目的 探讨经颅超声治疗对不随意运动型脑瘫患儿平衡功能及步行能力的效果。方法 2015年6月至2016年2月,51例不随意运动型脑瘫患儿随机分为对照组(n=25)和经颅超声组(n=26)。两组均给予常规康复,经颅超声组增加经颅超声治疗,强度1.2 W/cm2,每次20 min,每周5次,共3周。分别于治疗前后采用儿童平衡量表(PBS)进行评定,足印法分析患儿步长、步宽及步速。结果 两组治疗后PBS评分、步长及步速均较治疗前明显改善(Z>4.112, t>3.338, P<0.01);经颅超声组PBS评分、步长及步速均显著优于对照组(Z=2.529, t>2.038, P<0.05)。结论 经颅超声治疗能显著改善不随意运动型脑瘫患儿平衡功能及步行能力。
Objective To observe the effects of transcranial ultrasound (TU) therapy on balance function and walking ability in children with dyskinetic cerebral palsy (CP). Methods From June, 2015 to February, 2016, 51 children with dyskinetic CP were randomly divided into control group (n=25) and TU group (n=26). All the children accepted routine rehabilitation, while TU group accepted TU in addition, 1.2 W/cm2 for 20 minutes per day, 5 times a week, for three weeks. They were evaluated with Pediatric Balance Scale (PBS), walking speed, step length and step width with footprint analysis before and after intervention. Results The PBS score, step length and walking speed improved in both groups after intervention (Z>4.112, t>3.338, P<0.01), and improved more in TU group than in the control group (Z=2.529, t>2.038, P<0.05). Conclusion TU therapy can improve balance function and walking ability in children with dyskinetic CP.
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