踝足矫形器对小腿三头肌痉挛的脑瘫患儿康复治疗作用

目的：探讨踝足矫形器在脑瘫康复治疗中对大运动功能的影响。方法：伴有小腿三头肌痉挛的脑瘫患儿71例,分为矫正组50例和对照组21例,均采用以Vojta法,Bobath法为主的综合康复治疗,其中矫正组患儿下肢肌张力有所下降,踝关节活动度好转,足背屈（被或主动）近90°时取模制作踝足矫形器（AFO）,并在无训练时坚持每天配戴。治疗前后2组均采用粗大运动功能量表（GMFM）进行大运动功能评分。结果：治疗3个月后,2组大运动功能与治疗前比较均明显提高（P〈0.001）,矫正组得分高于对照组（P〈0.05）。结论：神经生理学疗法辅以踝足矫形器更有利于脑瘫患儿大运动功能的康复。

Clinical Observation of Rehabilitation Treatment with Ankle Foot Orthoses in Children with Cerebral Palsy

Objective: To investigate the effect of ankle foot orthoses on movement of children with cerebral palsy. Methods: Seventy-one children with spastic cerebral palsy were divided into a redress group (50 cases) and a control group (21 cases). The children in both two groups received comprehensive rehabilitation treatment as Vojta and Bobath method, and those in the redress group wore ankle foot orthoses. The GMFM was used to assess the rehabilitation effectiveness before and after the movement. Results: After treatment for 3 months, movement functional scores of both groups were raised significantly. The score in the redress group was remarkably higher than that of the control group. Conclusion: Ankle foot orthoses combined with neurodevelopment therapy is advantageous to rehabilitation of cerebral palsy children.