SPR术后康复治疗对痉挛性脑瘫患儿运动功能的影响  

The Effect of Selective Posterior Rhizotomy and Rehabilitation Therapy on Motor Function of Patients with Spastic Cerebral Palsy

作　　者：李智勇[1] 卓大宏[1] 黄东峰[1] 毛玉容[1] 陈少贞[1] 江沁[1] 

机构地区：[1]中山医科大学附属第一医院康复医学科

出　　处：《中国康复理论与实践》1999年第2期61-65,共5页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的：探讨脑瘫ＳＰＲ术后的运动功能康复效果。方法：收集自１９９６年１２月到１９９７年１０月在我院显微外科手术的痉挛性脑瘫患者共２０例。训练方法以Ｂｏｂａｔｈ法为基础，加上作业治疗。结果：手术后与康复训练后之间的肌力改变统计结果有显著差异（Ｐ＜０．０５）。手术前、手术后与康复治疗后三者之间关节活动度改变在统计学上都有显著性差异（Ｐ＜０．０５）。１８例随诊显示坐位、直跪及站立姿势均有明显改善。结论：针对术后解除痉挛，康复治疗应着重加强肌力训练，牵伸挛缩，并按照正常的生理发育过程，培养正确的姿势控制，抑制异常的运动模式。Objects:To observe the effort of rehabilitation therapy after SPR.Methods:Twenty CP patients with spasticity were operated from December 1996 to October 1997.Occupational therapy was used in conjunction with Bobath method which formed the base of PT.Results:All values of muscle tone before and after operation were significantly different.Strength of many muscular groups was lower than normal level before operation and decreased further postoperatively.Sitting,kneeling and standing posture improved after operation and rehabilitation.There were 9 independent walk cases improved stride length,heel contact pattern and they had no scissors gait after rehabilitation.Conclusion:The goals of rehabilitation training focused on building muscle strength,stretching contractures and building up right posture control,inhibiting abnormal movement pattern,and gradually forming nornmal movement pattern.

关 键 词：痉挛性 脑瘫 脊神经后根切断 康复治疗 功能评估 

分 类 号：R742.309[医药卫生—神经病学与精神病学]