《中国康复理论与实践》

《中国康复理论与实践》 ›› 2004, Vol. 10 ›› Issue (09): 547-548.

• 临床研究 • 上一篇    下一篇

髋关节矫形器在儿童痉挛型脑性瘫痪康复中的作用

吴卫红 ; 恽晓平 ; 胡雪艳 ; 崔起何   

  1. 1.北京博爱医院儿童康复科 北京市 100068;2.首都医科大学康复医学院临床康复教研室 北京市 100068
  • 收稿日期:2004-07-07 出版日期:2004-09-25 发布日期:2004-09-25

Effect of variable hip abduction orthosis on children spastic cerebral palsy

WU Wei-hong, YUN Xiao-ping, HU Xue-yan, et al   

  1. Department of Children Rehabilitation, Beijing Charity Hospital, Beijing 100068, China
  • Received:2004-07-07 Published:2004-09-25 Online:2004-09-25

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被引次数

19

摘要： 目的探讨髋关节矫形器(HO)在儿童痉挛型脑性瘫痪康复中的作用。方法5例痉挛型双瘫的脑瘫患儿在原有康复治疗的基础上,穿戴HO纠正剪刀样步态。采用基于数字视频和数字图像处理的二维步态分析系统,对患儿步行时额状面的双膝(K)与双髂前上棘(I)之间的距离比(K/I)进行测评。随访1年。结果穿戴矫形器后,K/I较穿戴前有显著性差异(P<0.05)。结论髋关节矫形器能限制髋关节内收、改善异常剪刀样步行模式、增强步行稳定性。

关键词: 脑性瘫痪, 痉挛型, 髋关节矫形器(HO), 外展

Abstract: ObjectiveTo explore the effect of variable hip abduction orthosis on children spastic cerebral palsy.Methods5 children with spastic diplegia cerebral palsy had used variable hip abduction orthosis to correct scissors gait which remained after rehabilitation. The stepping of 5 children was assessed with a gait analysis system base on digital video and image processing which could provide distance rate between knees and hips(K/I) in gait phase. One year Follow up was carried out.ResultsThere was significant difference on K/I before and after using variable hip abduction orthorsis (P<0.05).ConclusionThe variable hip abduction orthorsis can inhibit adductor muscles convulsion, improve model kinesis of scissors gait and stabilize stepping.

Key words: cerebral palsy, spasitic, hip orthosis, abduction