矫形弹力绷带对痉挛性偏瘫脑性瘫痪患儿步态对称性和步行能力的效果

doi:10.3969/j.issn.1006-9771.2023.09.012

Abstract

Abstract:

Objective To investigate the short-term efficacy of orthopedic elastic bandages on gait symmetry and walking ability in children with spastic hemiplegic cerebral palsy.

Methods From June, 2020 to June, 2023, 31 children with spastic hemiplegic cerebral palsy from Beijing Bo'ai Hospital were randomly divided into control group (n = 15) and experimental group (n = 16). Both groups received routine rehabilitation, while the control group received routine walking training, and the experimental group wore an orthopedic elastic bandage for walking training, for four weeks. The indexes of gait symmetry of foot deviation angle ratio (affected/healthy), step length ratio (affected/healthy), gait line ratio (affected/healthy) and standing stage ratio (affected percentage/healthy percentage) were calculated before and after training, and they were measured step width and the optional and maximum walking speed of 10-meter walk test (10MWT).

Results One case dropped off in the experimental group. After training, the foot deviation ratio, step length ratio, gait line ratio, and standing stage ratio improved in both groups (|t| > 2.434, P < 0.05), and they were better in the experimental group than in the control group (|t| > 2.230, P < 0.05); while the optional and maximum walking speed of 10MWT improved in both groups (|t| > 9.186, P < 0.001), and they were better in the experimental group than in the control group (|t| > 2.278, P < 0.05).

Conclusion Wearing orthopedic elastic bandages during rehabilitation can promote the gait symmetry and walking ability of children with spastic hemiplegic cerebral palsy.

Key words: cerebral palsy, spastic hemiplegia, walking, orthopedic elastic bandage, gait symmetry

CLC Number:

R742.3

HU Xiaoshi, ZHANG Qi, YUE Qing, LIANG Yanhua, LI Xiaosong, FENG Amei, ZHANG Yanqing. Effect of orthopedic elastic bandages on gait symmetry and walking ability in children with spastic hemiplegic cerebral palsy[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2023, 29(9): 1083-1089.

Figures/Tables 10

References 47

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组别	n	性别(男/女)/n^a	年龄/岁^b	偏瘫侧(左/右)/n^a	GMFCS分级(I/II)/n^a
对照组	15	13/2	3.87±1.13	7/8	12/3
试验组	16	13/3	3.75±0.93	7/9	15/1
Z值		-	-0.108	-	-
P值		1.000	0.914	1.000	0.333

组别	n	训练前	训练后	t值	P值
对照组	15	3.70±1.07	3.44±0.92	2.801	0.014
试验组	15	3.71±1.22	2.01±0.58	7.929	< 0.001
t值		-0.038	5.101
P值		0.970	< 0.001

组别	n	训练前	训练后	t值	P值
对照组	15	1.34±0.16	1.30±0.14	3.057	0.009
试验组	15	1.35±0.15	1.20±0.08	5.867	< 0.001
t值		-0.172	2.230
P值		0.865	0.036

组别	n	训练前	训练后	t值	P值
对照组	15	0.47±0.20	0.49±0.17	-2.434	0.029
试验组	15	0.50±0.17	0.67±0.14	-12.094	< 0.001
t值		-0.498	-3.190
P值		0.623	0.003

组别	n	训练前	训练后	t值	P值
对照组	15	0.83±0.03	0.84±0.03	-3.384	0.004
试验组	15	0.82±0.05	0.88±0.04	-7.063	< 0.001
t值		0.616	-3.032
P值		0.543	0.005

Effect of orthopedic elastic bandages on gait symmetry and walking ability in children with spastic hemiplegic cerebral palsy

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组别	n	训练前	训练后	t值	P值
对照组	15	12.47±2.50	12.13±1.92	1.323	0.207
试验组	15	13.27±2.19	12.80±1.37	1.606	0.131
t值		-0.932	-1.093
P值		0.359	0.284

组别	n	训练前	训练后	t值	P值
对照组	15	0.71±0.15	0.85±0.16	-11.549	< 0.001
试验组	15	0.72±0.20	1.01±0.21	-9.186	< 0.001
t值		-0.103	-2.278
P值		0.919	0.031

组别	n	训练前	训练后	t值	P值
对照组	15	0.94±0.17	1.18±0.24	-9.331	< 0.001
试验组	15	0.99±0.20	1.37±0.22	-14.260	< 0.001
t值		-0.771	-2.321
P值		0.447	0.028

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