《中国康复理论与实践》

《中国康复理论与实践》 ›› 1999, Vol. 5 ›› Issue (02): 61-65.

• 康复治疗 • 上一篇    下一篇

SPR术后康复治疗对痉挛性脑瘫患儿运动功能的影响

李智勇; 卓大宏; 黄东峰; 毛玉容; 陈少贞; 江沁   

  1. 中山医科大学附属第一医院康复医学科
  • 收稿日期:1998-12-29 出版日期:1999-06-25 发布日期:1999-06-25

The Effect of Selective Posterior Rhizotomy and Rehabilitation Therapy on Motor Function of Patients with Spastic Cerebral Palsy

Li Zhiyong,Zhuo Dahong,Huang Dongfeng,et al   

  1. Chinese Journal of Rehabilitation Theory & Practice.-1999,5(2):61～65
  • Received:1998-12-29 Published:1999-06-25 Online:1999-06-25

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摘要： 目的：探讨脑瘫要SPR术后的运动功能康复效果。方法：收集自1996年12月到1997年10月在我院显微外科手术的痉挛性脑瘫患者共20例。训练方法以Bobath法为基础，加上作业治疗。结果：手术后与康复训练后之间的肌力改变统计结果有显著差异（P＜0．05）。手术前、手术后与康复治疗后三者之间关节活动度改变在统计学上都有显著性差异（P＜0．05）。18例随诊显示坐位、直跪及站立姿势均有明显改善。结论：针对术后解除痉挛，康复治疗应着重加强肌力训练，牵伸挛缩，并按照正常的生理发育过程，培养正确的姿势控制，抑制异常的运动模式，逐渐建立正常的运动模式

关键词: 痉挛性脑瘫, 选择性脊神经后根切断术（SPR）, 康复治疗, 功能评估

Abstract: Objects:To observe the effort of rehabilitation therapy after SPR.Methods:Twenty CP patients with spasticity were operated from December 1996 to October 1997.Occupational therapy was used in conjunction with Bobath method which formed the base of PT.Results:All values of muscle tone before and after operation were significantly different.Strength of many muscular groups was lower than normal level before operation and decreased further postoperatively.Sitting,kneeling and standing posture improved after operation and rehabilitation.There were 9 independent walk cases improved stride length,heel contact pattern and they had no scissors gait after rehabilitation.Conclusion:The goals of rehabilitation training focused on building muscle strength,stretching contractures and building up right posture control,inhibiting abnormal movement pattern,and gradually forming nornmal movement pattern.

Key words: spastic cerebral palsy, selective posterior rhizotomy, rehabilitation therapy, functional assessment