| 反复促通疗法对痉挛型偏瘫脑瘫儿童步行功能的影响 |
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| 引用本文： | 李晓松,张琦,刘建军,岳青,胡晓诗,梁艳华,冯啊美,王一丁,张燕庆.反复促通疗法对痉挛型偏瘫脑瘫儿童步行功能的影响[J].中国康复,2023,38(9):538-542. |
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| 作者姓名： | 李晓松 张琦 刘建军 岳青 胡晓诗 梁艳华 冯啊美 王一丁 张燕庆 |
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| 作者单位： | 1.首都医科大学康复医学院，北京 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 100068;1.首都医科大学康复医学院，北京 100068；2.中国康复研究中心北京博爱医院儿童康复科，北京 100068 |
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| 基金项目： | 中国康复研究中心科研项目(2020-Q5) |
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| 摘 要： | 目的:探讨反复促通疗法对痉挛型偏瘫脑性瘫痪(SHCP)儿童步行功能的影响。方法:选取SHCP儿童40例，随机分为2组各20例。对照组每天给予常规康复训练60min,观察组每天给予反复促通疗法训练60min,共4周。训练前后采用10m步行测试(10MWT)评价步行速度，三维步态分析系统评价患侧下肢处于支撑中期和摆动中期时髋、膝、踝关节角度以及处于足跟着地期时踝关节角度。结果:训练后2组自选步行速度(SWS)和最快步行速度(MWS)均较治疗前显著增加(P<0.01),且观察组显著高于对照组(P<0.01)。训练后患侧下肢处于支撑中期时与训练前比较，2组患侧髋关节屈曲角度明显降低(P<0.05),患侧膝关节屈曲角度明显增加(P<0.05),患侧踝关节背屈角度明显增加(P<0.05),且观察组各项改善程度均优于对照组(P<0.05);训练后患侧下肢处于摆动中期时与训练前比较，2组患侧髋、膝关节屈曲角度明显增加(P<0.05),且观察组改善程度均优于对照组(P<0.05);训练后患侧下肢处于摆动中期时观察组患侧踝关节背屈角度较训练前及对照组明显增加...
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| 关 键 词： | 反复促通疗法 痉挛型偏瘫 脑性瘫痪 步行功能 |
Effects of Repetitive Facilitative Exercise on Walking Function of Children with Spastic Hemiplegic Cerebral Palsy |
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| Abstract: | Objective: To explore the effects of repetitive facilitative exercise on walking function of children with spastic hemiplegic cerebral palsy. Methods: A total of 40 children with spastic hemiplegia cerebral palsy were selected and randomly divided into two groups, each with 20 cases. The control group received routine rehabilitation training for 60 min per day, and the observation group received repetitive facilitative exercise training for 60 min per day for a total of 4 weeks. Before and after training, a 10-m walking test (10MWT) was used to evaluate walking speed, and a three-dimensional gait analysis system was used to evaluate the hip, knee, and ankle joint angles of the affected lower limb during the mid support and swing phases, as well as the ankle joint angles during the heel landing phase. Results: After training, the self-selected walking speed (SWS) and maximum walking speed (MWS) of the two groups significantly increased compared to those before treatment (P<0.01), and those in the observation group were significantly higher than in the control group (P<0.01). After training, when the affected lower limb was in the middle support phase, the hip joint flexion angle on the affected side was significantly reduced (P<0.05), the knee joint flexion angle on the affected side was significantly increased (P<0.05), and the ankle joint dorsiflexion angle on the affected side was significantly increased (P<0.05) in both groups compared to those before training. Moreover, the observation group showed better improvement in all aspects than the control group (P<0.05). After training, when the affected lower limb was in the middle swing phase, the flexion angles of the affected hip and knee joints in the two groups were significantly increased as compared with those before training (P<0.05), and the improvement degree of the observation group was better than that of the control group (P<0.05). After training, when the affected lower limb was in the middle swing phase, the observation group had a significant increase in the dorsiflexion angle of ankle joint compared to before training and the control group (P<0.05), while there was no significant difference in the dorsiflexion angle of ankle joint before and after training in the control group. When the affected lower limb was in the heel landing phase, there was no significant difference in the dorsifl-exion angle of ankle joint between the two groups before and after training, as well as within the group. Conclusion: Repetitive facilitative exercise can better improve the walking function of children with spastic hemiplegic cerebral palsy. |
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| Keywords: | repetitive facilitative exercise spastic hemiplegic cerebral palsy walking function |
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