CAJ | 학술논문

目的：探讨功能性电刺激对痉挛型双瘫型脑瘫患儿运动功能的影响。方法：选择痉挛型双瘫型脑瘫患儿共60例，将全部患儿随机分为治疗组与对照组，每组各30例，对照组采用常规综合康复治疗，治疗组在此基础上增加功能性电刺激治疗。刺激部位：胫骨前肌、股四头肌、臀大肌。2组患儿均持续治疗1个疗程，在康复治疗前及治疗后均进行粗大运动功能测试量表（ gross motor function measure scale ，GMFM）检测徒手肌力法（ manual muscle testing ，MMT）测试。结果：康复治疗后，治疗组肌力提高总有效率为83．33％。对照组肌力提高总有效率为66．67％，2组肌力比较有显著性差异（P＜0．05）；治疗后，2组GMFM总分均显著高于治疗前（P＜0．01），治疗组GMFM总分显著高于对照组（P＜0．05）。结论：功能性电刺激有助于改善脑瘫患儿的运动功能。
목적：탐토공능성전자격대경련형쌍탄형뇌탄환인운동공능적영향。방법：선택경련형쌍탄형뇌탄환인공60례，장전부환인수궤분위치료조여대조조，매조각30례，대조조채용상규종합강복치료，치료조재차기출상증가공능성전자격치료。자격부위：경골전기、고사두기、둔대기。2조환인균지속치료1개료정，재강복치료전급치료후균진행조대운동공능측시량표（ gross motor function measure scale ，GMFM）검측도수기역법（ manual muscle testing ，MMT）측시。결과：강복치료후，치료조기력제고총유효솔위83．33％。대조조기력제고총유효솔위66．67％，2조기력비교유현저성차이（P＜0．05）；치료후，2조GMFM총분균현저고우치료전（P＜0．01），치료조GMFM총분현저고우대조조（P＜0．05）。결론：공능성전자격유조우개선뇌탄환인적운동공능。
Objective: To investigate the effects of functional electrical stimulation ( FES) on motor function in children with spastic diplegia.Methods:60 children with spastic diplegia were randomly divided into treatment group ( n=30 ) and control group(n=30).All patients received combined therapy,while the treatment group was added with FES.The surface electrodes were applied on the anterior tibialis,quadriceps and gluteus maximus.The treatment was performed for 3 months and the meas-urements of gross motor function measure scale( GMFM) and manual muscle testing( MMT) were made before and after the reha-bilitation training for both groups.Results: The total effective rate of strength improvements in the treatment group was 83. 33%,which was 66.67% in the control group.There was significant difference between the two groups(P <0.05).It was found that the total of GMFM increased significantly after 3 months in both groups(P<0.01) and it was significantly higher in the treatment group than in the control group ( P<0 .05 ) .Conclusion: Functional electrical stimulation could improve the func-tional performance in children with spastic diplegia .