《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

前臂拐的应用对脑性瘫痪患儿运动功能的影响①

李南玲1,2a，张雁1,2a，吴卫红1,2a，宋桂芸1,2b，刘建军1,2a，席冰玉1,2a，曾凡勇1,2a   

  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，a.儿童康复科；b.康复评定科，北京市100068。
  • 出版日期:2016-03-25 发布日期:2016-06-01

Effects of Forearm Crutches on Motor Function in Children with Cerebral Palsy

LI Nan-ling1,2a, ZHANG Yan1,2a, WU Wei-hong1,2a, SONG Gui-yun1,2b, LIU Jian-jun1,2a, XI Bing-yu1,2a, ZENG Fan-yong1,2a   

  1. 1. Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China; 2. a. Department of Children Rehabilitation; b. Department of Rehabilitation Evaluation, Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
  • Published:2016-03-25 Online:2016-06-01

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摘要： 目的观察在康复训练中配合前臂拐的使用对痉挛型脑瘫患儿运动功能的影响。方法2014 年1 月~2015 年8 月，痉挛型脑瘫患儿60 例按家长及患儿的意愿分成观察组和对照组各30 例，均接受常规康复，观察组另接受应用前臂拐训练。治疗前后采用粗大运动功能测量(GMFM-88)及平衡仪进行评定，用GMFM-88 中第70 项的方法评定行走功能。结果治疗后，两组患儿的GMFM-88 评分均较治疗前显著提高(t>6.002, P<0.001)，观察组较对照组改善明显(t=2.317, P<0.05)。平衡测试中，两组位移运动轨迹长及外周面积治疗后较治疗前均缩小(P<0.05)，观察组应用前臂拐辅助后明显缩小(P<0.01)。观察组辅助行走人数明显多于对照组(χ2=25.87, P<0.01)。结论康复训练中应用前臂拐可明显提高患儿的运动及平衡能力。

关键词: 脑性瘫痪, 拐杖, 康复, 运动功能, 行走, 平衡

Abstract: Objective To observe the effect of forearm crutches on motor function of children with spastic cerebral palsy. Methods 60 children with spastic cerebral palsy were divided into observation group (n=30) and control group (n=30). The control group accepted routine rehabilitation, while the observation group were also trained to use forearm crutches. They were assessed with Gross Motor Function Measure-88 (GMFM-88) and Balancer. The way of item 70 of GMFM-88 was used to assess the mobile capability. Results The scores of GMFM-88 significantly improved in both groups after treatment (t>6.002, P<0.001), and improved more in the observation group than in the control group (t=2.317, P<0.05). The whole path length and the circumference area reduced in both groups after treatment (P<0.05), and reduced more in the observation group with the assist of the forearm crutches (P<0.01). The incidence of walking was more in the observation group with the assistant of the forearm crutches (χ2=25.87, P<0.01). Conclusion Forearm crutches assistant can improve the recovery of motor function, balance and walking ability in children with spastic cerebral palsy.

Key words: cerebral palsy, crutches, rehabilitation, motor function, walking, balance