CAJ | 학술논문

目的：探讨体外冲击波治疗对痉挛型脑瘫儿童足背屈角的改善效果。方法将痉挛型脑瘫患儿随机分为综合康复对照组和体外冲击波治疗组，综合康复对照组只接受常规的综合康复训练进行治疗，体外冲击波治疗组则在综合康复训练的同时进行体外冲击波治疗，应用被动足背屈角对两组患儿进行评价，比较两组患儿治疗1个月和3个月后的被动足背屈角变化有无统计学差异，分别比较治疗组初始治疗时、治疗1个月和3个月后当次治疗前后的被动足背屈角变化有无统计学差异，以此观察体外冲击波治疗的治疗效果。结果治疗1个月后和3个月后，治疗组患儿被动足背屈角的缩小均优于对照组（P＜0.05），治疗组患儿初始治疗、治疗后1个月和治疗后3个月的当次治疗后足背屈角的缩小均优于当次治疗前（P＜0.05）。结论体外冲击波治疗可以有效缩小痉挛型脑瘫儿童的足背屈角，即时效果明确，并在3个月内持续出现。
목적：탐토체외충격파치료대경련형뇌탄인동족배굴각적개선효과。방법장경련형뇌탄환인수궤분위종합강복대조조화체외충격파치료조，종합강복대조조지접수상규적종합강복훈련진행치료，체외충격파치료조칙재종합강복훈련적동시진행체외충격파치료，응용피동족배굴각대량조환인진행평개，비교량조환인치료1개월화3개월후적피동족배굴각변화유무통계학차이，분별비교치료조초시치료시、치료1개월화3개월후당차치료전후적피동족배굴각변화유무통계학차이，이차관찰체외충격파치료적치료효과。결과치료1개월후화3개월후，치료조환인피동족배굴각적축소균우우대조조（P＜0.05），치료조환인초시치료、치료후1개월화치료후3개월적당차치료후족배굴각적축소균우우당차치료전（P＜0.05）。결론체외충격파치료가이유효축소경련형뇌탄인동적족배굴각，즉시효과명학，병재3개월내지속출현。
Objective To investigate the effects of extracorporeal shock wave therapy on foot dorsiflexion angle of children with spastic cerebral palsy. Methods The children with spastic cerebral palsy were randomly divided into two groups, control group and treatment group. The control group only accepted conventional comprehensive rehabilitation and the treatment group accepted extracorporeal shock wave therapy during comprehensive rehabilitative training. Evaluating children with passive foot dorsiflexion angle after the first month and the third month, comparing the difference of improvement in passive foot dorsiflexion angle between two groups, respectively comparing the difference of improvement in passive foot dorsiflexion angle between pre-therapy and post-treatment every time in the beginning, the first month and the third month in treatment group, to observe the effects of extracorporeal shock wave therapy. Results The reducing of passive foot dorsiflexion angle in the treatment group was better than the control group after treatment with one and three months(P<0.05). The reducing of passive foot dorsiflexion angle in post-treatment every time was better than pre-therapy in the beginning, the first month and the third month in treatment group(P<0.05). Conclusion Extracorporeal shock wave therapy can effectively improve foot dorsiflexion angle of children with spastic cerebral palsy. And immediate effect is obvious sustainably appearing within three months.