家庭功能训练和支具在小儿臂丛神经损伤中的应用

目的：探讨家庭功能训练和支具应用于小儿臂丛神经损伤的可行性和治疗作用。方法：41例臂丛神经损伤患儿分为治疗组与对照组。治疗组19例，采用上肢支具、按摩和功能训练进行治疗；对照组22例，采用神经肌肉电刺激疗法。2组病例于治疗前、治疗1个月、3个月和1年后进行临床评定，相应数据进行统计学分析。结果：2组病例的肌力和关节活动度均有提高，治疗前后比较差异有显著性（P＜0．01），组间比较差异无显著性（P＞0．05）；在综合实用功能方面治疗组治疗前后比较，差异有显著性（P＜0．05），而对照组治疗前后比较差异无显著性（P＞0．05），组间比较显示治疗1个月、3个月差异无显著性（P＞0．05），治疗1年后治疗组优于对照组，差异有显著性（P＜0．05）。结论：家庭功能训练和支具治疗对小儿臂丛神经损伤有可靠疗效，并能减轻患者家庭负担。

Using Splint and home-based training in treatment of brachial plexus injury

Objective To investigate the value of splint and family training in the treatment of brachial plexus in children. Methods Forty one subjects with brachial plexus injury were randomly divided into the therapy and control groups. Nineteen cases from the countryside were allocated to the therapy group and were treated with splint and home based training, and twenty two cases from the urban area to the control group and were treated with electric neuromuscular stimulation. Results After training for one year, significant improvement was achieved in patients in both groups with regard to muscle strength and ROM( P <0.01), and no significant difference between the two groups was found ( P >0.05). Only in the therapy group was a significant improvement in functional movement found ( P <0.05). After 1 year of treatment, there was a significant difference between the two groups when a comparison was made with regard to the functional movement ( P < 0.05 ). Conclusion This study validated that splint and home based training as effective and economical intervention strategies for rehabilitation of brachial plexus injury.