CAJ | 학술논문

　　目的观察弹性绷带治疗脑瘫患儿膝过伸的效果。方法痉挛型双瘫脑瘫患儿随机分为对照组和试验组各10例，两组均选用常规康复训练，以运动疗法、作业疗法、言语疗法为主。试验组在立位步行准备、步行训练时配戴弹性绷带进行康复训练。治疗前后采用膝关节活动度(ROM)和粗大运动功能评定量表(GMFM)中D、E能区进行评估。结果两组治疗后膝关节ROM明显降低(P<0.01)，GMFM得分明显升高(P<0.01)，均以试验组更为明显(P<0.01)。结论弹性绷带可改善脑瘫患儿膝过伸，提高粗大运动功能。
　　목적관찰탄성붕대치료뇌탄환인슬과신적효과。방법경련형쌍탄뇌탄환인수궤분위대조조화시험조각10례，량조균선용상규강복훈련，이운동요법、작업요법、언어요법위주。시험조재립위보행준비、보행훈련시배대탄성붕대진행강복훈련。치료전후채용슬관절활동도(ROM)화조대운동공능평정량표(GMFM)중D、E능구진행평고。결과량조치료후슬관절ROM명현강저(P<0.01)，GMFM득분명현승고(P<0.01)，균이시험조경위명현(P<0.01)。결론탄성붕대가개선뇌탄환인슬과신，제고조대운동공능。
Objective To observe the application of elastic bandage in cerebral palsy with knee hyperextension. Methods 20 spastic di-plegia children were radomly divided into control group and experimental group with 10 cases in each group. Both of them received conven-tional rehabilitation, including exercise therapy, occupational therapy and speech therapy. The experimental group worn elastic bandages ad-ditionally when orthostatic walk preparing and walking training. The knee range of motion (ROM), D and E zones of Gross Motor Function Measure (GMFM) were evaluated before and 3 months after treatment. Results The ROM decreased, and the score of GMFM increased af-ter treatment in both groups (P<0.01), especially in the experimental group (P<0.01). Conclusion The elastic bandage can improve the knee function and the gross motor function of cerebral palsy children with knee hyperextension.