《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2021, Vol. 27 ›› Issue (3): 310-315.doi: 10.3969/j.issn.1006-9771.2021.03.010
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Received:
2020-09-29
Revised:
2021-01-08
Published:
2021-03-25
Online:
2021-04-02
Contact:
Yue ZHANG
E-mail:feiyuezhang@126.com
Supported by:
CLC Number:
Yi WANG,Yue ZHANG. Advance in Neuromuscular Function of Spastic Cerebral Palsy for Gait and Targeted Intervention (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(3): 310-315.
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缺陷 | 下肢主要肌群 | 步态周期阶段及事件 | 异常步态表现 |
---|---|---|---|
肌无力 | 臀大肌、腘绳肌 | 足跟触地至支撑期 | 髋关节伸展不足 |
髂腰肌 | 足跟离地至摆动末期 | 摆动期髋关节屈曲减少 | |
臀中肌 | 单下肢支撑期 | 对侧骨盆下降及同侧躯干倾斜 | |
股四头肌 | 足跟触地至支撑期 | 膝关节伸展不足 | |
胫骨前肌 | 足跟触地 摆动期 | 拍打步态 垂足 | |
腓肠肌 | 摆动前期 | 协助屈膝减少 | |
肌肉肌腱单元生长受限及短缩 | 髂腰肌 | 站立期 | 髋关节屈曲增加 |
臀中肌 | 整个步态周期 | 髋内旋、内八步态 | |
内收肌 | 整个步态周期 | 剪刀步态 | |
腘绳肌 | 摆动末期及站立期 | 膝关节屈曲增加 | |
腓肠肌、比目鱼肌 | 整个步态周期 | 尖足 | |
胫骨后肌 | 整个步态周期 | 马蹄内翻足 | |
痉挛及高肌张力 | 髂腰肌 | 足跟离地进入摆动期 | 髋关节伸展减少 |
臀中肌 | 整个步态周期 | 髋内旋 | |
内收肌 | 整个步态周期 | 剪刀步态 | |
股直肌 | 站立期足跟离地至足趾离地 | 髋关节伸展减少 膝关节屈曲减少 | |
腓肠肌、比目鱼肌 | 摆动末期及站立期 | 尖足 | |
选择性运动控制减少 | 膝髋屈肌共同激活 | 摆动末期足跟触地前 | 膝关节屈曲增加 |
膝髋伸展向屈曲过渡减慢 | 摆动期 | 拖曳,摆动期足底与地面间隙减少 | |
跖屈肌与膝伸肌共同激活 | 摆动末期 | 前脚掌先着地(尖足) |
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