ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (2): 163-166.doi: 10.3969/j.issn.1674-3865.2019.02.020

• 临床研究 • 上一篇    下一篇

运动学分析法在痉挛型脑性瘫痪中的临床研究

杨阳，吕楠，万凯，张晓东，尚清   

  1. 453000 河南 新乡，新乡医学院2016级康复医学与理疗学专业研究生(杨阳）；450000 郑州，河南省儿童医院康复医院康复三病区（吕楠，万凯，张晓东，尚清)
  • 出版日期:2019-04-25 发布日期:2019-05-08
  • 通讯作者: 尚清，E-mail：sqing1965@163.com
  • 作者简介:杨阳（1982-），女，新乡医学院2016级硕士研究生在读，医师。研究方向：儿童康复
  • 基金资助:
    河南省科学技术厅项目（162102310223）

Clinical study of kinematics analysis method in spastic cerebral palsy

YANG Yang，LYU Nan，WAN Kai，ZHANG Xiaodong，SHANG Qing   

  1. Xinxiang Medical College， Xinxiang 453000，China
  • Online:2019-04-25 Published:2019-05-08

PDF (PC)

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摘要：
目的
探讨运动学分析法在痉挛型脑性瘫痪（简称脑瘫）中的应用。
方法
选择2018年2月至11月河南省儿童医院康复医院收治的痉挛型脑瘫患儿60例为研究对象，随机分为对照组和观察组各30例。对照组采用以Bobath疗法为主综合康复治疗方法，观察组于干预前采用运动学分析法找出患儿坐位姿势异常的运动元素，在其指导下制定康复方案。两组于干预前后进行粗大运动功能测试量表（GMFM）B区检测、Berg平衡量表评测。
结果
治疗前两组患儿GMFM量表B区评分和Berg平衡量表评分比较差异无统计学意义（P>0.05)；治疗后两组患儿GMFM量表B区评分和Berg平衡量表评分显著高于治疗前，且观察组评分显著高于对照组，差异均有统计学意义(P<0.05)。
结论
运动学分析法可用于指导痉挛型脑瘫康复训练且疗效显著。

关键词: 脑性瘫痪, 痉挛型, 运动学分析法, GMFM, Berg, 儿童

Abstract:
Objective
To explore the application of kinematics analysis method in spastic cerebral palsy.
Methods
Sixty cases of spastic cerebral palsy were randomly divided into the control group and the observation group. The control group was treated with Bobath therapy as the main comprehensive rehabilitation method. In the observation group the kinematic analysis method was used to find the sport element for abnormal posture of the child before the intervention， and under its guidance，a rehabilitation program was developed. The GMFM gross motor function scale B area test and Berg balance scale were evaluated before and after the intervention.
Results
There was no significant difference in the total score of the Bzone or the total score of the Berg balance scale before intervention between the two groups(P>0.05). The total score of the Bzone and the total score of the Berg balance scale after intervention were significantly higher than those before intervention in the two groups, and the scores of the observation group were significantly higher than those of the control group(P<0.05).
Conclusion
The kinematics analysis method can be used to guide the rehabilitation of spastic cerebral palsy and its curative effect is remarkable.

Key words: Cerebral palsy, Sputum, Kinematics analysis method, GMFM, Berg, Child