l1NiqZpLF26lN69e7Nz507w\u002FhI6HA5KSkrQ6mlai6Zp5Obm8ttvv+F0OlFVlW+++Ya4uDgWL15sbX7a5ObmsmfPHuvmeqWiooI77riD6dOno9awVFoYkoTkcKLl5fs88o66m6eA3KkjygWjqXr6eVz\u002FW+c555EjVH37HRXPvoB2jEEG+1ljITqaiieeQNuzF+1IHtrhXMqeewFtWxqBE86HkGDrYQIL9SpwALGxsXTs2NG6uUmRJInk5GRuu+02YmNjAaiqquKdd95hzpw5FBQUWA+pF2RZplu3btx33310797durtZEBAQwPnnn88ll1xiBtJbIh4jyU3FY49SPGbs0ceI0VTN\u002F8jbyo2uuo4e5HRC1fHFT0lIIOSuWcgpyZTdMoPi0WMpGnU2jieeRO7aBckeZD0EAKX7GYQ++ThSUAglF1xC8bARFI0eh\u002FbjWkKfepyAAf3MtprbBVUO0Ovnh7olIVVWVtaMcJ4imqbxwgsv8MUXX7Bu3Trrbr+ivLychx9+mLy8PP7xj38QF3f6WeAOh4P333+f\u002F\u002F73v3zyySckJiZam9Qr\u002F\u002FznP0lPT+e1116z7mqVuLduo3T6beiF+dgvupCQpx9HCq6jlaPraPn56OXl1j3I0dFI4eFoeXlIIaFI3lFNvagY3eVEjosD6aifqeXlIQUGIkVEmNv0igr0oiJ0lwtJkiEsFDkq6vhTqnQdvbQMvbQU3e1CUhSksHCkyIhqr6dXVaEXlyBFRSLZa59q1lpR5syZ86h146mi6zrr1q1j+\u002Fbt3HTTTdbd1di1axdpaWns3buX\u002FPx8QkJCCAo6+muWlZXFzp07iY+PN9vm5OQQGBhIWFhYtXM5HA62bt1Keno6+\u002FbtIyAggEOHDrF7927i4uKw2WyUlpaSlpZGbGws5eXlbN68mR9\u002F\u002FJHc3FwSEhLIy8sjOjqaoqIi0tPTiY2NxWazgVe49+3bx\u002F79+2nTpg2S9+ZyOp2kpaWxfft2cnJysNls7Nmzh02bNnH55ZcTFhZGUVERGzZsICoqiqCgIMrLy0lPT8dut1NcXMzmzZvZvXs3DoeDqKioalZSWVkZmzdvZufOnezbtw+Xy0VkZKTZZv369eTl5XHRRReZx1jRdZ1Dhw6xZcsWdu\u002FeTXZ2NjabjfDwcDRN4+DBg2zdupWoqCjs3s5RVlbG+vXrzXaZmZnk5uaa1q+maRw4cICtW7eyZ88ejhw5Qnh4uHl8U6HlHsH51RKoqsTWPZmAc89GCqjjtCpJQgoJQY6KqvGQ7HbP\u002FtBQJJ9pWlJQEFJoaDWxAZBCQmoIjRQQgBQe7jlfZKRHeC3H1UCSkOx2pAjvcRERSEFBNY6TbDaksFAk7\u002F0qOMpxfj4ahoqKCm6++WYuvfRSZsyYwbPPPsvVV1\u002FNNddcw08\u002F\u002FQTeTrlkyRJmzpzJN998w6233sozzzzDxIkTuf3228nKyjLPV15ezgsvvMAll1zCnXfeyZ133snUqVO57bbbuPvuuzly5AgAe\u002Fbs4c4776SoqIjMzEz+9re\u002FsXTpUtatW8e9997L3LlzOXToEGvWrOGhhx4iLy\u002FPfA2Hw8H8+fN55JFHcLvd4BWBuXPncskll3DvvffywAMPcOONN7Jjxw5TAHVdZ8uWLdx2222kp6eDV7ifeuopPvroI6ZPn85jjz3G1KlTmTZtGsuWLTNfs6CggMcee4yLL76Y2bNn85e\u002F\u002FIVLL72UZcuWnVQsbMeOHVx11VXcfPPNPPLII0ybNo1Zs2axa9cudF0nMzOTu+++my+\u002F\u002FBJd13E6nSxfvpyrrrqKjIwMdF1n\u002Fvz5vPHGG+C9FkuXLuWKK67g1ltvZe7cuUydOpXVq1dbX1ogaHIaVeBUVeUf\u002F\u002FgHH330EXPnzmX79u0sXbqU5cuXs23bNv71r3+Z8bDAwEB27drFvHnzWLhwIUuXLmXlypVs3bqVl19+2Tznl19+yQcffMCHH37Ipk2b2LRpEw899BA\u002F\u002F\u002FwzgYGBPq\u002FuiYlJkkTfvn1ZsmQJM2bM4JJLLmHdunUsW7aMTp06IUkSwbW4NYqimJZTZWUl\u002F\u002FnPf3j99dd54403+O2331i1ahW33XYb\u002F\u002F73v6tZooqi1LA4Dxw4wDvvvMPTTz\u002FNt99+y\u002F79+xk8eDAff\u002FyxKV4VFRWkpqaybds21q1bx\u002Fr165kyZQpvv\u002F02+\u002Fbtq3a+4+F0Orn55pvZunUra9as4eeffyYvL4+lS5ciSRLDhw\u002Fn6quvZtGiRZSUlFBYWMizzz7Lk08+ydixY83PrHhTEnJycnjggQe46aab2LhxI8uXL2fDhg307t3b8soCQdPTqAJ35MgRfv75Z2bMmMGkSZPM7UlJSSxcuJD\u002F\u002Fe9\u002F7NhxdK5f586due+++4iKigKgV69e9OvXj5ycHCorKykuLubLL7\u002FkT3\u002F6EyNHjjSPGzduHLfddptpSdWG2+2m6hQzv0tKSvj444+ZNWsW55xzDngFYPz48dxxxx1UVlZaD6lGcHAw1113Hf36eQLFiqIwYsQI040G6NChA1OnTqW8vJyff\u002F6ZZcuWkZ+fz549e07qfaempnLZZZeRkZHBypUr+fzzz3E4HGRnZ1NSUgLApZdeisPhYN68ebz\u002F\u002FvukpqYyfvx466nA+15DQ0PJzMykrMyTpxUZGUnXrl2tTQWCJqdRBc5IybjyyiurbZckic6dOxMZGUlGRgZ44zzx8fEMGjSoWtuoqCiqqqooLy\u002FH6XSSlZVlioyBJElEREQ02KhfcXEx4eHh9O\u002Ff37Rs8I44duvmmY5zPBITE+nfv3+1bb6fC6C0tJS\u002F\u002Fe1vTJw4kauuuoqHHnqIDRs2YLfbT+pz7dq1i7PPPptLLrmEadOmMX\u002F+fPbt2+epf+b9AUhMTOQvf\u002FkLL730EkuWLGH69OnHTPVJSEjg1ltv5d\u002F\u002F\u002FjcXXXQR77zzjimUAoG\u002FUfeeUk9IknTcDurr3tlstloD176ikpubW+1\u002Fg9PJbXM6nTWO1y3TaY71OazH1YaiKDXcZwObzUZZWRnvvvsuixcv5h\u002F\u002F+Af79u0jLS2N\u002F\u002Fu\u002F\u002F6O4uO7VZA8ePMjVV19Nhw4d+Oqrr8jOzmbJkiWcddZZ1doZbrnL5ULTtBoutS+BgYHccMMNrFu3ji5duvD3v\u002F+dc889l61bt1qbCgRNTs0e2oCEh3syrz\u002F55JNq23VdJysri9LSUjp16lRt3\u002FFQFIX4+Hi2bNlSbbvT6SQzM\u002FOkgvEGdrudzMzMakLidDrZuXOnafEEBweTn59vJg0bVFVVsWLFCgLqOnJ3DMrLy1m8eDFTpkxh2LBh4H0P2dnZx3W7rRw5cgSHw8G0adNITk4G72wLq0geOnSIf\u002F\u002F739x888306tWL1157jaJjJKAaJCcn88EHH\u002FD111\u002FTtm1bPv30U2sTgaDJaVSBa9u2LcnJybzxxhvVMvsPHDjAZZddxvDhw+nRo0e1Y45HZGQk1113Ha+++mq1vLvly5fz+eefV2tbGwkJCezatYsKb6Z6YGAgffv2NVM78MbqFi9ezJdffmkKV3R0NEOHDuXZZ59lxYoVZrtvvvmGr7\u002F+2kwvOVUURaF9+\u002FasXr3aHM3duXMnr732mpmqURfCwsJQFIWMjAxcLk+C6rJly8w4n8Hnn3+Oy+Xirrvu4u677+bnn39m0aJF1doYFBcXm8IuSRJJSUm0a9fupIRXIGgs6l3gHA4HmzdvplevXtUe48ePR1EUnnzySS644ALuuusuunbtau7r378\u002Ff\u002F\u002F734mM9FRmcLlcNYL1uq5TUVFhxqkURWHy5MmMGzeOcePG0aVLF1JTU3nvvfe46qqragiNr\u002FsYEhLChRdeSEFBAUOGDOGKK64gIyODNm3aMHPmTGbPnk2nTp3o3bs3X331FTfddBMOhwO8wvHAAw\u002FQr18\u002FrrzySrp3705KSgqLFi1i7ty5VFRUmC6tqqrm+zVwOp01XF5d16mqqsLpdBIbG8sdd9xBSUkJw4cPp1u3bsycOZORI0dSVlZW7dzHs1Lj4+O54YYbeOWVV+jSpQtJSUl8+OGHxMTEoKqqOYXtjTfeYNq0aURFRdGxY0f+\u002FOc\u002F89hjj\u002FHTTz+Z18z4W1JSwi233EJkZCS9evWiW7dulJeXc9VVV1leXSBoeup1JoOu62ayrRW73c64cePAK15paWkcPHgQvBZR3759CQ0NNdvv2bOH7OxsRo8ebW5TVZXffvsNl8vFkCFDzDhWYWEhP\u002F\u002F8M3itupSUFJ555hnS0tL44IMPiI6OpqSkhK1btzJo0CAzrqeqKtu2bePAgQPExMSQmppKcHCwmQhcVFREREQEPXr0oKioiKKiIgYOHGjG3oqLi\u002Fnjjz+oqKggJCSEfv36UVJSwoEDBxg4cCB2u52CggI2btzIkCFDiIqKorS0lB07dtCtWzeio6PNz3bo0CF27dpFz549iYuLQ1VVMjMzycjIQNM0unfvTkBAABkZGQwePJjw8HAyMjIoLy83R2Nro6qqirS0NHJzcwkKCqJPnz7s2bOHsLAwunXrxoEDB8jOzmbQoEFm7C0vL4+NGzeSkpJCUlISu3fvpqqqij59+uBwONi1axf79+8HIDQ0lF69ehETE1NrTLIxOa2ZDIIWSb0KnL9QWVnJrFmzcLvdvPfee9bdghaKELjTR6+ooOyBh3F9+B4Rv\u002F+BktShWYcfmvYntx7Izs4mMzPT\u002FF\u002FXdb7++ms2btzI2LFjq7UVCAQnICCAwPPGEXTXXcgREc1a3GgJAvf7778zbtw4zjnnHC677DKGDBnC3Xffzdlnn83ll19ubS4QCI6DFBCA\u002FeKJhDz8MLJPpeLmSrN3UQ8ePMi8efNYuXIl+MwSmDhxYq1TrgQtl9NyUTUN9\u002FbtyPHxSIoNdd9e9IoKpOAwlDO6IkUcLS6p7tyFFBYK9iC0vXuRIiNROneGABt6WTna\u002FgPoRYXomoYUHo5yRrcai0XrZWWoe\u002Fail5YANuSunaC8HC2vENugfkgBAWYNOKVrF9T9B9DzjmAbNAgpyO5ZUnBfJlruYVA15Ph4lI4dq63ZquUeQcvKQndUIQUEInftghwTC7KEXlqGmpmFXuJJB5Li2mDr2sVToHP\u002FAbSDhwkY1B+8Oaa6y4W2\u002FwBaXh64nCDbULp0Ro5va07+14qK0PZkonTv5ql7d+gQqG7kdu1ROiaZ52pMmr3ACQQGpyNwusNB6Y0zUAYOQM\u002FMQt20Bd1VBQfzUM49i9Cn5yLHxgBQesc9SHY7utOJ67\u002F\u002FIeCyywl9+kn0kmIqnn0J9X9rkcIj0N1OyC9GHjCYkGceRenUEUmSUA8fpuKFf+Ja8ClybBy6piC3jwNbEHpGJhErlyDHxlK18CscH39GwMjhON58D233NiLTt6PExVL5n\u002Fk4572DJAeiOSqRVBn7XbcRdOUVSGGhOH\u002F6H5XPvoCWuReCQyDnEAEzbyPszlmoBQVUPvMCrhUrkCIj0YsLkTt0IPzNN5CT2lP+wku4\u002FvspkWu+QwoPQ6+opHLe+zjnvY3u1CAyDH3fAZTkMwh+dA6Bo0aAzUbV98txPPsytsH9cf24Hmwq6qatKN17EvavF7ANGWi97A1Os3dRBYL6QUKXFaqeehF50AAily8j6qc1BL\u002F6Iu6Vy6l69z\u002FoZd50n7BQXCtWortUovfuIfyNfyPZbFS89hb6D6sIefN1ItasIGrdWoLfeR33L79R+fqb6KWlAFS9+S6uDz4jbMFnRP36M9G\u002F\u002FYRt0iWom7YjRR21FCWbDdwu3K++SfBTjxBbXoqtYxKuH1ZT9beHCbp9JpH\u002FW0X0779iv+8OKh+aje5wgMtF5Xv\u002FAVUhavVKotetJeJ\u002FqwkYORwA1+ofcbz5JuH\u002FeZeotSuJ2vgrwY88jBThncESYEMKPzqbxfnt91T9\u002FWnst99O9NaNRP+0hujtf6DExVJ180xQfWbv5B7G\u002Fd1ywj96h6hVy4k9mImuV1LxxuueopyNjBA4gcCgvISgW64l6OKLwOZxpwJHjSDgz9NxfvYZunfOrV5UiJySTNjTj5uuq5qTg\u002FbbBgKffozAgQPM4HzgqBEE\u002FfUu1JU\u002FoOYcRCspwb3xN4IffYDAvn3Nlw6edBEB46sPikmygrZnD4HPP0nQhAkgy+gVlTgWLyNw+i3Yr7zM4\u002FZJEgHDh6KkDqJq3vuohw9DlRNwohV5Zq0o7dtjHzkC7IHobhdyaDBqQT6604kUEEDg8KFI3hxUK46FXxE4aTLB10w1t0kREQTeMRO3KlH54cfmwjua20Xw359ASergaRhkJ2DiRegHj5Yfa0yEwAkEBkGh2AYPQo72VK8BPDG0lB7ohw5UaxrQK6VaXE7LzIK2iSjdk01xxDvbQ0lKgsBQz9oKe\u002FdBcAi2Pr0h4GgiumS3IyW0Nf8H0DUVKSwC2xlnHD2npqIVFeJetpSSiy6ieNw4iseNo\u002Fz661C37kQrLkGOiSH4tlvQcrIpnTyZstkP495zNDfVft54lHPOo\u002FzmGZT++UaqFn9dI\u002FHcF72sFNuAVAiqPi9cTmqP0iUJdfPRechyhw4oHbzi5kWKjUH31mVsbITACQQGkkSNJa50HdxuJJtPJd\u002FQMKTouJopFMdIdJYk2bPEn6KglleAw1F7W19XDwAdqUMHZJ\u002FS5wZS92Skbj2OPnr3wzZmOLYeySDJBI4YRuSXX2AbMw7Xgk8omXgRzpVrQFWR27Yh4uP\u002FEPzoo+gH9lFx402Uz7of\u002FXhlvqyfFTzLHcpSdeELDGySwYRjUctVbjx0XefLL79kzpw5ZsXYuqDrOt9++y2vv\u002F66dVe9Ulpayuuvv86cOXNExdrWQGU56s6d6BVHO7pWUoK6ZStyjz7gnYusu1Xwzu01kNu3g0M5aHv2VlsnVdd13Pv3ozsrUc7ohq1tWygvw21ZDU0rr0DdXYcV0rwirPTpS\u002FjL\u002FyDirdeOPj75D0HXTkUK9lTkkTsmEfbSc0QsX44yYjSVz72EVuKJAwIE\u002F\u002FkaIpZ\u002FT\u002FA\u002FX8b940pUHyuvGsEhuLemgcNZbbN+IBtt7x4CLCXN\u002FIkmEzi3282rr77K9OnTeffdd1m6dKm1yTHRNI3Nmzef1DEnS3FxsVmK\u002FMMPP2T9+vXWJoIWSNU77+Nc86MpUlULv8L54X8JuOZK5GPEqACUjknIyT1wPPw4rk1bTJfPtf5XHH9\u002FBWXEMOQ2cShdOyN160blQ3Nxbt5sHu9cvAT1100+Z6wdKTiYwPPPwfnGf3As+9Z8n3p+ARUv\u002FBOtsAitsBDndyvA6RFhOSEBJb4tBHsE2rXhN6j0FE2VgoJQkrt5XOTarDQg4NyzcX35JZWfLTC36aWlOF57C3QJ+4Xn+ZXV5kuTCVxpaSkff\u002FwxU6dOJTs7m6+++sraBLylu+fOncvs2bOrbfct2Fjf6LrO\u002Fv37+eijj\u002Fjggw\u002FYs2cP999\u002Fv7XZaeNwOHjuued49NF6W\u002FenGrq6A9xLPA91I3DsiflNja7rNR6njK6ju05+xE6KjiXgkglU\u002Fv1FCs8cQWHPVBxPPof92j8TdPHEozlmLhe6pciBFBFByD2z0Hv2oOyqaygaNIzCIcOovPlWbGOGEPrQgx5XU5YJveMvKAP6UnbOBRT2G0xh\u002F6G4Vq7AdtaIaudE1cB3mUIARcF+wXkETptC5QOzKezRj8Izh1M08mzUtT+hu93o5eVUvvUOBR27UTjwTEqGjsb93feE3HMncnQU7vQdFHTpQmHfgRSeOYKyy65COW8csjEw4FarWbHBV1xG4C23UPXUUxR06eU95xjUzCzCv\u002FoMvKuMAVBeAdaaiG7NO+jR+DRZHlxWVhZTpkzhzjvv5Nprr7XuNiksLOTGG2+kY8eOvPTSS+CdJP\u002Fiiy\u002Fy448\u002FHlMYTwdVVfnxxx+59dZbmT9\u002Ffo2qwvVFeXk5N954I927d+fxxx+37j5tdPcqqLoJSc8G5WIIfh+kuuWFNRaFhYXIskxoaCiqqhIQEGCKm7GGhq7rdfoxM\u002FPg8nOxjRpK+Ov\u002FrpFgeyx0h5OSm28j6PIp2Ab0R92+DaqqkNt1QOnZo9p53L\u002F\u002FgRQaglLLWrdafj7qzt3oebkASO3bY+ve3ZMYbKDrqNk5qNu2g6MSKSYWqX17Kl59DX3bDsL\u002F8zZybCxqdjba\u002FgPY+vUz3U7zFBUVuNPS0Q8dBDSk8CiUvr2RYqLB5ULbl4m6Zy+4HMghYUhdu6B06giyjJZ7BHV7+tEk38R2KD16IHtTQ9w7d6HtySTw3LPAW5FHLy9H3bPPM5iiu5GiYpC7J3ssQy\u002FqkSOom7cRMGRgtQEY945d6PsyCTh3HCiNa1M1iMDpuk55eblZg0xRFEJCQszyRRUVFRw4cIBrrrmGO+64g4suuojg4OBq1XzxVh3JycnhL3\u002F5Cx07dmTu3LnYbDZCQkJ48cUXWbt2LQsXLqSiogKn04ksywQHB9eolquqKmVlZWbJn9DQ0BptDDRNo7y8nB9\u002F\u002FJE5c+bw8ssv07t3b8LCwsx6cJWVlTgcDnRdP+Zr4q3kUVVVZbYLCgoyK5m43W6OHDnCXXfdRY8ePbj77rsJCAg4bjXdk0Y7CJV\u002FAm0zKGdD8H9AOv31X08VXddxuVyUlJSwfPlyli1bxv79+7Hb7dhsNhISEjj\u002F\u002FPMZPXo0UVFR1cpdGWJ3PKoL3DDCX3\u002F15AVu8iXYJx9dL6SxUA8coOyeB1C6diF0zoNI9XkftGLqXU5LS0t58cUXOeussxgwYABjxoxh4MCBzJ4926ww+9xzzzF27FjS09O57777GDRoEO+++2618+i6zk8\u002F\u002FcTQoUP58ccfmT9\u002FPgMHDuSOO+4A7w2vaRo\u002F\u002FPADU6ZM4YILLiA5OZm\u002F\u002FvWv1Zb8y8\u002FP58UXX6Rv376MGTOGrl27cscdd7B7926fVztKYWEhM2bMYPr06aSnp3PllVcyduxYNmzYgMPh4IsvvuDKK69k6NChnHfeeaSmpjJz5kw2b95sWh5Op5OlS5cybdo0hgwZwgUXXECfPn244YYb+OWXX9B1nbS0NAYMGMC3337La6+9RmpqKvfdd5\u002F17ZweUggoYzzPtS3gXmVt0eAYdec0TWPPnj08++yzTJw4kbvuuovPP\u002F+c9evXs3r1alasWMH8+fO54YYbuPDCC3nooYf45ZdfcDo9ro21FPxpubBNjHvbdrS8fPN\u002FvbISx5Lv0Db+7lnLNbhuoiw4MfUqcIbr+Oyzz3L\u002F\u002FfezatUqli1bxj\u002F+8Q8+\u002FvhjnnnmGQDuuOMOFi1aRHJyMo899hgrV65k6tSjSYR4Y2zDhg3j22+\u002FZdiwYVx22WWsXLmSZ5991ty\u002Ffv16Pv30U5577jm++uorXnjhBb744guzRJKmabz33nt89NFHfPTRR3zzzTesXr2a0tJSXnjhhRqdBu\u002FiL\u002F\u002F4xz94+eWXOeOMM3j77bdZunQpqamprFixgpkzZzJkyBCWLVvGokWL+PDDD\u002Fn+++956qmnOHDAkyv166+\u002F8sADD9C1a1eWLFnCV199xRdffMHevXv561\u002F\u002FSkZGBikpKfzwww+MGzeO6dOns2bNmvp3U6VQULyrjel5oO61tqhXVFVF13VT0IzrW15ezpdffsm0adN46aWX2LJlC8XFxWZ7X7FyuVzs3LmTN998k2uuuYZ58+ZRXFxs1pozznkia86fcS5aSskFF1By9XWUzJhJ8dkXUfXwHGyTp2AbNbLR3biWTL1eydzcXJYvX84999zDFVdcQefOnenQoQMXX3wxf\u002Fvb3\u002Fjqq69IT08nOjqa+Ph4ZFkmPj6eTp06mZV8fQkKCqJjx46EhIQQGRlJ586dadOmjbk\u002FKSmJm266idTUVBISErj00kvp1KkTe\u002FfuxeVykZuby4IFC3jiiScYOXIk7du3JzU1leuuu45NmzZR6p0644uiKLRp04b4+HgkSaJ9+\u002FZ06NABXdf56KOPuOSSS0zxSkxMZOTIkSxdupRNmzaxd+9eVFXl+++\u002Fp3\u002F\u002F\u002FjzxxBN0796dhIQEhgwZwrvvvsvWrVv5\u002FfffCQgIoFOnTgQGBhIUFESXLl1o27Z6oufpYwO5M0jePCotDfQca6N6w7CqjQEgwyX99ttvmTt3Ln\u002F88Qfl5eXVBM147it0htV38OBB5syZwwsvvMCBAwfMRbeN\u002FfVpxUmShNI2xoxDNSQB48dhu\u002FAi9Jx96OlbkdrHEfKvVwh78hEUS5hGcHrUq8AVFhZSWlpaY1lAgAkTJlBWVmauNH+6aJpG+\u002Fbt6dmzZ7XtcXFxlJSUUFpaitPpZPfu3XzwwQf85S9\u002FMR9vvvkmDofDrEpbF0pKSnA6nQwaNKhGvC0mJoY+ffqwadMmqqqqKCgooHfv3jVWBIuJiWHkyJGkpaXVKMfeYMhxoEzxPNe+B\u002Fd2a4t6wRAbw7LSNI2qqiq+\u002F\u002F57XnjhhRoL9JwIw1KrqqrinXfe4bnnnjOXlGwQAgMIe\u002F45TyC8gQkYNICwJ\u002F5G5OrVnsfnnxB0xaVItcRxBadHvQoc3rVBjYWaDSRJIjo6Gk3TzHUNThejQ1mD8tZfdcPl+e2338zH\u002Fv37ad++fY1BjRMRGhpa47PhtfoiIiLM9RHsdjsRtWSf22w2IiMja3WNGwypAyieSdboBaDnN0i6iOGaGoMBmqaxceNG\u002Fva3v7F58+ZTdiltNhulpaW8\u002FfbbPP\u002F882Y5fOP1BILjUa8CZ7fb0TSN77\u002F\u002Fvtp2XddZuXIlUVFRJCQkVNvXkMiyTExMDC+\u002F\u002FDLr1q0zH+vXr+err77ijDPOsB5yTAIDAykuLubXX381hczAWO+hR48e2Gw23G43W7ZsqdGuuLiYX375hR49elSz7mpb17VekSI9DwD1a6\u002FI1Q0jlmb94bAiedeJNdoXFBSwZMkS03KzXosToSgKkiThdrvN1\u002F\u002F666\u002F59NNPKS8v97iUDX3dBM2eehW49u3b079\u002Ff+bOncv27UddoT179vD000\u002FTt29fevXqVe2YE6EoCkFBQeTknHzsKCIigqFDh\u002FL6669TWFhobs\u002FNzeWHH344Yaf1JTIyklGjRrFgwQKWLl1qWg8FBQXce++9xMXF0b17d+x2O8OHD2ft2rV88sknZtyopKSEZ555huDgYHr16lUtBeLIkSO1xgPrDdsAkAd4nmvbQK++ytfxkGW5TikahkVltFu1ahVLly6tdSChLhjH+VJaWsp7773Hhg0bzDicQHA86lXggoKCmDt3LoqiMHLkSLp3786AAQM488wzcbvdvPXWWzWq7FpvYiuhoaF06dKFxYsXk5CQwKxZs8DHsrCiqqopKhEREdx+++2kpaXRqVMnBg8eTJ8+fejbty\u002FLli077mvrum6eB6\u002FrfdNNNzFu3DhuuukmevfuzaBBg+jfvz9paWk8+OCDdOvWDYCJEycyadIk7r33Xrp3787gwYPp3bs3q1ev5pFHHmHgQE\u002Fhv4CAAM466yw+\u002FPBDunTpYqbA1D9xICUCEuiloO2yNjhtZFk2ra7Dhw+zbNkydu3yvM7xrvPJoGkamZmZvPLKK2zfvl2InOCENEiib3FxMUuXLiUzMxNZljnjjDM4\u002F\u002Fzzqy0LWFxczIIFCxg2bBi9e\u002FeudryVwsJC5s+fT1lZGf369eOCCy5g9erVZGVl8ec\u