《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (12): 1177-1179.

• 临床研究 • 上一篇    下一篇

基于步态分析的痉挛型脑瘫患儿足内外翻机理研究

李珩1; 李峰1; 施延昭2; 刘正军2; 蓝靖文1; 马若飞3   

  1. 1.北京中医药大学中医诊断学系,北京市 100029;2.比利时RSscan公司中国实验室,北京市 100084;3.北京尔康医院,北京市 100094
  • 收稿日期:2008-09-04 出版日期:2008-12-01 发布日期:2008-12-01

A Study of Strephenopodia and Strephexopodia of Children with Spastic Cerebral Palsy Based on Gait Analysis

LI Heng, LI Feng,SHI Yan-zhao, et al   

  1. Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2008-09-04 Published:2008-12-01 Online:2008-12-01

PDF (PC)

被引次数

9

摘要： 目的分析痉挛型脑瘫患儿步态特征,对其足部内外翻情况及其机理进行研究。方法采用Footscan 7型足底压力测试系统对40例痉挛型脑瘫儿童和40例健康儿童进行步态检测,测量其足最初触地部位、足不同部位触地时间占站立相百分比及足不同部位在触地时发生翻转的程度,并对两组的各特征量进行统计学分析。结果脑瘫组患儿步态站立相足首先触地部位与对照组的差异有显著性意义(P<0.05),出现足趾区、跖趾区先触地及全足同时触地的情况;足前部、足中部触地时间占站立相百分比高于对照组(P<0.05);在足前部触地阶段,脑瘫组与对照组相比出现明显足部过度翻转(外翻情况多见)。结论痉挛型脑瘫患儿站立相足前部承受压力时间长且易出现过度外翻,应在康复治疗中予以积极矫正。

关键词: 步态分析, 脑性瘫痪, 痉挛, 足底压力

Abstract: Objective To find out the mechanism of strephenopodia and strephexopodia of children with spastic cerebral palsy by analyzing their gait character.MethodsForty children with spastic cerebral palsy and forty healthy children with normal walking ability were involved in this research.Footscan 7 gait analysis system was used to measure foot initial touchdown part,the ratio of different part touchdown phase to single supporting phase,the degree of strephenopodia and strephexopodia in different part.Two groups' characteristic parameters were analyzed by statistics method.ResultsSignificant differences were found in foot first touchdown part between two groups(P<0.05).The phenomenon that toes or metatarsus or whole foot first touch the earth was found in children with spastic cerebral palsy.The ratio of anterior foot and middle foot touchdown phase to single supporting phase were higher than normal children(P<0.05).In spastic cerebral palsy group the phenomenon of strephexopodia was more serious than strephenopodia during anterior foot touchdown phase.ConclusionLots of children with spastic cerebral palsy are suffering long-time compression pain and strephexopodia with anterior foot,active rectification must be performed during rehabilitation care.

Key words: gait analysis, cerebral palsy, spasm, plantar pressure