感觉运动性鞋垫对脑性瘫痪儿童步态及能量消耗的影响

doi:10.3969/j.issn.1006-9771.2019.08.015

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (8): 971-975.doi: 10.3969/j.issn.1006-9771.2019.08.015

感觉运动性鞋垫对脑性瘫痪儿童步态及能量消耗的影响

庞冬清³, 刘介生², 刘劲松³, 吴卫红⁴

1.中国康复研究中心北京博爱医院，脊柱脊髓外科；康复科，北京市 100068
2.中国康复研究中心北京博爱医院，假肢矫形部；康复科，北京市 100068
3.中国康复研究中心北京博爱医院，儿童康复科，北京市 100068
4.清华大学第一附属医院(北京华信医院)神经内科，北京市 100016

收稿日期:2018-10-23 修回日期:2019-02-21 出版日期:2019-08-25 发布日期:2019-08-16
通讯作者: 吴卫红，E-mail: wwh_kfzx@sina.com
作者简介:庞冬清(1989-)，女，汉族，山东聊城市人，硕士，住院医师，主要研究方向：儿童康复、神经康复研究。
基金资助:
中央级公益性科研院所基本科研业务费专项资金项目(No. 2015CZ-15)

Effect of Sensomotor Insole on Gait and Energy Expenditure for Children with Cerebral Palsy

PANG Dong-qing³, LIU Jie-sheng², LIU Jin-song³, WU Wei-hong⁴

1.Spine Surgery Department; c. Children Rehabilitation Department, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
2.Orthosis Department; c. Children Rehabilitation Department, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
3.Orthosis Department; c. Children Rehabilitation Department, Beijing Bo’ai Hospital, China Rehabilitation Research Center, Beijing 100068, China
4.Neurology Department, Beijing Huaxin Hospital, First Affiliated Hospital of Tsinghua University, Beijing 100016, China

Received:2018-10-23 Revised:2019-02-21 Published:2019-08-25 Online:2019-08-16
Contact: WU　Wei-hong, E-mail: wwh_kfzx@sina.com
Supported by:
Supported by National Special Fund Projects of Basic Research of Public Benefits for Institutes at Central Governmental Level (No. 2015CZ-15)

摘要/Abstract

摘要： 目的探讨感觉运动性鞋垫(SMI)对痉挛型脑瘫儿童步态时空参数及能量消耗的影响。方法 2014年12月至2016年3月，选取3~15岁符合痉挛型脑瘫诊断的患儿42例，分别在穿鞋与穿鞋+鞋垫两种情况下对患者进行步态分析及能量消耗测试。结果穿SMI后步行6 min的距离、步速、左步长和右步长均显著大于穿SMI前(t = -6.022~-4.331, Z= -4.814~-4.183, P < 0.001)，双侧平均单支撑期明显短于穿SMI前(t = 2.954, P < 0.05)；能量消耗较穿SMI前高(t = -2.358, P < 0.05)。结论 SMI作为一种矫形鞋垫，穿后即刻便可改善痉挛型脑瘫患儿的步态时空参数，轻微增加患儿的能量消耗。

关键词: 脑瘫, 儿童, 感觉运动性鞋垫, 步态分析, 能量消耗

Abstract: Objective To evaluate the effects of sensomotor insole (SMI) on gait and energy expenditure in children with spastic cerebral palsy during walking. Methods From December, 2014 to March, 2016, 42 children with spastic cerebral palsy aged three to 15 years were recruited. Their gait parameters and energy expenditure of six minute walking were measured under two test conditions: walking with shoes and walking with shoes and SMI. Results After wearing SMI, the walking distance, speed, left step length and right step length were all greater (t = -6.022~-4.331, Z= -4.814~-4.183, P < 0.001), the both feet single limb support was shorter (t = 2.954, P < 0.05), and the energy expenditure was higher than before (t = -2.358, P < 0.05). Conclusion SMI as a sort of orthopedic insole, could improve the gait parameters of children with cerebral palsy immediately after wearing it, and increase the energy expenditure slightly.

Key words: cerebral palsy, children, sensomotor insole, gait analysis, energy expenditure

中图分类号:

R742.3

庞冬清, 刘介生, 刘劲松, 吴卫红. 感觉运动性鞋垫对脑性瘫痪儿童步态及能量消耗的影响[J]. 《中国康复理论与实践》, 2019, 25(8): 971-975.

PANG Dong-qing, LIU Jie-sheng, LIU Jin-song, WU Wei-hong. Effect of Sensomotor Insole on Gait and Energy Expenditure for Children with Cerebral Palsy[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(8): 971-975.

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感觉运动性鞋垫对脑性瘫痪儿童步态及能量消耗的影响

Effect of Sensomotor Insole on Gait and Energy Expenditure for Children with Cerebral Palsy

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