弹性绷带对脑瘫患儿立位及步行功能的作用观察

目的:探讨弹性绷带的应用对脑瘫儿立位及步行功能的影响。方法:立位及步行功能异常的脑瘫患儿71例,随机分为矫正组50例和对照组21例,两组均采用以Bobath技术为主的综合康复治疗,矫正组同时据患儿情况配备弹性绷带进行训练。2组治疗前后用粗大运动功能评定量表(GMFM)对爬和跪、立位、步行等项进行功能评定。结果:治疗3个月后2组患儿GMFM得分较治疗前明显提高(P<0.001),矫正组得分高于对照组(P<0.05)。结论:配备弹性绷带并采用神经生理学疗法为主的综合康复治疗更有利于患儿立位及步行功能的提高。

Obseration of Standing and Walking Akility of Children with Cerebral Paly with Adopting Elastic Bandage

Objective: To study the effects of adopting elastic bandage on standing and walking ability of children with cerebral palsy.Methods: Seventy-one cases of cerebral palsy children with abnormal standing and walking posture were divided into 2 groups.The redress group with 50 cases while the control group with 21 cases.The redress group was treated with neurodevolopment therapy and additional training with elastic bandage.The control group was treated with neurodevolopment therapy only.Gross motor function measure(GMFM) was performed before and after treatment.Results: After 3 months' treatment.The GMFM results in the twe groups were significantly improved as with those treatment(p<0.001).The score of the redress group was more remarkably than that of the control group(p<0.05) Conclusion: The results of adopting elastic bandage combined with neurodevolopment therapy might be bether than neurodevolopment therapy alone for cerebral palsy children.