《中国康复理论与实践》

《中国康复理论与实践》 ›› 2012, Vol. 18 ›› Issue (10): 922-926.

• 论文 • 上一篇    下一篇

脑性瘫痪儿童坐位姿势控制障碍分析

张琦   

  1. 1.首都医科大学康复医学院，北京市100068；2.中国康复研究中心北京博爱医院儿童物理疗法科，北京市100068。
  • 收稿日期:2012-08-17 修回日期:2012-09-18 出版日期:2012-10-25 发布日期:2012-10-25

Seating Postural Control Dysfunction in Children with Cerebral Palsy (review)

ZHANG Qi   

  1. Department of Paediatric Physical Therapy, Capital Medical University School of Rehabilitation Medicine, Beijing Bo'ai Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2012-08-17 Revised:2012-09-18 Published:2012-10-25 Online:2012-10-25

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摘要： 姿势控制障碍是影响脑瘫儿童运动功能的关键问题。而维持坐位对于脑瘫儿童执行手部前伸动作而言，是不可或缺的辅助因素。与正常儿童的姿势控制相比，脑瘫儿童的协同作用及动作策略表现较差，患儿有产生特定方向性调整的能力，但是在募集特定方向性调整的能力方面，则表现出明显的发育迟滞。目前，有关脑瘫儿童姿势控制的运动疗法主要包括应用特制座椅、倾斜和改变座椅面和角度以及各种平衡训练，而缺少对某一种特定治疗方式在脑瘫儿童中应用疗效的研究。

关键词: 脑性瘫痪, 儿童, 坐位下前伸, 姿势控制障碍, 运动疗法, 综述

Abstract: Postural control dysfunction is one of the key problems in children with cerebral palsy (CP), which interferes with the activities of daily living. Seating is critical for upper extremity movement in children with CP. Compared with their typically developing peers, children with CP in general have the ability to generate direction-specific adjustments, but they show a delayed development in the capacity to recruit direction-specific adjustments in tasks with a mild postural challenge. At present, the treatment approaches of physical therapy mainly included: application of the special sitting system, change of the seat surface inclination and various balance exercise. However, there is limited number of studies on the effect of special training on postural development in children with CP and further researches are needed.

Key words: cerebral palsy, children, forward reach while sitting, postural control dysfunction, physical therapy, review