中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2013年
4期
278-281
,共4页
脑性瘫痪%躯干稳定性%平衡%对称性
腦性癱瘓%軀榦穩定性%平衡%對稱性
뇌성탄탄%구간은정성%평형%대칭성
Cerebral palsy%Trunk stability%Postural symmetry
目的 检测痉挛型脑瘫患儿躯干稳定性控制功能,并对其视觉代偿以及躯干平衡特点进行分析.方法 共选取痉挛型脑瘫患儿及正常同龄儿童各20例,分别纳入脑瘫组及对照组.采用意大利产PK254P型平衡仪对上述入选对象进行检测,分别检测其在睁眼及闭眼状态下的躯干稳定性参数,包括躯干平均压力中心(COP)在前后方向及左右方向的平均运动速度、位移标准差、运动长度、运动椭圆面积及对称性等,睁眼及闭眼平衡检测时间均为30 s.结果 脑瘫组患儿COP前后方向位移标准差[睁眼时为(2.45±1.35)mm,闭眼时为(4.25 ±2.15) mm]、左右方向位移标准差[睁眼时为(3.05±1.82)mm,闭眼时为(5.95±2.95) mm]、前后方向平均运动速度[睁眼时为(5.70±2.70) mm/s,闭眼时为(8.80±4.66) mm/s]、左右方向平均运动速度[睁眼时为(5.85 ±3.10) mm/s,闭眼时为(9.10±4.82)mm/s]、运动长度[睁眼时为(183.50±84.12) mm,闭眼时为(255.90±119.07) mm]、运动椭圆面积[睁眼时为(60.65±32.63) mm2,闭眼时为(93.40 ±41.90) mm2]与对照组间差异均具有统计学意义(均P＜0.05).另外脑瘫组患儿在闭眼测试时其各项躯干稳定性控制参数与睁眼测试时的差值均大于对照组水平(均P＜0.05).脑瘫组患儿在睁眼及闭眼测试时其COP在左右方向上的分布基本对称(X轴COP均值接近于0),而在前后方向的分布则更侧向于前方(Y轴COP均值均明显大于0)；对照组儿童在睁眼及闭眼测试时其COP在左右方向及前后方向的分布均基本对称(X轴COP及Y轴COP均值均接近于0).结论 痉挛型脑瘫患儿在睁眼及闭眼时其躯干稳定性控制功能均不及正常同龄儿童,前者视觉代偿在躯干稳定性控制中的作用较正常同龄儿童显著；另外痉挛型脑瘫患儿COP在左右方向的分布基本对称,而在前后方向的分布则明显偏向于前方.
目的 檢測痙攣型腦癱患兒軀榦穩定性控製功能,併對其視覺代償以及軀榦平衡特點進行分析.方法 共選取痙攣型腦癱患兒及正常同齡兒童各20例,分彆納入腦癱組及對照組.採用意大利產PK254P型平衡儀對上述入選對象進行檢測,分彆檢測其在睜眼及閉眼狀態下的軀榦穩定性參數,包括軀榦平均壓力中心(COP)在前後方嚮及左右方嚮的平均運動速度、位移標準差、運動長度、運動橢圓麵積及對稱性等,睜眼及閉眼平衡檢測時間均為30 s.結果 腦癱組患兒COP前後方嚮位移標準差[睜眼時為(2.45±1.35)mm,閉眼時為(4.25 ±2.15) mm]、左右方嚮位移標準差[睜眼時為(3.05±1.82)mm,閉眼時為(5.95±2.95) mm]、前後方嚮平均運動速度[睜眼時為(5.70±2.70) mm/s,閉眼時為(8.80±4.66) mm/s]、左右方嚮平均運動速度[睜眼時為(5.85 ±3.10) mm/s,閉眼時為(9.10±4.82)mm/s]、運動長度[睜眼時為(183.50±84.12) mm,閉眼時為(255.90±119.07) mm]、運動橢圓麵積[睜眼時為(60.65±32.63) mm2,閉眼時為(93.40 ±41.90) mm2]與對照組間差異均具有統計學意義(均P＜0.05).另外腦癱組患兒在閉眼測試時其各項軀榦穩定性控製參數與睜眼測試時的差值均大于對照組水平(均P＜0.05).腦癱組患兒在睜眼及閉眼測試時其COP在左右方嚮上的分佈基本對稱(X軸COP均值接近于0),而在前後方嚮的分佈則更側嚮于前方(Y軸COP均值均明顯大于0)；對照組兒童在睜眼及閉眼測試時其COP在左右方嚮及前後方嚮的分佈均基本對稱(X軸COP及Y軸COP均值均接近于0).結論 痙攣型腦癱患兒在睜眼及閉眼時其軀榦穩定性控製功能均不及正常同齡兒童,前者視覺代償在軀榦穩定性控製中的作用較正常同齡兒童顯著；另外痙攣型腦癱患兒COP在左右方嚮的分佈基本對稱,而在前後方嚮的分佈則明顯偏嚮于前方.
