附加神经认知疗法综合治疗痉挛型双瘫患儿疗效分析

目的研究附加神经认知疗法的综合康复治疗对痉挛型双瘫患儿肌张力改善和运动功能提高的疗效。方法73例痉挛型双瘫患者随机分为治疗组(37例)与对照组(36例)。对照组采取运动疗法、神经肌肉电刺激、水疗法、下肢踝足矫形器佩戴、药物疗法综合康复治疗,治疗组在上述治疗基础上加用神经认知疗法治疗。比较2组治疗前后肌张力、关节活动度及步态分析的改变。结果治疗后患儿肌张力、关节活动度均较治疗前改善,治疗组肌张力、关节活动度的改善优于对照组(P均<0.05);步态分析显示治疗组显效31例(83.8%),对照组显效26例(72.2%),总有效率治疗组高于对照组(97.3%vs 86.1%,P<0.05)。结论附加神经认知疗法的综合康复手段,有利于缓解患儿肌肉痉挛、纠正异常步态。

Effectiveness of nerve cognition therapy added to synthetical rehabilitation treatment on children with spasm type bilateral paralysis

Objective To analyze effectiveness of nerve cognition therapy added to synthetical rehabilitation treatment on improvement of muscular tension and motor function in children with spasm type bilateral paralysis in cerebral palsy.Methods A total of 73 children with spasm type bilateral paralysis were randomly divided into two groups:treatment group(n=37) and control group(n=36).In control group,synthetical rehabilitation treatments including motortherapy,electric stimulation of nerve and muscle,hydrotherapy,b...