002F\u002F9ls53K5+PDDDwkICGDy5MmmmGZmZrJw4UKqqjzz7\u002Fr378+oUaNqxO8MdF1n7969fP7551x33XXVRjddLherVq1iy5YtOJ1OEhISOO+882jXrl21czgcDn755Rc2btxIZWUlUVFRnHfeeXTt2rVau+LiYr766itycnJITU1lwoQJ1fbXD05wvgWOv3pELuA2CHrK2uiUMKwzw3JzuVysXLmSBx54gB07dlibnzaSJBEREcGDDz7ILbfcQojvDIPTSPQVtEwaROAE\u002FoYO6s9QeYnHglOuhJA3gOqjvCeLqqpmHMyIkxUVFfHvf\u002F+bZ555pk6xu1Nl9OjRPP\u002F88\u002FTp08fMkRMCJ7BSry6qwF+RQIoHyZNDqGvbQD1168oID\u002FgOKhhkZ2fzzTff1BpDq082b97MwoULKSwsbNDX8Wdqi2029HVvbgiBay1IUaBMA0BXt4B7i7VFnTESefHG3gw0TSMjI4P9+\u002FdX294QFBcXs3HjRg4dOtQqO7RhHVs\u002Fe10GhFoTDXsXCvwHKQaUUYC3mKx+yBObOwUMgdN1vdooqdvtZu\u002FevVRUVCDLcrWR4oZg+\u002FbtbNq0iYqKCuuuFo\u002FuLeBg\u002FSER4lYdIXCtCTkUpPae5+rn6OpudG96h9USOBG6z8CCYTUUFxezY8cOnE4nbre72ih0faMoCjk5Ofz444+NNyukFk72up0stVlpnCB3srb2rRUhcK0JJRlsF3iea+lIWmG13LWTwYi7GXE4XdcpLCxk\u002F\u002F79DSpsBqqqoqoqO3bs4MCBA43aqY0fhVO9dieD5J0VcjI05rXwd4TAtTCOdXNrmoaqhoDUBVA807X0bShydTEyLIZjWQ4GhgWh+7hKLpeLsrKy4x5Xn0iSRFZWFtu2bTtpETgdJO+sDat72FAcz1qjllkijfW+mgPiSrQwrB29htgoqSB1BFzgXo6megqB+lolxqPGsbVgdCbdmyJSX3ON60phYSH79u1r9Nf1F+ryHbVmhMC1MKy\u002F9lYXSiMV5ARAB\u002F0wslKFoiimRWIIlrHNah34IkmSOZtA13UqKytxuVw13kNDoXsHOQ4dOtSwU938GEnMyT0uQuBaOL6\u002F8IqigGTzTtsCt5rF7h3zeOqpp5g9ezYvvPACS5YsYd++fVRUVJjWoNUq9MV3RPXw4cMUFBQcVxTrG5fLRXZ2NuXldZ9f2xAYYltXy1fQOAiBa+EYnc1wQd1qCG6mgAK6lsPvvz7F3Llzefnll3n00Ue57bbbuPzyy3nxxRfZs2ePKWC14duRXS4Xsnd9isaMAWmaRn5+Pvn5da+Q0hD4\u002FggIgfMfGu9OFDQZhkWlaRp\u002F\u002FLGFN9\u002F+gooyzzrG7dt7FiOXZRm3201eXh7bt2\u002FnmWeeYfbs2axduxaHw1GrVWYE23VdJzAwkNjY2OMKYkNx5MgRiouLrZsbFUVRqrn6Av9AfBMtHNln6b1du3bxxhtv8NHH37Bpi+fbT4yH88+tXjnFiK1988033H333Xz99dc4nc5q1TsMi1BVVVPUJEnCZrPVKoYNhSzL5opqAg96HUbBWwvirmjBGHEhXdfJzc3lzTff5LPPPuP3TRVk7AE06NgJRpzpaW9YIIZ4AWzbto0XXniB5cuXVzun8dw4BiA4OJjQ0NBGDXprmkZgYCCFhYWUe5epbK0YPzhYptO1ZoTAtTAMQfMVKafTycqVK1mwYIG3Qq7Enn1QXu6ZttWtKyTEH13MxcCw6tLS0njrrbfYvHmzuc8QN+P1JG8Zo8YUN4Pi4mKPu1zPHdr4bP6O5lP8QPHW5BN4EALXwjBubkOoJEmisrKSNWvWmJU3dF1nwZcyezI92SJ9UqBLJ8uJfNA0jTVr1vCf\u002F\u002FyHw4cPg\u002Fe8Ruf3dU9jY2OhEZNNjVSWqqoqGqJfNwexEHG\u002FYyOuSgvDcDF9ZxoYi+34xsayD2qUlXoELroNRNdcS8dE0zScTidff\u002F01q1atMtdJ0DTNfB1N0+jQoQOJiYmN6h4ZLmpFRQXqcdJZToWmsEYF9UurFDjDimmJGJ\u002FLELOqqiq2b99uLkptoKqwcRNUuT2jqGePhWP1Z+N6ZWdns3jxYgoKCqoNXhjWYlBQEO3bt8dutzfqQIMkSXTs2JHQALHsnqA6rVLgWjqSN31DkiSKior47bffaqRRuFzwwyqoqoQgG4wcBvIJjC5d19m+fTt\u002F\u002FPEHDofDFDfDPZJlmc6dOzd4mSQroaGhlJWVUeFu3YMMgpoIgWth+MbG8K76VduKZLoOeflQmA+SBCGhEBtzDBPOh4MHD7Ju3ToqKyvNoLbmzd4PCAiga9euhIeHWw9rUEJCQkhMTCTEFmDddVq0VCu\u002FNdEqBa4xY0RNgeQtsaNpGoWFheaMBCsHsmHDRk9xkcR4uP3mE7uVJSUlbNq0iUOHDtUYddV1nfj4eEaN8hTWbGgMyzEuLs4c3KhPDOEWNF9apcC1FHzFxRejU7pcLkpLS2tYdQYHD8P2HZ6Bhohw6JdqbVE7+\u002FfvJyMjw0yjMNxhvGvjjhw5EhphJFWSJAIDA824X33ja50KmicNewcK6g0j0O\u002F7qM0qwzKFyuVyeVMoarbVdcjc73FTkaBdIvTsYW1Vk+3bt5OZmYnLm1hrvBdJkrDb7aSkpNC\u002Ff\u002F\u002Fjvsf6wBjF7dq1K4mJngIC9c3J5JUZ34vAfxAC58cYHcawIoznxuNYnclwURVFwe12H3flqW9WyPyxxWPFdekIA\u002FtZW9RORkYGJSUlppWm+1hyZ5xxBiNGjCA4OLjBUy2Cg4Pp1atXg1uLguaJuCv8EM075cYQMl98rYkTWQyqquJyuWosSu1LQYFGXj5oGoRGeKy4umhFTk4OFRUVpuVmWIwACQkJnH322ebrNpT46LpO37596dKlS4MLaV0wroU\u002FovtMsWtNNMydJzhpjHiW702oaRpFRUWsXLmSefPm8dZbb7Fw4UI2bdpEeXm5KYCGGPoKnuEudujQwfz\u002FWCz7Dg4f8TwfPADi21pbHMU4z8GDB80qI76vj7cz9enTh9GjR5tJwQ3FqFGj6Ny5c4O+RktAaqWFMYXANTG1dUxd13E6nXz\u002F\u002FfdcddVVXHvttdx\u002F\u002F\u002F3Mnj2b2267jUsuuYR7772XrVu3VjsGn5E\u002F2Tt9JyIigrCwsONaer9uhNIyzzINA\u002FpD3HEGJH1f5+DBg9WsN+M1JUmiffv2TJkyhYiIiAaxbGRZpmvXrgwZMoTg4GDrboEAhMA1LVaryxA7Y3L8Y489xk8\u002F\u002FURRURGVlZVUVlZSWlpKfn4+8+fPZ8aMGXz++eeUl5eb5\u002FAd0dQ0jZCQEFJTjz88WloG2fs9gw52O7SNO\u002FFtoaoqcXFxSN4RWkPkdG+cUFEUevXqxfXXX09oaCicwIo8WWw2GxdccAF9+\u002FbFZrPV67kFLYcT38mCBsNXiPCKk6ZprFu3jjlz5lSr3lEb27dv55FHHuH999+nqKiohmBKkkTbtm1JTk62HlqNwiKJb3+Q0GWIjICrL69pVRoY1lhERIT5fjmGJdq2bVuuv\u002F56xo8fT0BA\u002FSThGvG8Hj16cPnllzfY6KmgZSAEromRvbMBDEpKSli0aBG7du1CUZRqgmVgbHO73WRmZvLII4+wcOFCs\u002FCjIZy6t9Juhw4diI+Pr3YOX5xOnZyDuseCC4Qe3a0tjmK8tjXvzDdnzHBVZVmmZ8+eTJ8+3Xz9U5nGJcuyaaUZ573ooovo2bOnKazWayQQIASu6dF8FhDWdZ09e\u002Fawbt06M3jvi9G5rTidTj766CN+\u002FPFHs\u002FKu0eHtdjupqal07NjRelg19mXBtm2eWQ1tYmHUcGsLD4Z4JiQkEBkZCT6ip\u002FgUvzTaqqrKkCFDmD17Nl26dEFVVWw220kFvDVNw+12I3lLMp1\u002F\u002FvlceumlhIeHm4Lury5qbZatoPGo2VsEjYZhkRjPnU4nv\u002F32G+np