
浏览全部资源
扫码关注微信
目的观察超声波联合持续被动运动(CPM)对痉挛型脑瘫患儿小腿三头肌痉挛及运动功能的影响。方法采用随机数字表法将60例痉挛型脑瘫患儿分为对照组、CPM组及观察组
每组20例。3组患儿均给予常规康复干预(包括运动疗法、神经肌肉电刺激、推拿等)
CPM组在此基础上辅以踝关节CPM训练
观察组则辅以超声波治疗及踝关节CPM训练。3组患儿均每日治疗1次
每周治疗6次
连续治疗4周。于治疗前、治疗4周后采用Tardieu量表(MTS)评定患儿小腿三头肌痉挛程度
采用Berg平衡量表(BBS)、粗大运动功能测试量表(GMFM-88)、10 m步行速度测试(10MWT)评定患儿运动功能情况。结果治疗后
3组患儿MTS评定结果、BBS评分及GMFM-88量表D区、E区评分均较治疗前明显改善(P<0.05);并且观察组及CPM组上述各项指标结果也显著优于同期对照组水平(P<0.05);另外观察组屈膝体位时MTS的R1、R2、X评定结果[分别为(19.80±3.46)°、(24.20±3.44)°和(1.95±0.51)级]、伸膝体位时R1、R2、X评定结果[分别为(14.80±4.76)°、(17.10±4.02)°和(2.40±0.60)级]、BBS评分[(44.95±6.39)分]及GMFM-88量表D区评分[(28.90±4.72)分]亦显著优于同期CPM组水平(P<0.05)。结论超声波联合踝关节CPM训练可有效缓解痉挛型脑瘫患儿小腿三头肌痉挛程度
并提高其蹲、坐、站等静态姿势控制能力。
中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑性瘫痪康复专业委员会,中国医师协会康复医师分会儿童康复专业委员会,《中国脑性瘫痪康复指南(2022)》编委会.中国脑性瘫痪康复指南(2022)第四章:康复治疗(上)[J].中华实用儿科临床杂志,2022(16).
中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑性瘫痪康复专业委员会,中国医师协会康复医师分会儿童康复专业委员会,《中国脑性瘫痪康复指南(2022)》编委会.中国脑性瘫痪康复指南(2022)第一章:概论[J].中华实用儿科临床杂志,2022(12).
封玉霞,庞伟,李鑫,杨顺波,刘师宇,卢淑卿.中国0~6岁儿童脑瘫患病率的Meta分析[J].中国全科医学,2021(05).
胡淑珍,尹宏伟,阮雯聪,张鑫,高柯达,李海峰,余永林.悬吊训练对痉挛型脑瘫患儿平衡功能和粗大运动功能的影响[J].中华物理医学与康复杂志,2020(11).
邵旭,于炎冰,张黎.脑性瘫痪及其诊断与治疗的研究进展[J].临床神经外科杂志,2020(02).
吴建贤,江炎,洪永锋,徐军.踝关节持续被动运动治疗脑瘫足外翻的临床疗效[J].中华物理医学与康复杂志,2020(01).
任雪松,蔡志军,张小安,刘杰,陈镇,朱登纳.全身振动训练联合肉毒毒素注射对痉挛型双瘫脑瘫儿童尖足及粗大运动功能的影响[J].中华物理医学与康复杂志,2019(09).
史惟.复旦中文版脑瘫粗大运动功能测试量表项目难度改良及反应度和精确度研究[J].中国循证儿科杂志,2018(02).
李晓捷,邱洪斌,姜志梅,庞伟,郭津,祝丽玲,吕智海,王立苹,孙奇峰,姚松坡,孙颖,郭岚敏,李兴洲.中国十二省市小儿脑性瘫痪流行病学特征[J].中华实用儿科临床杂志,2018(05).
赵晓科,肖农,张跃,汤健,李红英.踝足矫形器佩戴时间对痉挛型脑性瘫痪儿童运动功能的影响[J].中华物理医学与康复杂志,2009(05).
