中国康复理论与实践
中國康複理論與實踐
중국강복이론여실천
CHINESE JOURNAL OF REHABILITATION THEORY & PRACTICE
2015年
2期
232-235
,共4页
李威%程攀%许立俊%章荣%杨友谊%李文兰%罗亚玲%牟杨
李威%程攀%許立俊%章榮%楊友誼%李文蘭%囉亞玲%牟楊
리위%정반%허립준%장영%양우의%리문란%라아령%모양
脑性瘫痪%痉挛型偏瘫%踝足矫形带%足下垂%下肢%运动功能
腦性癱瘓%痙攣型偏癱%踝足矯形帶%足下垂%下肢%運動功能
뇌성탄탄%경련형편탄%과족교형대%족하수%하지%운동공능
cerebral palsy%spastic hemiplegia%ankle-foot orthopedic band%foot drop%lower extremities%motor function
目的:观察自制自制踝足矫形带对痉挛型偏瘫脑瘫足下垂患儿下肢运动功能的疗效。方法24例痉挛型偏瘫脑瘫足下垂患儿随机分为观察组和对照组各12例。两组患儿均行常规康复训练,对照组行步态训练,观察组佩戴自制踝足矫形带行步态训练,共12周。治疗前后分别采用腓肠肌改良Ashworth量表(MAS)、踝关节主动背屈活动度(ROM)和粗大运动功能测量(GM-FM-88)D区(站立)、E区(走跑跳)进行评定。结果治疗后,两组MAS评分明显降低(P<0.01),观察组低于对照组(P<0.05);两组ROM、GMFM-88的D区和E区评分均明显高于治疗前(P<0.01),观察组高于对照组(P<0.05)。结论佩戴自制踝足矫形带行步态训练能进一步降低痉挛型偏瘫脑瘫患儿患侧的腓肠肌张力,增加踝关节活动度,提高下肢运动功能。
目的:觀察自製自製踝足矯形帶對痙攣型偏癱腦癱足下垂患兒下肢運動功能的療效。方法24例痙攣型偏癱腦癱足下垂患兒隨機分為觀察組和對照組各12例。兩組患兒均行常規康複訓練,對照組行步態訓練,觀察組珮戴自製踝足矯形帶行步態訓練,共12週。治療前後分彆採用腓腸肌改良Ashworth量錶(MAS)、踝關節主動揹屈活動度(ROM)和粗大運動功能測量(GM-FM-88)D區(站立)、E區(走跑跳)進行評定。結果治療後,兩組MAS評分明顯降低(P<0.01),觀察組低于對照組(P<0.05);兩組ROM、GMFM-88的D區和E區評分均明顯高于治療前(P<0.01),觀察組高于對照組(P<0.05)。結論珮戴自製踝足矯形帶行步態訓練能進一步降低痙攣型偏癱腦癱患兒患側的腓腸肌張力,增加踝關節活動度,提高下肢運動功能。
목적:관찰자제자제과족교형대대경련형편탄뇌탄족하수환인하지운동공능적료효。방법24례경련형편탄뇌탄족하수환인수궤분위관찰조화대조조각12례。량조환인균행상규강복훈련,대조조행보태훈련,관찰조패대자제과족교형대행보태훈련,공12주。치료전후분별채용비장기개량Ashworth량표(MAS)、과관절주동배굴활동도(ROM)화조대운동공능측량(GM-FM-88)D구(참립)、E구(주포도)진행평정。결과치료후,량조MAS평분명현강저(P<0.01),관찰조저우대조조(P<0.05);량조ROM、GMFM-88적D구화E구평분균명현고우치료전(P<0.01),관찰조고우대조조(P<0.05)。결론패대자제과족교형대행보태훈련능진일보강저경련형편탄뇌탄환인환측적비장기장력,증가과관절활동도,제고하지운동공능。
Objective To observe the effect of homemade ankle-foot orthopedic band on motor function of lower extremities in children with foot drop post spastic hemiplegic cerebral palsy (CP). Methods 24 spastic hemiplegic CP children were randomly divided into observa-tion group (n=12) and control group (n=12). Both groups accepted roution rehabilitation training. The control group accepted walking train-ing, and the observation group accepted walking training wearing the homemade ankle-foot orthopedic band, for 12 weeks. They were as-sessed with modified Ashworth Scale (MAS) of gastrocnemius, range of motion (ROM) of ankle active dorsiflexion, and D and E domains of Gross Motor Function Measure (GMFM-88) before and after treatment. Results The score of MAS significantly decreased in both groups after treatment (P<0.01), and decreased more in the observation group than in the control group (P<0.05). ROM and scores of D and E do-mains of GMFM-88 significantly increased in both groups after treatment (P<0.01), and increased more in the observation group than in the control group (P<0.05). Conclusion Walking training with the homemade ankle-foot orthopedic band may further decrease the muscle tone of gastrocnemius, increase the active range of motion of ankle and improve the motor function of lower extremities in children with foot drop post spastic hemiplegic CP.