魏松涛,李华伟,李红波,等.超声波联合持续被动运动对痉挛型脑瘫患儿小腿三头肌痉挛及运动功能的影响[J].中华物理医学与康复杂志,2025,47(1):46-51
扫码阅读全文
|
| 超声波联合持续被动运动对痉挛型脑瘫患儿小腿三头肌痉挛及运动功能的影响 |
|
| |
| DOI：10.3760/cma.j.cn421666-20240117-00060 |
| 中文关键词: 超声波 持续被动运动 脑瘫 痉挛 运动功能 |
| 英文关键词: Ultrasound Continuous passive movement Cerebral palsy Spasticity Motor function |
| 基金项目:河南省中医药科学研究专项课题（2019JDZX2053） |
|
| 摘要点击次数: 793 |
| 全文下载次数: 941 |
| 中文摘要: |
| 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。 |
| 英文摘要: |
| Objective To explore the effect of combining ultrasound stimulation with continuous passive movement (CPM) on triceps crus spasms and the motor functioning of children with spastic cerebral palsy. Methods Sixty children with spastic cerebral palsy were randomly divided into a control group, a CPM group, and a combined treatment group, each of 20. All received routine rehabilitation treatment (including exercise therapy, electrical stimulation and massage), while the CPM and combined groups were additionally provided with CPM and CPM + ultrasound stimulation, respectively. All of the children were treated once a day, 6 times a week, for 4 consecutive weeks. Before and after the treatment, the Tardieu scale (MTS) was used to assess the degree of triceps spasm, and the Berg Balance Scale (BBS), the Gross Motor Function Test (GMFM-88), and 10m walking speed (10MWT) were employed to assess motor function. Results After the treatment, the average MTS scores, BBS scores and GMFM-88 scale scores in the D and E areas of all 3 groups had improved significantly compared with before the treatment, with those of the observation and CPM groups significantly better than among the control group. With the knee flexed and extended, the Tardiu scale R1, R2 and X values of the combined treatment group were significantly better than those of the CPM group, on average. The combined group′s average BBS score and its average score in the D-zone of the GMFM-88 were also significantly better than the CPM group′s averages. Conclusions Ultrasound combined with continuous passive movement can effectively relieve triceps spasm in children with cerebral palsy, and improve their static posture control during squatting, sitting and standing. |
|
查看全文
查看/发表评论 下载PDF阅读器 |
| 关闭 |
|
|
|
