| SPR术后康复治疗对痉挛性脑瘫患儿运动功能的影响 |
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| 引用本文： | 李智勇,卓大宏.SPR术后康复治疗对痉挛性脑瘫患儿运动功能的影响[J].中国康复理论与实践,1999,5(2):61-65. |
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| 作者姓名： | 李智勇 卓大宏 |
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| 作者单位： | 中山医科大学附属第一医院康复医学科 |
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| 摘 要： | 目的：探讨脑瘫ＳＰＲ术后的运动功能康复效果。方法：收集自１９９６年１２月到１９９７年１０月在我院显微外科手术的痉挛性脑瘫患者共２０例。训练方法以Ｂｏｂａｔｈ法为基础，加上作业治疗。结果：手术后与康复训练后之间的肌力改变统计结果有显著差异（Ｐ＜０．０５）。手术前、手术后与康复治疗后三者之间关节活动度改变在统计学上都有显著性差异（Ｐ＜０．０５）。１８例随诊显示坐位、直跪及站立姿势均有明显改善。结论：针对术后解除痉挛，康复治疗应着重加强肌力训练，牵伸挛缩，并按照正常的生理发育过程，培养正确的姿势控制，抑制异常的运动模式，逐渐建立正常的运动模式
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| 关 键 词： | 痉挛性脑瘫 选择性脊神经后根切断术（SPR） 康复治疗 功能评估 |
The Effect of Selective Posterior Rhizotomy and Rehabilitation Therapy on Motor Function of
Patients with Spastic Cerebral Palsy |
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| Li Zhiyong,Zhuo Dahong,Huang Dongfeng,et al.The Effect of Selective Posterior Rhizotomy and Rehabilitation Therapy on Motor Function of
Patients with Spastic Cerebral Palsy[J].Chinese Journal of Rehabilitation Theory and Practice,1999,5(2):61-65. |
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| Authors: | Li Zhiyong Zhuo Dahong Huang Dongfeng |
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| Abstract: | Objects:To observe the effort of rehabilitation therapy after SPR.Methods:Twenty CP
patients with spasticity were operated from December 1996 to October 1997.Occupational
therapy was used in conjunction with Bobath method which formed the base of PT.Results:All
values of muscle tone before and after operation were significantly different.Strength of many
muscular groups was lower than normal level before operation and decreased further
postoperatively.Sitting,kneeling and standing posture improved after operation and
rehabilitation.There were 9 independent walk cases improved stride length,heel contact pattern
and they had no scissors gait after rehabilitation.Conclusion:The goals of rehabilitation training
focused on building muscle strength,stretching contractures and building up right posture
control,inhibiting abnormal movement pattern,and gradually forming nornmal movement
pattern. |
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| Keywords: | spastic cerebral palsy selective posterior rhizotomy rehabilitation therapy functional assessment |
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