6bUKgCGGVjRNY8OGDXz22WcUFRWZnd34261bNwYNGlTrOQ22pMGmzZ58uPYdYMol1hYeDEGJjY01Y2u14WvNRUREcOWVV\u002FLkk0+aIncyoqR41zuw2Wyce+65PP7446SkpCB7XWTf6+hv+Ov7ai2Iq9\u002FEGNaPrusUFhayadMm3G53tTUS6oKqqvz888+sWbOGysrKakIYEhLCiBEjjitIVVWwew9UVYDNBnHREBRU8\u002FZQVZWIiAi6du1KSEjIMUVK985i0LzVRoKCgjj\u002F\u002FPN5+OGH6d27N7J3UOJ4QmfsU1UVWZZJSUnh9ttvp2fPnuB9L8c7XiCoeQcLGhXD+tB1nYqKCrKysk4pnqTrOnv37mXp0qUUFhaaloPsjfENHjyYkSNHHlcQ1vwP9mZ5rLiB\u002FWHwgJrWoiRJ9OjRgwEDBhAUFASWkVsDw1r0FbLAwEAmTZrEu+++y80330x8fLz5fmSfuJ1xPuPRrl07br31Vl5\u002F\u002FXWGDRtm7re6xAKBFXF3NDGS18oBKC8vPy2BU1WVdevWsX\u002F\u002FfiRvTM8Ql8TERK6\u002F\u002Fnp69OhhxsusrP8VCgo8AteuA7SvZQJEcHAwgwcPplMnT41z4zVqw1ekDBGz2+307NmThx9+mNdee40bbriBxMREdMs0tKCgILp3787EiRN56aWXeOSRR0hNTSUwMLCGmAoEx0IInB9gjEAWFxcTGhp6Wh24sLDQHKQwziNJEgEBAQwfPpxJkyYRFhZmbvdF1WBXBjhdYFOgby9PXpwv7dq145xzziEuLg6OM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ISHYbDbcbre1WYulsEDD4fAMNCS296x8Xxd0XSc+Pp5JkyYRGxtrxtxaetxSUH8IgWskfN2oNm3aEHg6Wa\u002FNjL1Z8MsvgAJt42Di+dYWNZEkCbvdzrXXXkuvXr3QvQv1CAQngxC4RsIQOEmS6NChQ6uqXZadA9t3eAYaYmJg1HBri5rouk5ycjLjx48nMvLoTH0xqCA4GYTANRKGWxUSEkJMTEyriiPpOuzNhOJCkCRoEwtt4o7\u002F2QMDAxk9ejQ9e\u002FY0BxIURUH2LjAjENSF499lgnrDsDpkWSYqKoqIiIhW5XIt+VZmyzaPFdc\u002FFcafffzPnpiYyNixYwkLC0PzWW7ReC4Q1AVxpzQixtzUpKQkYmNjzcGH1kBevkZpmceai2kDSe091tyx6NmzJz179qwmZiItRHCytEqBMyyBpnB1JEkiISGB9u3bt7oRwTU\u002FQWGR53mXzhBbfcYV+Fi6w4YNIyEhQVhsgtOiVd45Rj5aU5Urstls9OrVy7q5xfPlYsgvAFQYOhgSE60tPD8+nTt3pk+fPgQFBYGfTsETNA9apcA1JYqiEBYWxoABA8wO3FooK4fDh7xuahy0T6x++xlClpCQQFJSkumOtqZYpT9yKl6Gv3xnQuAaGU3TCAwMJCkpib59+1p3t2gqKmHdr+DSIDIcpkzydAIjtmY879+\u002FP\u002FHx8eZxwoJrfIzqNwYnK3L+Elbwj3fRijDmpXbq1ImhQ4eC12VtDVRUQNo20HSwB0LHjp7turdyiK7rRERE0LFjR3MhmdYWp\u002FQXjFHr5o4QuCYiIiKCHj16EB4e3qqmbR3KhdwcQIL4tjBk4NF9iqLQoUMHhg8fTkREBPhYAk0xINTaMa59c7aghcA1ETabjZSUFJKSkqy7WjS\u002F\u002FS7zxxaPwHVsDxeOP7pP0zSioqIICQmpNmOhNSVF+yvNVeTEXdOEdO3alfbt21s3t2jKyjUO5YKqQkiYx4ozyifJskxQUBABAQE1rIfm2sEETYsQuCZA8ib4hoeHM3To0FZnnaxeCwe9bmq\u002FvtC7p2e7qqqEhYURHR3dIuI\u002FgqandfUsPyMgIICBAwcSEBBgil5rYNFSOJDjyYfrkwrdunq2BwUF0bZtWxRFEQInqBeEwDURhjuWmprK0KFDmyzpuClwu+HAAXC6QJEhMUEiIMAzmhoYGEhoaKg52iwQnA5C4JqYsLAwJk2aRJs2bVqV1bLyRygpAwW44Fyd6CiP6IeEhMAp5F0JBLUhBK4J0XWdsLAwzjvvPJKTk627WzQbN4HDARKeKr92uyc2WVVVRUVFhbW5QHBKCIFrQiTvnNi2bdvSv39\u002F03ppDRQWwo4dnjswKhzOHAhVVVUUFhYSGBgo3FNBvdCiBc5f5sMdD13XCQ0NZdSoUcTFncSaes2cAzmw6kfPHRgbAyNHeL6v4uJiysrKhMAJ6oUWK3DNQdzwDjZIkkS\u002Ffv1ISUlpNYMNqgqHDkNJIQQGQudOEBGu4HK5KCkpARGHE9QDLVbgmkv2u6qqyLJMTEwMkydPrjbJvKWzaSts87qpPbrByGGe+ah2u73GZG+B4FTwfwVo4SiKgqZpBAcHM27cOM4880xrkxbL5q1wJA\u002FQoGs3GNAPcnNzyc3NrTZVSyA4VYTA+QmSJBEXF8ef\u002FvSnVjV9a9t2KC\u002F3zGpIiJcoLMhi7969QuAE9YIQOD\u002FCbrczatQoRo0aZa4g1dJ570OFg4c9sxpGDdeJiqziwIFsSktL0TSt2cRSBf5Jy+9BzQhJkmjbti1nnXWWuZpUSyc3V6W0FHQgPgHatiln8+ZNZi5caxB5QcMh7h4\u002FwHelKFmWGTRoEGPHjjXz5FpyJ3e7Yf2v4HRDUDCcNQoydu+loKCgVQi8oGFpuT2nmWGMGMqyTEpKCrfffjuyd5nBltzRnS74YQ04nBASCEPPhO3bstm1a5cocik4bYTA+Qm+VlpAQAApKSlceeWVBAcHt\u002Fhge2EB5B32DDRERECHdiX88ccfVFVVWZsKBCeFEDg\u002FwhA5VVWJiYnh+uuvp2tXby2hFsy+\u002FfD7Zm+V3w5w8YRy1q\u002FfwuHDh61NBYKTQgicH6FpGpJ3hSlZlhk4cCDXXnstgYGB1qYtigPZngdARDj07QVZWdtJS0tDVdUW7aILGhYhcH6E4Yrquo6iKNjtdi688EImTZpkbdri2LETCvM9Vlz7RAgPPcTGjRuprKyEZjT1TuBfCIHzIyTLIseSJNG1a1euu+66Fr84zReLFXbvA3TPjIauXRz88ssvbNy4Ebfb3aJHkgUNh9\u002FeNXorXQ\u002FTtyPLsoyiKAwcOJA\u002F\u002F\u002FnPhIeHm\u002FukFlbivLhEJS8fNA3CoyCpHfz++698\u002FfXXFBcXW5sLBHXCbwWOVrySkmHJGZ8\u002FIiKCq6++mlGjRpkxupZ4bVb9CMWeQiIMPxNCgyv56quvSEtLq7Z2rHYkD9fmLVTOe4\u002Fy+x+m8q13caxZi6Rp0AKvi+DU8VuBa4kduC4YuV+GJWcIWocOHZg5cyb9+vVD13XkFrLyuC9fL4OiYsAN\u002FQdAdDQcOnSIZcuWUVJSgl5ZScUbb1N4Rgolo8bhfOJZnF8sxPG3pymbeDVFA89Ey8mxnlbQivFbgWutHKseXEBAAIMHD+Yvf\u002FkLHTp0wO12t7gfgYoKyMoEXYLgIEhqL+N0Ovnt2+\u002FY99SzFI+7kMqHH0dqk4Ac2wbVWYVeUYomqUjxkUhtEiDIu8iqQCAErvmg6zoRERGcf\u002F75XHDBBccUwuZMXoHED2skdAliouCiCzUiZZkZecW0\u002F\u002FQLtIOHkSIi0POPICd3I3DmDEJffI6AyyaDoqDn5XrmfAkEXlqkwKmqp3BiS0KSJHRdJzo6mmuuuYYJEybUasFJkoTNZrNubha4XDqHDuuobrDLEhNDY0nvkcr4oBACAwPRZQVVcxL67ltEfreYsIcewH7lFYT\u002F83lidmwiavMG5MR21tMKWjEtUuBq6\u002FjNHUPgAPr168c999xD\u002F\u002F79a6RP6LpeLSDf3NixC3buBPfWEELnRaCVlKIDB1Q3z9vhmwfvw3XO2Wiahqqq5gNAVzXPMGwjIvLz\u002FJsWKXByC1w02BhswFs3btCgQdxyyy107tzZ2rRZ89sfsC8LpAA36