深层肌肉刺激疗法对痉挛型双瘫患儿步态的影响  

Effect of deep muscle stimulation therapy on gait of children with spastic diplegia

作　　者：杨光显 缪吉[1] 梅强 卢光军 肖侃 Yang Guangxian;Miao Ji;Mei Qiang(Rehabilitation Department of Wuhan Children's Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430015,China)

机构地区：[1]华中科技大学同济医学院附属武汉儿童医院康复医学科,武汉430015 [2]湖北省中医院儿科,武汉430000

出　　处：《中国康复》2020年第4期194-196,共3页Chinese Journal of Rehabilitation

摘　　要：目的:研究深层肌肉刺激疗法对痉挛型双瘫患儿步态的影响。方法:将32例痉挛型双瘫患儿随机分为观察组和对照组各16例。2组均进行常规康复训练,观察组在此基础上给予深层肌肉刺激治疗,分别于治疗前和治疗12周后使用三维步态分析仪进行步态分析。结果:治疗12周后,2组步幅、步速均较治疗前有明显增加(均P<0.05),且治疗后观察组患儿步幅、步速均较对照组高(均P<0.05),其余各项参数2组间比较均差异无统计学意义。2组髋关节最大伸展角度和踝关节最大跖屈角度均较治疗前明显增大(均P<0.05),观察组膝关节最大屈曲角度、踝关节最大跖屈角度均较对照组明显增大(均P<0.05),且观察组膝关节最大伸展角度较治疗前及对照组均明显增大(均P<0.05),其余各项参数在统计学上无显著性差异。结论:在常规康复疗法的基础上,应用深层肌肉刺激疗法能改善痉挛型双瘫患儿步态,是痉挛型双瘫患儿康复的一种有效方法和手段。Objective:To investigate the effect of deep muscle stimulation therapy on gait of children with spastic diplegia.Methods:Thirty-two children with spastic diplegia were randomly divided into experimental group and control group,with 16 cases in each group.Both groups were given routine rehabilitation training,and the experimental group received deep muscle stimulation therapy additionally.Gait analysis was performed using a threedimensional gait analyzer before and after 12 weeks of treatment.Results:After 12 weeks of treatment,the stride and pace of the two groups were significantly increased compared to those before treatment(both P<0.05),and those in the observation group were significantly increased as compared with those in the control group(both P<0.05).There were no significant differences in other parameters between the two groups.The maximum extension angle of the hip joint and the maximum flexion angle of the ankle joints in both groups after treatment were significantly larger than before treatment(both P<0.05).The maximum flexion angle of the knee joint and the maximum flexion angle of the ankle joints in the observation group were significantly larger than those in the control group(P<0.05),and the maximum extension angle of the knee joint in the observation group was significantly larger than that before treatment and the control group(both P<0.05),and there was no statistically significant difference in the other parameters.Conclusion:On the basis of conventional rehabilitation therapy,the application of deep muscle stimulation therapy can improve the gait of children with spastic diplegia,and it is an effective method and means for rehabilitation of children with spastic diplegia.

关 键 词：脑性瘫痪 痉挛性双瘫 深层肌肉刺激 步态 

分 类 号：R49[医药卫生—康复医学] R742[医药卫生—临床医学]