목적 검측경련형뇌탄환인구간은정성공제공능,병대기시각대상이급구간평형특점진행분석.방법 공선취경련형뇌탄환인급정상동령인동각20례,분별납입뇌탄조급대조조.채용의대리산PK254P형평형의대상술입선대상진행검측,분별검측기재정안급폐안상태하적구간은정성삼수,포괄구간평균압력중심(COP)재전후방향급좌우방향적평균운동속도、위이표준차、운동장도、운동타원면적급대칭성등,정안급폐안평형검측시간균위30 s.결과 뇌탄조환인COP전후방향위이표준차[정안시위(2.45±1.35)mm,폐안시위(4.25 ±2.15) mm]、좌우방향위이표준차[정안시위(3.05±1.82)mm,폐안시위(5.95±2.95) mm]、전후방향평균운동속도[정안시위(5.70±2.70) mm/s,폐안시위(8.80±4.66) mm/s]、좌우방향평균운동속도[정안시위(5.85 ±3.10) mm/s,폐안시위(9.10±4.82)mm/s]、운동장도[정안시위(183.50±84.12) mm,폐안시위(255.90±119.07) mm]、운동타원면적[정안시위(60.65±32.63) mm2,폐안시위(93.40 ±41.90) mm2]여대조조간차이균구유통계학의의(균P＜0.05).령외뇌탄조환인재폐안측시시기각항구간은정성공제삼수여정안측시시적차치균대우대조조수평(균P＜0.05).뇌탄조환인재정안급폐안측시시기COP재좌우방향상적분포기본대칭(X축COP균치접근우0),이재전후방향적분포칙경측향우전방(Y축COP균치균명현대우0)；대조조인동재정안급폐안측시시기COP재좌우방향급전후방향적분포균기본대칭(X축COP급Y축COP균치균접근우0).결론 경련형뇌탄환인재정안급폐안시기구간은정성공제공능균불급정상동령인동,전자시각대상재구간은정성공제중적작용교정상동령인동현저；령외경련형뇌탄환인COP재좌우방향적분포기본대칭,이재전후방향적분포칙명현편향우전방.
Objective To investigate the trunk stability control of spastic cerebral palsy patients,and to analyze their visual compensation and the resulting symmetrical balance of the trunk.Methods Twenty children with spastic cerebral palsy and 20 healthy children formed the experimental and control groups respectively.Their balance was tested using the PK 254P rehabilitation system.Trunk stability and symmetry parameters were measured in standardized silent sitting for 30s with the eyes open and closed.The anterior-posterior (AP) and mediolateral deviations of the center of pressure (COP),the average speed of COP excursions in each direction,the COP perimeter,and the ellipse area of the COP were quantified.Results The two groups showed statistically significant differences in the average values of all the variables measured.The differences in the trunk stability control parameters of the experimental group between the eyes-open and eyes-closed conditions were significantly greater than those of the control group.The offset of the medial-lateral COP in the spastic cerebral palsy subjects was nearly symmetrical (the average position of the COP on the X axis was close to zero),while the anterior-posterior offset tended to the anterior direction (the average position of the COP on the Y axis was significantly positive).The medial-lateral and anterior-posterior offsets of the health subjects were nearly symmetrical (both close to zero).Conclusion Children with spastic cerebral palsy have less trunk stability control than healthy children.They rely more on visual cues in compensation.Their medial-lateral COP control is nearly symmetrical,but their anteriorposterior posture tends to the anterior.