CqKovA\u002Fm8Rl+Tn8M3MPT\u002F\u002Fzn3z33XfVYpCKojTZxHzrD4zAvxDfTjPDqDCiKAoTJ05k1qxZhIeHI7WQvDi3G9J3gDvJSfCjxbw9dB\u002FTDmeQ5XKh6zp79+zhiSee4LvvvqOqqgpJklBVjxAKBFaEwDUzjFLesnehmksvvZTrr7+e8PBw5BZSO+77lXAgXydwZDFjb3TS3WdNbFmWycjI4KmnnmLZsmXmLAfhKgpqo\u002Fn3hlaG4X4bAykxMTHcfvvtXHzxxS2mo69eC+UVnjLmPftAJ59Zakbs7ffff+f\u002F\u002Fu\u002F\u002FWLlyJVVVVcccVPKN0QlaH0Lgmhm6rtdwyTp27Mgdd9zBmDFjCAgIaBGu6vbtnowPRYHePcBut7bwJAHPnj2b995775jTuVqK6y44NYTANTMM99SYymXMaEhJSeHxxx9n3Lhx1QYkmiufL5Ipr4BAGYYPg6BaBA5g165dPP7447z++usUFhZALaPKgtaLELg64G+dxBA2w11VFIWAgAD69evHrFmz6NOnT7N3ywoKNRwOj14ltvPUibNiiHtRURFz585l9v\u002FdT0mFdzKrpU1trru\u002Ffa+C+kcI3Ak4VufwNwzRGzFiBHfeeSfdunWzNmlWHMiBP\u002F4AFEhoAxPOt7Y4Gl9TFAVFUdi5cSPucs9qXAa+353vd9kcvlPB6SME7gQ0J3dPkiTsdjuTJ0\u002FmpZde4owzzrA2aTZk7Yet2zzP42Jh9Ahri6Ooqorb7UbXDItMJu9IIXt37zbbGNauMcosYnOtg1YjcHorqS+n6zpBQUGMGjWKG2+8kXbt2pmduzmh6x4rrrwUJBnCwiA2po63qyyRk7GLO2+\u002FnQ8++ICSkhI07+pkqrcEumHBtYZ7ojng+53UJ8qcOXMetW5sifhevObW2U8GyTulS1EUOnbsiCRJrF271uzIzcUaBc9SguPGQps4iImE7Tt0tu+wtjpKO8XG5JBwgiSJwy4nr+7exfKf1nL48GE6duxIREQENpvNtN6M+0D35hYKmo6Gsqjr+JPY\u002FFG8RSIb4iL6E4YbJssyiYmJ3H777dx7770EBHjKCDWnQgRb0+DQIUCDmDbQuRMnXc+ypKSEt99+m0svvZT58+dTVFRk\u002FggY1lxLvydaM63GgqOFW26++Lrjdrudrl274nK52LRpU7OzVlJ6QGofCLTDgf2wfoM3CbgWfC24XE3l84oyKvFch+LiYtavX8+hQ4eIjY0lNjbWzBk0rklzui6CutFqLLjWhCFwurfyb1JSErfddhvnn39+s4tFvvuBQm6eZ1bDkMHQtq21xfExrgFAQUEB77\u002F\u002FPtOnT+f999+ntLTUFLWGiP8Imh4hcC0QwxrxnbrVqVMn7rnnHsaNG2e6q82BomKVsjLQgZg4aNvG2uL4GK6ogdvtZt++fTz11FM88cQTbN++HYfDUe0YQctBCFwLxBA333iczWZj0KBBzJ49myFDhlgP8VsqKuGH1eBWPSOp54y1tjg18vPzefPNN7n55pv5+OOPKS0trZYj15ysXMGxEQLXwvG15hRF4cwzz+Tee+9tNnXkqqpg02ZwaxBqh\u002F79rC1OHSMuef\u002F99zN37lxyc3OrufDGgIwQu+aLELhWhJHxP2bMGB5\u002F\u002FHFSUlLM+JQ\u002Fc\u002FAQHDoASBAVCUkd6u89q6pKRUUFr732GtOnT+ebb76hrKxMWHMthPq7UwTNAlmWCQkJYcKECdx8881ERERYm\u002FgdG36X+W2TR+C6nwGXXlL\u002FAwKaprF27Vpuv\u002F12PvnkEyorK5uF+Lc09HqeGim+wVaGkfcVFBTE5Zdfzn333UdSUpJfz3Yor9AoLgZVhbBwSEn2lFGqLwwLze12c+jQIR555BFeffVV9u\u002Ffb7qozb14QXPBCKfUF\u002FV3JkGzwHcmQ0xMDNOmTWPatGmEhYX5rcABfL8KsrM9VlznjnBGV2uL+qO4uJh\u002F\u002FetfPP\u002F88+zfv9+6G3wsDSF+\u002Fo0QuFaIIWSyLBMfH8+VV17Jeeed59expiXfwJE8z6yG4SOgTy9ri\u002FolLy+PefPmVRM5o3qJMQPCNw1H4J8IgfPiz527vvH9rJqm0blzZ26++WbGjBmD5KfrqrrdkJXl+WuzQWKCREBAw1mcsiyjqiqffvopzz33HAcPHjTdeEVRTDfK+F\u002FgnwiB89KaRsuMOIfxeW02G8OHD+fOO++kb9++4O3g\u002Fsby1VBWAZIO552jExPVcN+XYZmVlZXxySef8Pbbb3Pw4EHTNZUkqdpfgX\u002Fif3dxE2Hki7UWfIO5RjLw2LFjueuuu0hISEDTNL+z5DZshAqvwHXoACEh1hYNQ3l5Oa+88gqfffYZxcXF5sCD3szm9bZGhMB58UeLpTEw3C5ZlgkODmbcuHFMmTKF0NBQv7NMSkth317PXRsZAUMGWls0HJWVlbz66qv88MMPOBwO0\u002FoVIufftM5eLaiB0WFjY2OZOnUq48ePR\u002FMuMO0v4n8gW+KH1RLI0CYGRh2nym99I8sy2dnZPP\u002F886xfvx632w0NWKhRUD\u002F4x50raHJ8A+h9+\u002Fbl9ttv58wzz\u002FSrDuxy6xSV6LicEBAI7RIhLNTaqmEwRk63bt3KggULKCgoMAcX\u002FOUHQFAT8c0IqmHEIgcPHsz1119Phw4drE2alE2bYVeG587tlQJnjba2aFhUVeWbb75h1apVOBwOc7CmNQ1SNSeEwAlqIEkSgYGBXHTRRVx++eXgR6XO1\u002F4M2TmefLguXaBPT2uLhufgwYPMnz+fffv2mSOpIg7nnwiBE9SKLMvExsZyzTXXMHr0aL\u002FqwDszPFVGAOITIDyscd+bruusWbOGRYsWUVRUJETOjxECJ6iBb9yta9euXHPNNcTHx1ubNRlffQ15+YAOZ4+G5DMa3zV0Op18\u002FvnnpKenCxfVjxECJ6iB7K0dBxAQEMCECRMYO3asmS\u002FX1Pz8K+QXeJYWbBsPMdHWFo3Dtm3bWL58OVWGOSnwO5r+bhX4PZGRkVxzzTX079\u002FfL0ZUNQ3+tx4cLs9iNAP7eaZvNTYul4vly5eTmZkprDc\u002FRQic4JgYlpzNZmPYsGHMnDmTuLg4a7NGR1Vh5WrPuqnBATDszKYROIDdu3fz008\u002F4XQ6rbsEfoAQOMExMeJKkiQRHBzM6NGjGTNmjF9M4covgKJ8kBXPQjQxUdYWjUNRURE\u002F\u002FfQThYWFworzQ4TACY6J7C0HZIwOtm3blilTphAd3URBLx\u002F2ZUFauucO7pgEF11gbdF4pKWlsWXLFhwOh1+48IKjCIETHBNfi0TXdex2OyNHjmT8+PFNPtiQcxD27PWMpLaJg4H9rS0aB13XSU9PJz09HVVVm\u002Fy6CKojvg3BMTGmbvlWrI2MjOTCCy+kZ88myLC1sHMXFOR5qvwmdYAO7awtGh5JklBVlW3btlFYWCiq+54GRoWW+kQInKBOGDdeQEAAo0aN4pxzzrE2aXQ+\u002FVIhw2vFnTkIhjXBcq\u002FGddmwYQMZGRlIktQgHVVwagiBExwXXdfN0VQjHhcfH8\u002F5559Pampqk2bvFxerlJR60kbCIqFNW5CaYEaZoihkZ2eTlZVlrqXalNeludIQs0GEwAlOiJGpbyT66rpO7969GT9+fJPPUf1hNRQVe56nDgF7TONbTpqm4XK5yMzMpKKiQlhwfoQQOMFxkSzLuBlWXJs2bTjvvPOIiYmp1r6xWbgYSssAN6T0hZAmWOZV13UqKirYunUrlZWVKIoiBM5PEAInqBNGyohRN07XdTp37sxFF13UIK5FXamqgsMHQZc8gw1NhSzLVFVVUVZWJgYa\u002FAghcII64WuRGEKXmJjIxIkTiY2NbbL0iNJSWP8bNHX2maZp7N+\u002FnyNHjoDlegmajqa5KwXNDsNVNTquJEkEBATQo0cPhg8fbm3eaJRXwPYdnulbTc2+ffvYs2cPuq43eWxS4EEInOCkMAYaNE1DVVUSExM566yzmnR2w4FsOJht3dr4qKpKdnY25eXl6GLFe79ACJzglDBicSEhIZx55plNWtr8x\u002F\u002FJbN5q3dr42Gw2iouLzTm8vhavoGkQAieoM7WlP6iqSlJSEiNGeJa4aorBhiqHRmER6E0ciKusrMTtdlez3JriegiOIgROcFL4ipzhrkZHRzN6dCOv\u002FmLh+x+807aamPLycqqqqsxrZP1BEDQuQuAEdcYYaJC88y+NpfRsNhvJyckMHz68yTr0gq8gv8i6tfHJy8sjICCgSVNnmjv1GbsUAic4JRRFMR+yLNOuXTuGDRvWpJ06bQuoDuvWxkVVVbM2XFOJfXOnPhOlhcAJThtd14mKimLYsGEkJiZadzcaH38BpYeaTmDxFsD0zQlsSsFvztTXdRMCJzhtDHesS5cuJCcn19vNebIcqXDB6HKUBDfBU0sJim78UYfKykrsdjt4r0t9WSKCU0MInKDe6NixIwMGDMButzfJzIY8VHaPKSDshUO0u6aE4aMbX1zi4uLMCfetEX\u002F73I1\u002FFwpaJJqmERoaSo8ePQgKCmqS0t37suCXfW6UVAfxHXRGNuIEC2MAxm63ExMTg81mM0sn4b0+rQV\u002FEjkhcIJ6wejgKSkp9OrVq0lGEXUdft8Mv22A71fBh59aW9Q\u002FxufUvSWlUlJSzJkexv7WRFN878dDCJzgpNF8Vr43MASuc+fODBgwoMniT4uXwhXXwax7YOPv1r31j+9njIyMJD4+nsDAQPN64FOcQND4iKsuqFfCwsLo27cv7du3b7JOnXMQsg+C2kheoW\u002Fi8xlnnEF4eLhpyRhC19zTRqw\u002FaM2FprkDBc0aYwaDFU3TCA4OZsCAAaSmpjbbTnEqyLJM165dadOmjemu+gqav7ludcH3\u002Fdf2fTcHmue7FvglRifo1q0bAwcOJCqqiVZjbgJkWaZLly7Ex8ebyc\u002FNTdCsNPf3jxA4QX2jKApBQUGMHDmSzp07QzP+9a8rkiQRFBTE0KFDiYuLqzZ6KmhaWvadJ2h0jI7dr18\u002Fxo0bB804flMXDNezY8eO9OvXzyx02ZI\u002Fc3NCCJygXpG8i0UHBwczfvx4xowZY23SojDibb179yY5Odm6W9DECIET1DuaphEQEED\u002F\u002Fv0555xzzFHFlkqXLl24+eabiY2NBa9L3pI\u002Fb3NCCNwJEK7GqaHrOhEREUycOJGzzz6bwMBAa5Nmj6IohIaGcvnll9OrV69q6zBIktTg905zTz1pDITAnYCm+iU+UU2s2pJtDZr6pjfSSHRdJyUlhauuuoo2bdpYmzV7VFUlOTmZCy64gKioqBrXvaEHV6QmSqZuTjTsN9ACaCqBMwSiNnRvvf\u002FaOpC\u002F\u002FKobCa4AI0eO5MILLyQoKKjJrmd9YgwsxMXFMXPmTFJTU8H7nSmKYu5vDGq7BwRHEVfnNGjIdIDjdZJjbcciLE2JYYEqikJMTAw33XQT48aNa7Dr1Zjouo4kSUyfPp2JEycSHBxsCpvAv2j6ntCMETf1sTHiUaqqIkkSffr0YdasWeY81eZMYGAgV1xxBTNmzCAyMtIcSRX4H0LgBA2G4UobDB48mBkzZtClS5dq7ZrDIsnGj5ksy1xzzTU88MADJCQkWJsJ\u002FAwhcIIGw0iXMAQsODiYyZMnM2vWLNOtow4DKv6CoihMnjyZ2267ja5du4LPgI6\u002FxD4F1ZEqKyvFtyJoEIwJ54blo2kakiSRn5\u002FP66+\u002FzrvvvktOTo65zx8x3ntiYiJXXnkl06dPJykpCZvNBl4RNz6X0V7gPwiBEzQK1uoa+fn5zJ8\u002Fn6effpry8nIk71KE\u002FkinTp2YNWsWV155JdHR0eZ2yTsQpGlas3CzWyNC4CwYFoeg\u002FtC8BR99LTqAqqoqPvjgA1555RX27t3rN1acoihomkZ4eDiTJ09m5syZ9OrVy9xvWHW+GJ9R4F8IgbMgBK7+MUZSqSU5taysjOXLl\u002FPaa6+xdu3aGvubgsDAQAYOHMjll1\u002FOhAkTzOKdxnsznvsi7hv\u002FRAicoMExrBtfF9SwknRdR1EUsrOzmT17NosWLcLhaNzVmxVFMd9bmzZtuOGGG7j++uvp3LlzjfcsaF4IgRM0OMYIo9WFM7Yb+w4ePMjChQv56KOPSEtLo6qqCiyxrvpGlmUiIyPp3LkzkyZN4sILL6Rnz57YbLZqVpnsnVkirLTmhRA4QZNiiJYhYE6nk5ycHD788EM++ugj9u7dCxYr61gYsbETtfPlsssuY+rUqfTp04eoqCiCg4NNITaEVdB8EQInaFJUVa0W3zIET1VVdu3axcKFC\u002Fnyyy\u002FJysqioqICVVVRFMVsa7PZTFfXsLCM\u002Fb6vgTcPLzQ0lDPOOINzzz2XCRMmkJycTGhoqHmsELSWhRA4QZPiK0y+GLllqqqyf\u002F9+Nm3axNq1a9m0aRPbtm2jrKwMl8sFPhPOfc9jCGVcXBxdu3YlPj6eM888k2HDhtGlSxfCw8MJCwur4TYLWhZC4ARNjq8VZ2AdmDAsttLSUg4dOsTu3bvJzMxkx44d5Ofnc\u002FjwYTRNo3379iiKQufOnenfvz9JSUnExsaSmJiIzWZD8S4II2gdCIET+DWGwBkurNWNdLvdlJeXExYWRlVVFaqqEhERAbXMhRW0PoTACfwaw3IzBhl8hc6Is1mfW0VQ0HoRAifwS3yFzfc5PonDwjoTnAhxhwj8HsmnIgnelBEhboK6IO4SgV8i3ExBfSAEzg\u002FwzdkSVKchZi8IWg9C4JoY7TirY7V25GMsrCMQ1BVx9zQBhqDVluAqEAjqDyFwTYghbqJKhUDQMAiBawJ83S5hwQkEDYcQOEG9oGnaSVXxEAgaAyFwgtPCmCxvDAiIEWGBP\u002FH\u002FX7l4r7FdcjIAAAAASUVORK5CYII=",[11,400,401,402,404,405,407],{},"輕度的內八是-5至-10度",[173,403],{},"\n中度的內八是-10至-15度",[173,406],{},"\n重度的內八是超過-15度",[409,410],"hr",{},[11,412,413],{},"接下來講兒童的足部問題",[343,415,416],{},[346,417,418,419],{},"內八足的成因",[343,420,421,432,445],{},[346,422,423,424],{},"前足內八：一般的後跟中線到第三蹠骨內側",[343,425,426,429],{},[346,427,428],{},"假若落在第三蹠骨外側，則代表有前足內收現象",[346,430,431],{},"外觀上，腳掌外側邊緣會有凸起，且第五蹠骨頭有明顯隆起",[346,433,434,435],{},"脛骨內旋：足跟中線與大腿中線的夾角，正常範圍在0~30度",[343,436,437],{},[346,438,439,440],{},"假如小於0度，則代表為脛骨內旋",[343,441,442],{},[346,443,444],{},"用prone姿，knee flexion 90度來測",[346,446,447,448],{},"大腿股骨內轉角度過大：正常來說，內外展角度應分別為70度",[343,449,450],{},[346,451,452,453],{},"當內轉角度大於70度，或與外轉角度比起來明顯來得大，代表股骨前傾",[343,454,455],{},[346,456,457],{},"使用Craig's Test",[11,459,460,461,463,464,466,467,469],{},"持續性髖關節位移（Progressive hip displacement）是指股骨頭從髖臼下方慢慢向外位移",[173,462],{},"\n有一佪叫Migration percentage(MP)的東西專門量化位移程度",[173,465],{},"\n而半脫位的程度是MP 