下肢步行机器辅助训练对痉挛型偏瘫脑性瘫痪患儿步态改善的效果分析  

Analysis of the effect of lower limb walking machine for assistant training on gait improvement in children with spastic hemiplegia and cerebral palsy

作　　者：孙胜月 周大勇 卢伟娜 房贵巍 刘宁[1] 杜丽 SUN Shengyue;ZHOU Dayong;LU Weina;FANG Guiwei;LIU Ning;DU Li(Harbin Medical University Affiliated Fourth Hospital,Harbin 150023,China)

机构地区：[1]哈尔滨医科大学附属第四医院儿童康复中心,哈尔滨150023

出　　处：《中国中西医结合儿科学》2024年第4期286-290,共5页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的探讨下肢步行机器辅助训练对痉挛型偏瘫脑性瘫痪(简称脑瘫)患儿步态改善的效果分析。方法2022年5月至2023年11月哈尔滨医科大学附属第四医院儿童康复中心门诊收治偏瘫脑瘫儿童16例,随机分为对照组和观察组各8例。对照组给予患儿常规康复训练,观察组在此基础上联合下肢步行机器辅助训练,训练时间均为30 min,每周6次。对训练前后儿童步长、单侧支撑时间、步态周期、摆动时间的步态参数进行采集,对干预前后8周数据变化进行分析。结果治疗后两组治疗方法对偏瘫患儿患侧步长长度变长、患侧单侧支撑时间变长、患侧和健侧步态周期、摆动时间的差异有统计学意义(P<0.05),且常规康复训练联合下肢步行机器辅助训练优于常规康复训练,更趋向于正常步态。结论下肢步行机器辅助训练可以改善偏瘫患儿患侧步态周期,增加患侧步长、单侧支撑时间,延长患侧摆动时间,缩短健侧摆动时间,改善偏瘫步态。Objective To investigate the effect of lower limb walking machine for assistant training on the improvement of gait in children diagnosed with spastic hemiplegia and cerebral palsy.Methods Sixteen hemiplegic children who were treated in Harbin Medical University Affiliated Fourth Hospital from May 2022 to November 2023 were randomly divided into control group(n=8)and experimental group(n=8).The control group was given routine rehabilitation training,and the experimental group was given lower limb walking machine for assistant training on this basis.The training time was 30 minutes per time,6 times a week.Gait parameters such as stride length,unilateral support time,gait cycle,and swing time of children before and after training were collected,and the data changes before and at 8 weeks after intervention were analyzed.Results After treatment,there were significant differences between the two groups in the stride length of the affected side,the time of unilateral support,the gait cycle of the affected and healthy sides and the swing time of the affected side(P<0.05);the changes after routine rehabilitation training and lower limb walking machine for assistant training were better than those after routine rehabilitation training,and the children tended to walk correctly.Conclusion Lower limb walking machine for assistant training can improve the gait cycle of the affected side of hemiplegic children,increase the stride length and unilateral support time of the affected side,prolong the swing time of the affected side,shorten the swing time of the healthy side,and improve the hemiplegic gait.

关 键 词：脑性瘫痪 偏瘫 下肢步行机器辅助训练 步态 儿童 

分 类 号：R742.3[医药卫生—神经病学与精神病学]