足底压力测量技术在足外翻脑性瘫痪患儿康复疗效评定中的应用

目的探讨足底压力测量技术在评估足外翻脑性瘫痪(脑瘫)患儿康复疗效中的应用价值。方法收集2010年3月-2011年3月在本院康复医学科就诊,并进行综合康复治疗的61例脑瘫患儿基本临床资料。患儿均在入院时采用粗大运动功能分级系统(GMFCS)评定患儿粗大运动功能级别,61例患儿122只外翻足采用JPD1600型足底压力测量仪对足底的5个区域进行数据采集,取得足底压力及着地时相等指标,经过6个月的综合康复治疗后,再次评估上述指标,将治疗前后进行统计分析,综合评定康复治疗的疗效。结果足底压力测量技术采集的数据显示治疗前后足前掌外侧及足弓外侧缘压力改变均有统计学意义(Pa<0.05),足前掌内侧、足弓内侧及足跟压力改变差异均有统计学意义(Pa<0.01);后足支撑期中整足接触时相、离地时相改变差异均有统计学意义(Pa<0.01)。运用GMFCS分级统计的结果示足外翻脑瘫患儿治疗前后的运动功能改变差异有统计学意义(P<0.01)。结论综合化康复治疗可有效改善脑瘫患儿足外翻;足底压力测量技术能够为脑瘫足外翻患儿康复疗效评定提供有效的、客观的功能评估。

Application of Plantar Pressure Analysis in Rehabilitation Evaluation of Cerebral Palsy Children with Talipes Valgus

Objective To discuss the application value of plantar pressure analysis in rehabilitation evaluation of cerebral palsy children with talipes valgus.Methods All data gathered from 61 children with cerebral palsy accepted comprehensive rehabilitation treatments in rehabilitation department of our hospital from Mar.2010 to Mar.2011.All the patients gross motor function classification was evaluated by Gross Motor Function Classification System(GMFCS).One hundred and twenty-two foot of 61 children,who were cerebral palsy with talipes valgus,were involved in this research.JPDl600 plantar pressure measurement system was used to perform plantar pressure gait tests.The data of dynamic plantar pressures in 5 segments of foot were recorded at the initial stage.After 6 months rehabilitation treatment,the experiment would repeat the test on the same indicators.Comprehensive evaluation of efficacy of rehabilitation treatment will be generated by the statistical analysis that was carried out between the stage before and after treatment.Results There was correlation between therapeutic outcome and change of lateral forefoot pressure and lateral midfoot with application of plantar pressure analysis(Pa<0.05),and the correlation also could be found between medial forefoot pressure,medial midfoot pressure,heel pressure and the therapeutic outcome(Pa<0.05).There was correlation between foot flat phase,push off phase and the therapeutic outcome(Pa<0.01).There was a significant correlation between therapeutic outcome and rehabilitation in cerebral palsy children with talipes valgus while using GMFCS classification(P<0.01).Conclusions Comprehensive rehabilitation treatment is effective for treating cerebral palsy children with talipes valgus.Application of plantar pressure analysis can offer an effective and objective method for rehabilitation evaluation for those patients.