摘要
目的观察Breva踝关节运动仪对痉挛型脑瘫儿童下肢运动功能的影响。方法共选取40例痉挛型脑瘫患儿,采用随机数字表法将其分为治疗组及对照组。2组患儿均给予常规的康复治疗,主要包括运动训练、物理治疗、佩戴踝足矫形支具等,治疗组在上述基础上辅以踝关节运动仪治疗。在治疗前及治疗3月后进行疗效判定,疗效评定指标为下肢踝关节被动背屈角度、粗大运动功能量表(GMFM-88)之D区(站立)、E区(走跑跳)分值、Berg平衡的分值(BBS)。结果2组患儿分别经过3个月治疗后,发现其踝关节被动背屈角度、粗大运动功能量表(GMFM-88)之D区(站立)、E区(走跑跳)分值及BBS较治疗前明显改善(P<0.05),并且上述疗效指标均以治疗组的改善幅度相对较显著,与对照组间差异均具有统计学意义(P<0.05)。结论 Breva踝关节运动仪治疗能明显改善痉挛型脑瘫患儿的踝关节活动范围,下肢运动功能及平衡功能,对其整体功能康复具有重要意义。
Objective： To observe the efficacy of Breva ankle joint motion instrument for the treatment of the lower extremities motor function in spastic cerebral palsy （CP） .Methods： Forty patients with spastic cerebral palsy were randomly divided into treatment group and control group.The patients in two groups were given routine treatment, including motor training. physical therapy and wore the ankle-foot orthosis （AFO） .The treatment group were given ankle joint motion instrument in addition to the routine treatment, Before treatment and 3 months after treatment, The ankle angle of passive dorsiflexion motion, D and E domains of Gross Motor Function Measure （GMFM-88） . the score of the balance Berg （BBS） were performed to comparatively evaluate the effects. Results： When compare the assessment results at 3 months after treatment with those before treatment, The outcomes were significant improved statistically, and improved more in the treatment group （P〈0.05） . Conclusions： The breva ankle joint motion instrument therapy for children with spastic CP is more effective on increasing the range of ankle motion, improving gross motor function of lower extremities and the function of balance, has important significance of the overall functional rehabilitation.
出处
《中国优生与遗传杂志》
2015年第6期116-118,共3页
Chinese Journal of Birth Health & Heredity
关键词
踝关节运动仪
痉挛型脑瘫
下肢运动功能
Breva ankle joint motion instrument
Spastic cerebral palsy
Lower extremities
Motor function
