三维步态指导下的骨盆控制训练对偏瘫患者的影响

目的:探讨三维步态指导下的骨盆控制训练对于偏瘫患者的影响。方法:选取2019年5月至2020年9月于广东三九脑科医院接受治疗的48例偏瘫患者，并按照随机数字表法将其分为对照组与观察组，每组24例。对照组中，男13例，女11例，年龄（44.75±13.34）岁；观察组中，男14例，女10例，年龄（45.38±13.41）...

Effect of three-dimensional gait guided pelvic control training for patients with spastic cerebral palsy

Objective　To study the effect of three-dimensional gait guided pelvic control training for patients with spastic cerebral palsy. Methods　Forty-eight patients with spastic cerebral palsy treated at Guangdong 999 Brain Hospital from May 2019 to September 2020 were randomly divided into a control group and an observation group, with 24 cases in each group. There were 13 males and 11 females in the control group, and they were (44.75±13.34) years old. There were 14 males and 10 females in the observation group, and they were (45.38±13.41) years old. The control group did routine rehabilitation training, and the observation group did pelvic control training under the guidance of three-dimensional gait on the basis of control group. Before and after the treatment, the scores of 3D gait parameters, Functional Ambyiation Category Scale (FAC), and Berg Balance Scale (BBS) of the two groups were recorded and analyzed. ANOVA was used for the comparison between these two groups. Results　There were no statistical differences in the left and right step sizes, peak values of hip joint extension of left and right lower limbs, peak torques of hip joint of left and right lower limbs, low peak values of hip joint torque of left and right lower limbs, and scores of FAC and BBS between the two groups before the treatment (all P>0.05). After the treatment, there were statistical differences in the left and right step sizes (0.545±0.08) m vs. (0.602±0.082) m, F=6.185, P=0.017; (0.587±0.115) m vs. (0.664±0.092) m, F=6.525, P=0.014], peak values of hip joint extension of left and right lower limbs (6.87±2.17) vs. (8.92±2.53), F=8.972, P=0.004; (6.79±2.36) vs. (11.00±2.45), F=36.757, P<0.001], peak torques of hip joint of left and right lower limbs (0.427±0.037) vs. (0.508±0.066), F=27.921, P<0.001; (0.605±0.09) vs. (0.767±0.063), F=39.422, P<0.001], low peak values of hip joint torque of left and right lower limbs (0.402±0.040) vs. (0.455±0.068), F=10.616, P=0.002; (0.442±0.037) vs. (0.497±0.063), F=13.565, P=0.001], and scores of FAC (2.75±0.79) vs. (3.75±0.94), F=15.771, P<0.001] and BBS (48.90±3.74) vs. (53.00±2.85), F=17.722, P<0.001] between the control group and the observation group. Conclusion　Three-dimensional gait guided pelvic control training can improve the gait and lower limb movement function of patients with spastic cerebral palsy.