《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (3): 243-244.

• 论文 • 上一篇    下一篇

腕手矫形器治疗脑瘫患儿拇指内收初探

李晓捷，吕智海，王立苹，时人杰，张士岭   

  1. 佳木斯大学附属第三医院佳木斯大学儿童神经康复实验室，黑龙江佳木斯市 154003。
  • 收稿日期:2009-12-16 修回日期:1900-01-01 出版日期:2010-03-25 发布日期:2010-03-25

Effects of Wrist Hand Orthoses on Cerebral Palsy Children with Adduction of Thumb

LI Xiao-jie, Lü Zhi-hai, WANG Li-ping, et al.   

  1. the Third Affiliated Hospital of Jiamusi University, Children Neural Rehabilitation Laboratory of Jiamusi University，Jiamusi 154003，Heilongjiang，China
  • Received:2009-12-16 Revised:1900-01-01 Published:2010-03-25 Online:2010-03-25

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被引次数

15

摘要： 目的观察腕手矫形器治疗脑瘫患儿拇指内收的效果。方法痉挛型偏瘫脑瘫患儿分为实验组14例和对照组15例，两组均进行常规康复训练，实验组加腕手矫形器治疗拇指内收异常姿势。结果两组患儿治疗后被动关节活动度(PROM)、精细运动能力测试量表（FMFM）评分较治疗前均有提高。治疗后实验组与对照组比较，PROM、FMFM均提高（均P＜0.05）。结论腕手矫形器可改善痉挛型脑瘫患儿拇指外展活动度，提高精细运动能力。

关键词: 脑性瘫痪, 拇指内收, 腕手矫形器, 被动关节活动度(PROM), 精细运动能力测试量表（FMFM）

Abstract: ObjectiveTo observe the effects of wrist hand orthoses on cerebral palsy children with adduction of thumb. MethodsChildren with spastic hemiplegia were divided into experimental group （14 cases) and control group （15 cases）. Children in the both groups received routine rehabilitation for 3 months. Children in experimental group wore wrist hand orthoses 4～8 h/d in addition. ResultsThe passive range of motion (PROM) and scores of Fine Motor Function Measure Scale (FMFM) significantly increased in both groups after treatment. The PROM and FMFM scores in experimental groups increased more than those in the control group after treatment （P＜0.05).ConclusionWrist hand orthoses can improve the passive adduction angle of carpometacarpal joints of thumb and the fine motor function in spastic hemiplegia children after cerebral palsy.

Key words: cerebral palsy, thumb adduction, wrist hand orthoses, passive range of motion (PROM), Fine Motor Function Measure Scale (FMFM)