感觉运动性鞋垫对脑性瘫痪儿童步态及能量消耗的影响  

Effect of Sensomotor Insole on Gait and Energy Expenditure for Children with Cerebral Palsy

作　　者：庞冬清 刘介生 刘劲松[3] 吴卫红[4] PANG Dong-qing;LIU Jie-sheng;LIU Jin-song;WU Wei-hong(Neurology Department,Beijing Huaxin Hospital, First Affiliated Hospital of Tsinghua University, Beijing 100016,China;Spine Surgery Department,Beijing Bo'ai Hospital,China Rehabilitation Research Center, Beijing 100068,China;Orthosis Department,Beijing Bo'ai Hospital, China Rehabilitation Research Center, Beijing 100068,China;Children Rehabilitation Department,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China)

机构地区：[1]清华大学第一附属医院(北京华信医院)神经内科,北京市100016 [2]中国康复研究中心北京博爱医院脊柱脊髓外科,北京市100068 [3]中国康复研究中心北京博爱医院假肢矫形部,北京市100068 [4]中国康复研究中心北京博爱医院儿童康复科,北京市100068

出　　处：《中国康复理论与实践》2019年第8期971-975,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中央级公益性科研院所基本科研业务费专项资金项目(No.2015CZ-15)~~

摘　　要：目的探讨感觉运动性鞋垫(SMI)对痉挛型脑瘫儿童步态时空参数及能量消耗的影响。方法2014年12月至2016年3月,选取3~15岁符合痉挛型脑瘫诊断的患儿42例,分别在穿鞋与穿鞋+鞋垫两种情况下对患者进行步态分析及能量消耗测试。结果穿SMI后步行6min的距离、步速、左步长和右步长均显著大于穿SMI前(t=-6.022^-4.331,Z=-4.814^-4.183,P<0.001),双侧平均单支撑期明显短于穿SMI前(t=2.954,P<0.05);能量消耗较穿SMI前高(t=-2.358,P<0.05)。结论SMI作为一种矫形鞋垫,穿后即刻便可改善痉挛型脑瘫患儿的步态时空参数,轻微增加患儿的能量消耗。Objective To evaluate the effects of sensomotor insole (SMI) on gait and energy expenditure in children with spastic cerebral palsy during walking. Methods From December, 2014 to March, 2016, 42 children with spastic cerebral palsy aged three to 15 years were recruited. Their gait parameters and energy expenditure of six minute walking were measured under two test conditions: walking with shoes and walking with shoes and SMI. Results After wearing SMI, the walking distance, speed, left step length and right step length were all greater (t =- 6.022^-4.331, Z=-4.814^-4.183, P < 0.001), the both feet single limb support was shorter (t = 2.954, P < 0.05), and the energy expenditure was higher than before (t =-2.358, P < 0.05). Conclusion SMI as a sort of orthopedic insole, could improve the gait parameters of children with cerebral palsy immediately after wearing it, and increase the energy expenditure slightly.

关 键 词：脑瘫 儿童 感觉运动性鞋垫 步态分析 能量消耗 

分 类 号：R742.3[医药卫生—神经病学与精神病学]