60例痉挛型脑瘫患儿步态训练疗效观察  

Curative effect observation of gait training in 60 cerebral palsy children with spasm

作　　者：冉茂群[1] 肖农[1] 任永平[1] 李邦慧[1] 刘玲[1] 

机构地区：[1]重庆医科大学儿童医院康复中心,400014

出　　处：《重庆医学》2011年第7期672-672,675,共2页Chongqing medicine

摘　　要：目的探讨在佩戴矫形鞋下利用减重仪对脑瘫患儿进行步态训练的疗效。方法将60例大龄(≥3岁)痉挛型脑瘫患儿分为治疗组和对照组,治疗组在配戴矫形鞋下进行减重训练,结合运动综合康复治疗。对照组进行运动综合康复治疗。治疗前、后两组分别进行摄像,评定粗大运动评分(GMFM)、Berg平衡评分,运动功能分级(GMFCS)等。结果摄像显示治疗组治疗后步态改善明显,运动能力明显提高:GMFM、Berg平衡评分、GMFCS显著增加,与治疗前比较差异有统计学意义(P<0.01)。而对照组也有所改善,但不如治疗组改善明显。结论痉挛型脑瘫患儿在运动综合康复治疗下结合佩戴矫形鞋进行减重训练能有效改善和提高脑瘫患儿步态及运动能力。Objective To approach the curative effect of gait training with orthopedic footwear and weight relief set in cerebral palsy children.Methods A total of 60 cerebral palsy children with spasm（≥3 years old）were devided into 2 groups randomly：therapy group and control group.Therapy group got weight relief training with orthopedic footwear and general rehabilitation therapy,while control group only got general rehabilitation.Pre-therapy and post-therapy,all the children were evaluated by taking video,Gross Motor Function Measure（GMFM）,Berg balance score and Gross Motor Function Classification System（GMFCS）.Results The video showd that,after therapy,both the gait and the motor ability improved obviously in both the groups.GMFM,Berg balance score and GMFCS increased significantly,and the difference between the two groups was statistical significant（P0.01）.Conclusion On the base of the general rehabilitation,weight relief training with orthopedic footwear can effectively improve and elevate the gait and motor ability in the cerebral palsy children with spasm.

关 键 词：脑性瘫疾 矫形外科器材 减重训练 运动能力 

分 类 号：R742.3[医药卫生—神经病学与精神病学]