静态渐进性牵伸对痉挛型脑性瘫痪患儿尖足疗效的观察

发布时间：2018-02-09 12:11

  本文关键词： 静态渐进性牵伸 脑性瘫痪 尖足 康复 痉挛　出处：《中国康复医学杂志》2017年11期 　论文类型：期刊论文

【摘要】：目的:观察静态渐进性牵伸治疗对痉挛型脑瘫患儿尖足的疗效。方法:60例(年龄4—12岁)痉挛型脑瘫患儿随机分为观察组(30例)和对照组(30例),观察组进行静态渐进性牵伸治疗,再配合常规康复治疗。对照组仅进行常规康复治疗。治疗前后,两组分别进行踝关节背屈活动度(ROM)、小腿三头肌肌张力评分(MAS)和GMFM量表D区(站立)、E区(走跑跳)评估。结果:两组治疗前踝关节ROM、肌张力和GMFM量表D、E区评分间差异均无显著性(P0.05),治疗3个月后,两组各项指标较治疗前均改善(P0.05),且以观察组的改善幅度较为显著,与对照组比较,组间差异有显著性(P0.05)。结论:静态渐进性牵伸治疗配合常规康复治疗能增加痉挛型脑瘫患儿踝关节背屈活动度,降低小腿三头肌肌张力,提高患儿站立和走跑跳的运动功能。
[Abstract]:Objective: to observe the therapeutic effect of static progressive drafting on apical foot in children with spastic cerebral palsy. Methods: 60 children with spastic cerebral palsy (aged 4-12 years) were randomly divided into observation group (n = 30) and control group (n = 30). The control group was treated with routine rehabilitation only. Before and after treatment, The two groups were evaluated with ankle dorsiflexion motion, triceps muscle tension score (MASS) and GMFM scale D (walking and jumping). Results: before treatment, the difference of ROM, muscle tension and GMFM DNE score between the two groups was observed. After 3 months of treatment, there was no significant difference between the two groups. Compared with the control group, the indexes of the two groups were improved significantly (P 0.05), and the improvement of the observation group was more significant than that of the control group. Conclusion: static progressive drafting therapy combined with routine rehabilitation therapy can increase the motion of ankle joint of children with spastic cerebral palsy, reduce the tension of triceps muscle of the leg, and improve the motor function of standing and running and jumping of children with spastic cerebral palsy.
【作者单位】： 上海残疾人康复职业培训中心;
【基金】：上海市残疾人康复科研项目(K2014023)
【分类号】：R493;R742.3
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本文编号：1497899