矫正衣联合悬吊技术治疗不随意运动型脑瘫患儿的疗效观察
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摘要
目的观察矫正衣联合悬吊技术治疗对不随意运动型脑瘫患儿步行能力及姿势的影响。方法根据随机数字表法将40例患儿分为观察组与对照组,每组各20例。对照组采用悬吊技术治疗方法,干预时间2个月;观察组在对照组的基础上配合矫正衣进行训练,干预时间2个月。观察两组患儿治疗前及治疗后2个月粗大运动功能及功能性步行的变化。结果治疗2月时,两组患儿粗大运动功能测量中D区和E区评分比较,观察组改善情况优于对照组(P<0.05),观察组功能性步行分级评分明显优于对照组(P<0.05)。结论矫正衣联合悬吊技术治疗可提升不随意运动型脑瘫患儿的步行能力,提高其行走时姿势的控制能力。
Objective To observe the effect of orthopaedic clothing combined with suspension treatment on walking ability and posture of children with involuntary movement cerebral palsy.Method Divide 40 children into observation group(n=20) and control group(n=20) by random number table. Children in control group receive suspension treatment for 2 months. Children in observation group receive suspension treatment combined with orthopaedic clothing for 2 months. Observe the improvement on gross motor function and functional walking before and 2 months after treatment on two groups. Result At the end of 2 months' treatment, score on D and E items of gross motor function is significantly higher in observation group than in control group(P<0.05) and grading score on functional walking is significantly higher in observation group than in control group(P<0.05). Conclusion Orthopaedic clothing combined with suspension treatment can improve walking ability and their control ability on walking posture of children with involuntary movement cerebral palsy.
Objective To observe the effect of orthopaedic clothing combined with suspension treatment on walking ability and posture of children with involuntary movement cerebral palsy.Method Divide 40 children into observation group(n=20) and control group(n=20) by random number table. Children in control group receive suspension treatment for 2 months. Children in observation group receive suspension treatment combined with orthopaedic clothing for 2 months. Observe the improvement on gross motor function and functional walking before and 2 months after treatment on two groups. Result At the end of 2 months' treatment, score on D and E items of gross motor function is significantly higher in observation group than in control group(P<0.05) and grading score on functional walking is significantly higher in observation group than in control group(P<0.05). Conclusion Orthopaedic clothing combined with suspension treatment can improve walking ability and their control ability on walking posture of children with involuntary movement cerebral palsy.
引文
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[2] 李永库,李强,李君,等.关于小儿脑瘫定义及分类的建议-解读的报告[J].中国康复理论与实践,2010,16(2):101-102.
[3] 史惟,杨红,施炳培,等.国内外脑性瘫痪定义、临床分型及功能分级新进展[J].中国康复理论与实践,2009,15(9):801-803.
[4] 刘鹏,黄东峰,江沁,等.脑瘫患儿粗大运动功能测量量表的标准化研究[J].中国康复医学杂志,2004,19(3):170-173.
[5] 窦祖林.痉挛评估与治疗[M].北京:人民卫生出版社,2004:294-307.
[6] 史惟.复旦中文版脑瘫粗大运动功能测试量表项目难度改良及反应度的精确度研究[J].中国循证儿科杂志,2018,13(2):81-87.
[7] 周文萍,余波,刘合建,等.不随意运动型脑性瘫痪的康复研究进展[J].中国康复理论与实践,2014,20(5):404-407.
[8] 李晓捷,陈秀洁,姜志梅.实用小儿脑性瘫痪康复治疗技术[M].2版.北京:人民卫生出版社,2016:185.
[9] KIEHN O,EKEN T.Functional roleo fplateau potentials in vertebrate motor neurons[J].Cur Opin Neurobiol,1998,8(6):746-752.
[10] 蔡琛,张智芳,曲庆明,等.悬吊运动训练在早期脑卒中患者步行功能康复中的作用[J].中国康复医学杂志,2012,27(5):470-472.