10~99%之間",[173,468],{},"\n那持續性位移會導致關節受壓不均和引起關節軟骨退化＞導致關節受限與疼痛＞影響日常生活功能，如擺位，清潔，與個人照顧",[11,471,472],{},"臨床會評估：疼痛，粗大動作改變，步態，骨骼肌肉系統（脊椎，骨盤，下肢）",[11,474,475,476,478,479,485,487,488,490],{},"從前面拍攝的X光照片(AP)是標準測量方法",[173,477],{},"\n不過要注意的是，",[480,481,484],"span",{"className":482},[483],"underline","小於12個月的孩子用這個方法不準確",[173,486],{},"\n拍的時候，內收外展角度盡量放在正中，誤差值僅接受+-6度",[173,489],{},"\n骨盤不能有前後傾，對於有髖部固定式畸型或腰椎前凸的孩子要先做矯正才行",[343,492,493,496,499,502],{},[346,494,495],{},"穩定：1年內增加小於10%",[346,497,498],{},"不穩定：1年內增加大於10%",[346,500,501],{},"假如孩子在30個月大，MP就達到15%，就要密切關注",[346,503,504],{},"若孩子30個月大，髖臼指數(AI)>30度，代表五歲時會有髖關節問題",[11,506,507,508,510,511,513,514,516,517,519,520,522],{},"正常MP應該為0%，在矯正年齡滿四歲後應少於10%",[173,509],{},"\n若MP大於30%，代表危險\u002F異常",[173,512],{},"\n開刀的適應症為",[173,515],{},"\nMP>40%",[173,518],{},"\n一年MP增加速率>10%",[173,521],{},"\nAI>27度",[11,524,525,526,533],{},"接著有",[527,528,532],"a",{"href":529,"rel":530},"https:\u002F\u002Fpubmed.ncbi.nlm.nih.gov\u002F3818706\u002F",[531],"nofollow","WGH他們","根據偏癱小孩的髖關節，膝關，骨盤在矢狀面的運動學表現，分成了四型",[343,535,536,539,542,545],{},[346,537,538],{},"第一型：在擺盪期出現垂足，但在支撐期有正常的背屈角度",[346,540,541],{},"第二型：不論在擺盪期還是支撐期，都有明顯的蹠屈（墊腳尖）",[346,543,544],{},"第三型：在第二型基礎上，膝關節的屈曲伸直明顯受限",[346,546,547],{},"第四型：在第三型基礎上，髖關節的屈曲伸直明顯受限",[11,549,550],{},"根據GMFCS分級，對髖關節進行監測",[343,552,553,567,603,632,664],{},[346,554,555,556],{},"GMFCS-I：",[343,557,558,561,564],{},[346,559,560],{},"第一次評估，大約在12~24個月大，利用AP去看",[346,562,563],{},"3歲複查：確認GMFCS分級，即使是GMFCS-I的小孩也可能變成WGH IV，假如真是，那就要重點監測",[346,565,566],{},"5歲複查：若GMFCS不變，亦沒有其他異常，可結束監測",[346,568,569,570],{},"GMFCS-II",[343,571,572,574,582,593],{},[346,573,560],{},[346,575,576,577],{},"之後每年確認MP值，直到穩定為止",[343,578,579],{},[346,580,581],{},"假如MP值在不穩定範圍，則持續追蹤到穩定，若以穩定，下次監測可放在4~5歲",[346,583,584,585],{},"4~5歲：確定GMFCS分級，監查是否為WGH IV，或MP值是否穩定",[343,586,587,590],{},[346,588,589],{},"假如都穩定，下次監測可放在8~10歲",[346,591,592],{},"若MP不穩定，則切換回到每年監測一次",[346,594,595,596],{},"8~10歲：若GMFCS不變，MP穩定，亦沒有其他異常，可結束監測",[343,597,598,600],{},[346,599,592],{},[346,601,602],{},"若GMFCS分級有變，或WGH IV，那就要重點監測",[346,604,605,606],{},"GMFCS-III",[343,607,608,610,618],{},[346,609,560],{},[346,611,612,613],{},"第一次之後的六個月，再拍一次X光",[343,614,615],{},[346,616,617],{},"接下來每六個月拍一次X光，直到MP達穩定為止，若以達穩定，則改為每一年監測一次",[346,619,620,621],{},"7歲：若以下條件同時符合，可以暫時中止，待到青春期再監測",[343,622,623,626,629],{},[346,624,625],{},"MP達穩定",[346,627,628],{},"MP值\u003C30%",[346,630,631],{},"GMFCS分級穩定",[346,633,634,635],{},"GMFCS-IV",[343,636,637],{},[346,638,560,639],{},[343,640,641,647,658,661],{},[346,642,612,643],{},[343,644,645],{},[346,646,617],{},[346,648,649,650],{},"7歲：若以下條件同時符合，可以暫時中止，待到青春期再複查",[343,651,652,654,656],{},[346,653,625],{},[346,655,628],{},[346,657,631],{},[346,659,660],{},"到了青春期後，要回到每年監測，直到骨骼成熟為止",[346,662,663],{},"特例：不論MP表現如何，若發現側彎或骨盤傾斜，必須切回來每六個月監測一次，直到骨骼成熟為止",[346,665,666,667],{},"GMFCS-V",[343,668,669],{},[346,670,560,671],{},[343,672,673,680,691],{},[346,674,612,675],{},[343,676,677],{},[346,678,679],{},"接下來每六個月拍一次X光，直到七歲為止",[346,681,682,683],{},"7歲：若以下條件同時符合，可以放寬到每一年監測一次，直到骨骼成熟為止",[343,684,685,687,689],{},[346,686,625],{},[346,688,628],{},[346,690,631],{},[346,692,663],{},[11,694,695],{},"在以下情形發生時，要提升髖關節監測頻率",[343,697,698,701,704,707,710,713,716],{},[346,699,700],{},"髖關節相關骨骼肌肉測量結果惡化：如ROM受限，肌肉長度縮短，肌張力變化（包括但不限於痙攣程度的改變）",[346,702,703],{},"動作功能惡化：如步態變差，站坐姿能力下降，或站坐姿耐受降低",[346,705,706],{},"出現結構問題：側彎，骨盤傾斜，明顯長短腳",[346,708,709],{},"出現或發展出新的＂姿勢性或結構性不對稱＂",[346,711,712],{},"日常照護或清潔衛生困難度增加",[346,714,715],{},"出現髖部相關疼痛，或是疼痛加劇",[346,717,718],{},"原因不明，有待進一步確認的疼痛",[11,720,721],{},"若MP值超過30%，出現髖關節相關疼痛，且合併其他骨科問題，需轉介給骨科醫師",[11,723,724],{},"髖關節監測的宗旨，是為了讓孩子在適當時期接受骨科評估，並制定出IMP",[11,726,727,728,730,731,733,734,736],{},"到了青春期，骨骼會迎來快速成長",[173,729],{},"\n女性在11歲進入",[173,732],{},"\n男性在13歲進入",[173,735],{},"\n但嚴重的CP小孩（GMFCS-IV\u002FV）則會有延後現象",[11,738,739,740,742],{},"因為到了青春期快速成長，原本有髖位移問題的小孩，有可能會快速惡化",[173,741],{},"\n而原本沒有髖位移問題的CP小孩，在青春期時也可能會顯現出位移問題",[11,744,745],{},"當triradiate cartilage（三角幅射軟骨）已閉合，則代表骨骼已成熟",[11,747,748],{},"在患有神經肌肉側彎的小兒裡，骨盤傾斜發生率也是非常高，亦常見於GMFCS-IV\u002FV",[11,750,751],{},"在步態上，骨盤會呈現後縮或傾斜；髖關節呈現內收或內旋；步長也會改變或不對稱性增加",[11,753,754,755,757],{},"測試髖部相關肌肉時，若想測量動態肌肉痙攣情形，可利用Modified Tardieu Scale(MTS)，主要測：髖內收肌群，hamstring",[173,756],{},"\n亦可利用MAS測髖內收肌群，hamstring，髖屈曲肌群",[11,759,760,761,763],{},"疼痛可能來源於皮膚，皮下組織，髖部周圍肌群，或是關節結構",[173,762],{},"\n且要觀察是在哪種情形下會疼痛，例如休息，特定姿勢，被動外展時被誘發",{"title":765,"searchDepth":766,"depth":766,"links":767},"",2,[],"2026-06-18","Hip surveillance for children with cerebral palsy: Australian Standards of 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