踝足矫形器提高痉挛型脑性瘫痪患儿运动功能的研究  

Therapeutic effect of ankle-foot orthoses on the children with spastic cerebral palsy

作　　者：吕智海[1,2] 张震[1] 李莹莹 时人杰[1,2] 张士领[1,2] 范艳萍[1,2] 栾天明[1,2] 

机构地区：[1]佳木斯大学附属第三医院脑瘫康复科,黑龙江佳木斯154003 [2]佳木斯大学儿童神经康复实验室

出　　处：《中国中西医结合儿科学》2012年第1期25-27,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：黑龙江省教育厅科研项目资助(11544052)

摘　　要：目的观察踝足矫形器治疗痉挛型脑瘫患儿的疗效。方法痉挛型脑瘫患儿分为观察组和对照组各20例,两组均进行常规康复训练,观察组加踝足矫形器治疗动静态尖足。治疗1个疗程(3个月)后采用改良Ashworth量表进行小腿三头肌肌张力和采用粗大运动功能评定量表(GMFM)进行粗大运动功能评估。结果两组患儿治疗后观察组小腿三头肌肌张力与对照组比较显著下降,差异有统计学意义(P<0.05);治疗后观察组GMFM得分与对照组比较显著提高,差异有统计学意义(P<0.01)。结论踝足矫形器可降低痉挛型脑瘫患儿小腿三头肌肌张力,能提高粗大运动能力。Objective To observe the therapeutic effect of ankle-foot orthoses（AFO） on the children with spastic cerebral palsy（CP）. Methods The children with spastic CP were divided into observation group （n=20） and control group（n=20）. Both the two groups were trained with Traditional rehabilitation train- ing,and the observation group was added with AFO to treat static and dynamic tiptoe. After one course of treatment（3 months） the crus triceps muscular tone was evaluated via the modified Ashworth Rating Scale （MAS） ,and the gross motor function via Gross Motor Function Measurement（GMFM）. Results The crus triceps muscular tone in the observation group was much lower than that in the control group（P〈0.05）, and the scores of GMFM in the observation group were much higher than those in the control group（P〈0.01） after treatment. Conclusions AFO can decrease the crus triceps muscular tone of the children with spastic CP and improve the gross motor function.

关 键 词：脑性瘫痪 踝足矫形器 肌张力 外治法 儿童 

分 类 号：R742.3[医药卫生—神经病学与精神病学]