定量评定踝足矫形器对痉挛型脑性瘫痪的疗效

目的探讨量表定量评定矫形器对脑瘫患儿的应用价值。方法选择年龄2～4岁的脑瘫粗大运动功能分级系统(GMFCS)Ⅱ～Ⅲ级的脑瘫患儿,随机分为踝足矫形器组25例与非矫形器组28例,同时进行康复功能训练。两组训练前后利用粗大运动功能量表(GMFM)中的D区(站立位)及E区(行走、跑、跳)进行粗大运动功能评定,利用Berg平衡量表进行平衡功能评定,利用踝关节活动范围角度的改变进行关节活动度(ROM)评定。比较两组痉挛型脑瘫患儿的疗效。结果干预前两组粗大运动功能、平衡功能及关节活动度无明显差异。而干预前与干预后非矫形器组、矫形器组组间均存在明显差异。结论踝足矫形器对痉挛型脑瘫患儿的粗大运动功能、平衡功能、关节活动度的改善起到积极作用。

Quantitative evaluation of ankle foot orthoses spastic cerebral palsy

Objective To discuss application value of quantitative evaluation for AFO cerebral palsy children. Methods Gross motor function classification system （GMFCS） Ⅱ level-the level Ⅲ between CP 2-4 years old. Randomly divided in- to two groups, AFO of 25 cases and no AFO of 25 cases. At the same time rehabilitation training, two groups use GMFM the region D （stand） and E area （walk, run, jump） gross movement function evaluation;Balance function evaluation used Berg balance scale. Used the change of the Angle range ankle activities to assess the ROM. Through the analysis of variance evaluation AFO spastic cerebral palsy children effect. Results Before treatment, two groups of gross movement function motor function, balance function, ROM without significant differences. With before and after the intervention of AFO group, no AFO group had difference. Conclusion AFO plays a positive role in spastic CP of the gross motor function, bal- ance function, improvement of the ROM.