周谋望,顾新,岳寿伟,何成奇.康复医学与治疗技术[M].人民卫生出版社,2023.
Mahmut Martin Yuksel,Shiqi Sun,Charles Latchoumane,Jocelyne Bloch,Gregoire Courtine,Estelle Emeline Raffin,Friedhelm Christoph Hummel.Low-Intensity Focused Ultrasound Neuromodulation for Stroke Recovery: A Novel Deep Brain Stimulation Approach for Neurorehabilitation?[J].IEEE open journal of engineering in medicine and biology,2023.
Shim Dain,Park Dongho,Yoo Beomki,Choi Joong-on,Hong Juntaek,Choi Tae Young,Park Eun Sook,Rha Dong-wook.Evaluation of sitting and standing postural balance in cerebral palsy by center-of-pressure measurement using force plates: comparison with clinical measurements[J].Gait & Posture,2022.
Goudriaan Marije,Papageorgiou Eirini,Shuman Benjamin R,Steele Katherine M,Dominici Nadia,Van Campenhout Anja,Ortibus Els,Molenaers Guy,Desloovere Kaat.Muscle synergy structure and gait patterns in children with spastic cerebral palsy.[J].Developmental medicine and child neurology,2021.
Chuang LiLing,Chuang YuFen,Jhu YaJhu,Hsu AnLun,Chen ChiaLing,Wong Alice M K,Chang YaJu.Effects of Ankle Continuous Passive Motion on Soleus Hypertonia in Individuals with Cerebral Palsy: A Case Series.[J].Biomedical journal,2021.
Ragab K. Elnaggar.An analytical insight into how walking speed and spatial- and temporal-symmetry are related to ankle dysfunctions in children with hemiplegic cerebral palsy.[J].American journal of physical medicine & rehabilitation,2020.
Ragab K. Elnaggar.Relationship Between Transverse-plane Kinematic Deviations of Lower Limbs and Gait Performance in Children with Unilateral Cerebral Palsy: A Descriptive Analysis[J].Gait & Posture,2020.
Chinnavan Elanchezhian,P Swarnakumari.Efficacy of Cold Therapy and Passive Stretching to Improve Gait in Spastic Diplegic Cerebral Palsy Children[J].International Journal of Pediatrics,2019.
LaForme Fiss Alyssa,McCoy Sarah Westcott,Bartlett Doreen,Avery Lisa,Hanna Steven E.Developmental Trajectories for the Early Clinical Assessment of Balance by Gross Motor Function Classification System Level for Children With Cerebral Palsy.[J].Physical therapy,2019.
Mael Lintanf,Jean-Sébastien Bourseul,Laetitia Houx,Mathieu Lempereur,Sylvain Brochard,Christelle Pons.Effect of ankle-foot orthoses on gait, balance and gross motor function in children with cerebral palsy: a systematic review and meta-analysis[J].Clinical Rehabilitation,2018.
Morris Susan Louisa,Williams Gavin.A historical review of the evolution of the Tardieu Scale.[J].Brain injury,2018.
Choi Yun Ho,Park Young Han,Park Sang Hyuck.Effects of Ultrasound Therapy on Balance and Gait in Stroke Patients with Gastrocnemius Muscle Spasticity[J].World Journal of Research and Review,2018.
Katsuyuki Morishita,Hiroshi Karasuno,Yuka Yokoi,Kazunori Morozumi,Hisayoshi Ogihara,Toshikazu Ito,Masaaki Hanaoka,Takayuki Fujiwara,Tetsuya Fujimoto,Koji Abe.Effects of Therapeutic Ultrasound on Range of Motion and StretchPain[J].Journal of Physical Therapy Science,2014.
Nilay Sahin,Hatice Ugurlu,Ali Yavuz Karahan.Efficacy of therapeutic ultrasound in the treatment of spasticity:A randomized controlled study[J].Neurorehabilitation,2011.
0
Views
0
下载量
0
CSCD
Publicity Resources
Related Articles
Related Author
Related Institution
京公网安备11010802024621