腕手矫形器治疗脑瘫患儿拇指内收初探  

Effects of Wrist Hand Orthoses on Cerebral Palsy Children with Adduction of Thumb

作　　者：李晓捷[1] 吕智海[1] 王立苹[1] 时人杰[1] 张士岭[1] 

机构地区：[1]佳木斯大学附属第三医院佳木斯大学儿童神经康复实验室,黑龙江佳木斯市154003

出　　处：《中国康复理论与实践》2010年第3期243-244,共2页Chinese Journal of Rehabilitation Theory and Practice

基　　金：黑龙江省卫生厅科研项目(2006-355;2009-339);黑龙江省教育厅科研项目(11544052);佳木斯大学科研项目(S2008-033)

摘　　要：目的观察腕手矫形器治疗脑瘫患儿拇指内收的效果。方法痉挛型偏瘫脑瘫患儿分为实验组14例和对照组15例,两组均进行常规康复训练,实验组加腕手矫形器治疗拇指内收异常姿势。结果两组患儿治疗后被动关节活动度(PROM)、精细运动能力测试量表(FMFM)评分较治疗前均有提高。治疗后实验组与对照组比较,PROM、FMFM均提高(均P<0.05)。结论腕手矫形器可改善痉挛型脑瘫患儿拇指外展活动度,提高精细运动能力。Objective To observe the effects of wrist hand orthoses on cerebral palsy children with adduction of thumb. Methods Children with spastic hemiplegia were divided into experimental group （14 cases） and control group （15 cases）. Children in the both groups received routine rehabilitation for 3 months. Children in experimental group wore wrist hand orthoses 4-8 h/d in addition. Results The passive range of motion （PROM） and scores of Fine Motor Function Measure Scale （FMFM） significantly increased in both groups after treatment. The PROM and FMFM scores in experimental groups increased more than those in the control group after treatment （P〈0.05）. Conclusion Wrist hand orthoses can improve the passive adduetion angle of carpometacarpal joints of thumb and the fine motor function in spastic hemiplegia children after cerebral palsy.

关 键 词：脑性瘫痪 拇指内收 腕手矫形器 被动关节活动度(PROM) 精细运动能力测试量表(FMFM) 

分 类 号：R742.3[医药卫生—神经病学与精神病学]