情景互动智能步行训练对痉挛型脑性瘫痪儿童下肢运动功能的影响

目的：研究情景互动智能步行训练联合常规康复治疗对痉挛型脑瘫患儿下肢运动功能的影响。方法：40例痉挛型脑瘫患儿随机分为对照组和观察组各20例。对照组接受常规康复训练，观察组在此基础上增加情景互动智能步行训练。2组患儿在治疗前和治疗12周后，分别测量足背屈角和进行粗大运动功能（GMFM 88）、三维步态分析评估运动功能。结果：治疗12周后，2组患儿足背屈角均较治疗前明显增加（均P＜0.05），且观察组高于对照组（P＜0.05）；2组患儿GMFM评分D、E区明显高于治疗前（均P＜0.05），且观察组明显高于对照组（均P＜0.05）；2组患儿步长较治疗前明显变长、步速更快（均P＜0.05），支撑相明显缩短、摆动相增加（均P＜0.05），且观察组的步速、支撑相和摆动相优于对照组（P＜0.05）。结论：情景互动智能步行训练能改善痉挛型脑瘫儿童的足背屈角，提高粗大运动功能，改善步态。

Effects of situational interactive intelligent walking training on lower extremity motor function in children with spastic cerebral palsy

Objective: To observe the effects of situational interactive intelligent walking training on lower extremity motor function in children with spastic cerebral palsy. Methods: Forty children with spastic cerebral palsy were randomly divided into control group (20 cases) and treatment group (20 cases). The control group received routine rehabilitation, and the treatment group received routine rehabilitation combined with situational interactive intelligent walking training. They were assessed with the range of ankle passive dorsiflexion, D and E dimensions of gross motor function measure (GMFM 88), three dimensional gait analysis system to evaluate motor function before and 12 weeks after treatment. Results: After 12 weeks of treatment, the range of ankle passive dorsiflexion was significantly increased in both groups (P<0.05), more significantly in the treatment group than in the control group (P<0.05). The scores of D and E dimensions of GMFM were significantly higher than those before treatment (P<0.05), and those in the treatment group were significantly higher than those in the control group (P<0.05). The step length in the two groups was significantly longer and faster than that before treatment (all P<0.05), and the stand phase was significantly shortened and the swing phase increased (all P<0.05). The walking velocity, stand phase and swing phase in the treatment group were better than those in the control group (P<0.05). Conclusion: Situational interactive intelligent walking training is effective to improve the range of ankle passive dorsiflexion, the gross motor function and the gait pattern of children with spastic cerebral palsy.