痉挛型双瘫脑瘫儿童粗大运动功能与脊柱活动度的相关性  

Correlation between gross motor function and spinal range of motion for children with bilateral spastic cerebral palsy

作　　者：李思佳 张琦[1,2] 何艳[2] 刘前进 张燕庆 周天添 LI Sijia;ZHANG Qi;HE Yan;LIU Qianjin;ZHANG Yanqing;ZHOU Tiantian(Capital Medical University School of Rehabilitation Medicine,Beijing 100068,China;Department of Physical Therapy,Beijing Bo'ai Hospital,China Rehabilitation Research Center,Beijing 100068,China)

机构地区：[1]首都医科大学康复医学院,北京市100068 [2]中国康复研究中心北京博爱医院儿童物理疗法科,北京市100068

出　　处：《中国康复理论与实践》2022年第10期1211-1216,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：中国康复研究中心青年基金项目(No.2019ZX-Q5)。

摘　　要：目的探讨痉挛型双瘫脑瘫儿童粗大运动功能与脊柱运动能力之间的关系。方法选取2019年12月至2022年3月北京博爱医院痉挛型双瘫脑瘫儿童33例,按照粗大运动功能分级系统(GMFCS)分级,分为1组(Ⅰ级,n=12)、2组(Ⅱ级,n=11)和3组(Ⅲ级,n=10)。采用SpinalMouse脊柱形态测量仪测量患儿坐位躯干前后屈、左右屈关节活动度。采用粗大运动功能测试(GMFM)88项进行测试。结果后伸角度、矢状面总活动度、左屈角度、右屈角度、冠状面总活动度均与GMFM88评分呈正相关(r>0.424,P<0.05),与GMFCS分级呈负相关(|r|>0.424,P<0.05)。结论痉挛型双瘫脑瘫儿童的脊柱活动度与粗大运动表现相关。Objective To explore the correlation between gross motor function and spinal range of motion(ROM)in children with bilateral spastic cerebral palsy.Methods A total of 33 children with bilateral spastic cerebral palsy in Beijing Bo'ai Hospital from December,2019 to March,2022 were selected and divided into group 1(gradeⅠ,n=12),group 2(gradeⅡ,n=11)and group 3(gradeⅢ,n=10)according to Gross Motor Function Classification System(GMFCS).SpinalMouse(spine mor‐phometric machine)was used to measure the ROM of forward and backward flexion,and left and right lateral flexion of trunk,respectively,in sitting.Their gross motor ability was then further tested using the Gross Motor Function Measure(GMFM)88 item.Results The ROM of backward flexion,the left and right lateral flexion,and the total ROM of sagittal and coronal plane were positively correlated with the scores of GMFM88(r>0.424,P<0.05),and were negatively correlated with the grade of GMFCS(|r|>0.424,P<0.05).Conclusion Spinal ROM correlates with gross motor function in children with bilateral spastic cerebral palsy.

关 键 词：痉挛型 脑性瘫痪 粗大运动功能 脊柱 关节活动度 

分 类 号：R742.3[医药卫生—神经病学与精神病学]