《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (05): 274-275.

• 专题研究 • 上一篇    下一篇

上田法与Bobath法治疗偏瘫儿童上肢痉挛期的疗效评定

徐鸿霞1; 高晓虹2; 李润洁1   

  1. 1.大连市儿童医院康复科 辽宁大连市 116012;2.大连医科大学流行病学教研室 辽宁大连市 116012
  • 收稿日期:2002-11-02 出版日期:2003-05-25 发布日期:2003-05-25

Analysis on the effect of Wuida and Bobath on upper limb spasticity in children with hemiplegia

XU Hong-xia, GAO Xiao-hong, LI Run-jie   

  1. Department of Rehabilitation,Dalian Paediatrics Hospital,Dalian 116012,Liaoning,China
  • Received:2002-11-02 Published:2003-05-25 Online:2003-05-25

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摘要： 目的探讨偏瘫儿童痉挛期在临床康复训练中降低患侧上肢肌张力,促进患肢及手的功能发育的方法。方法 32例符合条件的偏瘫儿随机分为上田组和Bobath组,每组16例,并在训练前1周进行功能检查评测,然后分别用上田法与Bobath法降低患侧上肢肌张力,抑制异常姿势。痉挛控制后,两组均进行有选择的、不引起痉挛的作业活动来诱发和促进患肢及手的功能恢复,疗程为3个月。以上田敏偏瘫上肢功能评价法的详细分级与Burnnstrom偏瘫手的功能评价法进行评测。结果通过治疗前后对照,上田组患肢肌张力降低程度和患肢及手的功能提高均明显优于Bobath组。结论上田法在降低偏瘫儿童痉挛期上肢肌张力方面具有显著疗效。

关键词: 偏瘫儿童, 痉挛期, 上田法, Bobath法, 康复

Abstract: ObjectiveTo study the method decreasing muscle tensility of upper limb and improving the function of disabled limb and hand on the spastic period in children with hemiplegia.Methods32 children with hemiplegia were randomly divided into Wuida (16cases ) and Bobath group (16cases ). The evaluation was done 1 weeks before treatment, then Wuida and Bobath therapy was used to decrease muscle tensility and abnormal gesture. After spasticity untroubled, both groups had undergone suitable occupational therapy for three months.ResultsThe decrease of the spasticity and the function of disabled limb and hand in Wuida group were better than those in Bobath group.ConclusionsWuida therapy can decrease muscle tensility of upper limb on the spastic period in children with hemiplegia.

Key words: children with hemiplegia, spasticity, Wuida therapy, Bobath therapy, rehabilitation