摘要
目的:分析运动疗法在脑瘫儿童选择性脊神经后根切断术后康复中的临床疗效,为脑瘫儿童的康复提供可靠方法。方法:2003年9月至2007年4月脑瘫患儿226例,男125例,女101例;年龄3～10岁,平均6.8岁;随机分为对照组113例和治疗组113例。治疗组:男66例,女47例;年龄3～8岁,平均(6.5±1.2)岁;采用选择性脊神经后根切断术同时辅以运动疗法。对照组:男59例,女54例;年龄3～10岁,平均(6.9±1.5)岁;采用选择性脊神经后根切断术。两组治疗前后采用小儿脑瘫粗大运动功能测试量表(GMFM)、肌张力评分、被动关节活动度进行评估。结果:226例均获随访,时间6～18个月,平均8个月。治疗后组间进行比较:治疗组GMFM得分平均(134.29±46.43)分,高于对照组(P<0.05);肌张力评分平均(1.27±0.42)分,优于对照组(P<0.05);关节活动度中踝背屈角度平均(14.2±3.1)°,大于对照组(P<0.05)。结论:运动疗法在脑瘫儿童SPR术后康复中具有明显效果,有助于减轻痉挛状态、降低肌张力、改善脑瘫儿童的运动功能。
Objective ：To observe the clinical effect of exercise therapy on rehabilitation after selective posterior rhizotomy （SPR） in children with cerebral palsy,so as to provide reliable rehabilitation method for children with cerebral palsy. Methods：Two hundred and twenty-six children with cerebral palsy were treated in the study during September 2003 to April 2007. All the patients were randomly divided into the training and control groups. There were 113 patients in the treatment group, including 66 males and 47 females, ranging in age from 3 to 8 years,with an average of （6.5±1.2） years, and the patients were treated with SPR as well as exercise therapy. Among 113 patients in the control group,59 patients were male and 54 patients were female, ranging in age from 3 to 10 years, with an average of （6.9± 1.5 ）years, and the patients were treated with SPR simply. Gross Motor Function Measure （GMFM）, passive range of motion and muscle tension were used to evaluate therapeutic effects before and after treatment for both groups. Results：All the patients were followed up for 6 to 18 months （averaged 8 months）. There were significant improvements in training group compared with the control group on GMFM （134.29±46.43,P〈 0.05）, passive range of motion （dorsiflexion of the ankle 14.2±3.1 degree,P〈0.05） and muscle tension （ 1.27±0.42, P〈0.05）. Conclusion ：Physical therapy has more effective on rehabilitation after SPR for children with cerebral palsy, which can decrease spasticity and muscle tension and improve motor function.
出处
《中国骨伤》
CAS
2009年第9期674-676,共3页
China Journal of Orthopaedics and Traumatology
基金
国家自然科学基金(编号:30600847)
关键词
脑性瘫痪
脊神经根切断术
运动疗法
康复
随机对照试验
Cerebral palsy
Rhizotomy
Exercise therapy
Rehabilitation
Randomized controlled trials
