侯莹，刘丽华，王庆娟，朱斐斐，张倩影，杨卫新，江钟立.减重下力线矫正训练对脑瘫患儿骨盆前倾的影响[J].中华物理医学与康复杂志,2018,40(8):599-603
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| 减重下力线矫正训练对脑瘫患儿骨盆前倾的影响 |
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| DOI： |
| 中文关键词: 力线 姿势 脑性瘫痪 骨盆前倾 减重下力线矫正训练 |
| 英文关键词: Alignment Posture Cerebral palsy Pelvic tilt Weight-bearing alignment training |
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| 中文摘要: |
| 目的 观察减重下力线矫正训练（WBAT）对矫正脑瘫患儿骨盆前倾的疗效。 方法 选取站立位骨盆前倾的脑瘫患儿27例，按随机数字表法分为WBAT组、站立训练组和肌力训练组，每组患儿9例。3组均给予常规康复治疗，WBAT组在此基础上增加自行设计的WBAT训练，肌力训练组增加骨盆稳定及下肢抗重力肌群抗阻训练，站立训练组增加站立板辅助站立训练，以上3种治疗均每次20 min，每周5次，连续治疗4周。于治疗前和治疗后（治疗4周后）分别对3组患儿的骨盆倾斜角（ASIS-PSIS）、躯干倾斜角(A-P)及1 min步行距离进行评估。 结果 治疗后，WBAT组的ASIS-PSIS和A-P分别为（18.61±3.13）°和（23.31±3.81）°，站立组的A-P为（24.48±4.33）°，分别与组内治疗前比较，差异均有统计学意义（P<0.05）；且WBAT组治疗后的ASIS-PSIS与肌力训练组和站立训练组治疗后比较，差异均有统计学意义（P<0.05）。治疗后，WBAT训练组的1 min步行距离为（26.81±12.61）m，肌力训练组的1 min步行距离为（21.07±8.45）m，分别与组内治疗前比较，差异均有统计学差异（P<0.05）；且WBAT组治疗后的1 min步行距离与肌力训练组和站立训练组治疗后比较，差异均有统计学意义（P<0.05）。 结论 WBAT训练可显著改善骨盆前倾脑瘫患儿的ASIS-PSIS、A-P以及1 min步行距离，且其疗效优于传统的肌力训练和站立训练。 |
| 英文摘要: |
| Objective To evaluate the effect of weight-bearing alignment training (WBAT) in correcting anterior pelvic tilt in children with cerebral palsy. Methods Twenty-seven children with cerebral palsy and anterior pelvic tilt were recruited and randomly assigned to a WBAT group, a strengthening group and a standing group, each of 9. In addition to routine medication and rehabilitation training, the 3 groups received WBAT, strengthening training or standing training respectively for 20 minutes a day, 5 times a week for 4 weeks. Before and immediately after the treatment, the subjects′ anterior superior iliac spine-posterior superior iliac spine angles (ASIS-PSIS angles) were assessed along with their anterior-posterior angles (A-P angles) and distances in a 1-minute walk test. Results The WBAT group showed significant improvement in their average ASIS-PSIS angle (to 18.61±3.13°), A-P angle (to 23.31±3.81°) and the distance in the 1-minute walk test after the treatment. The standing group had significant progress in improving their A-P angles (to 24.48±4.33°), and the strengthening group had significant improvement in the distance walked in the 1-minute walk test. The average improvements in the ASIS-PSIS angle and walk distance in the WBAT group were significantly better than in the other 2 groups. Conclusion WBAT is superior to strengthening and standing training in improving the ASIS-PSIS angle, A-P angle and walking ability of children with cerebral palsy and anterior pelvic tilt. |
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