《中国康复理论与实践》 ›› 2013, Vol. 19 ›› Issue (06): 577-579.

• 论文 • 上一篇    下一篇

应用弹性绷带治疗脑性瘫痪患儿膝过伸的初步研究

栾天明,范艳萍,李慧,康贝贝,张士岭,吕智海,姜志梅   

  1. 1.佳木斯大学附属第三医院,黑龙江省小儿脑性瘫痪防治疗育中心,黑龙江佳木斯市154003;2.齐齐哈尔市第一医院康复医学科,黑龙江齐齐哈尔市161005。
  • 收稿日期:2012-11-12 修回日期:2013-01-07 出版日期:2013-06-25 发布日期:2013-06-25
  • 通讯作者: 范艳萍

Application of Elastic Bandage in Cerebral Palsy with Knee Hyperextension

LUAN Tian-ming, FAN Yan-ping, LI Hui, et al.   

  1. The Third Affiliated Hospital of Jiamusi University, Jiamusi 154003, Heilongjiang, China
  • Received:2012-11-12 Revised:2013-01-07 Published:2013-06-25 Online:2013-06-25

摘要: 目的观察弹性绷带治疗脑瘫患儿膝过伸的效果。方法痉挛型双瘫脑瘫患儿随机分为对照组和试验组各10 例,两组均选用常规康复训练,以运动疗法、作业疗法、言语疗法为主。试验组在立位步行准备、步行训练时配戴弹性绷带进行康复训练。治疗前后采用膝关节活动度(ROM)和粗大运动功能评定量表(GMFM)中D、E能区进行评估。结果两组治疗后膝关节ROM明显降低(P<0.01),GMFM得分明显升高(P<0.01),均以试验组更为明显(P<0.01)。结论弹性绷带可改善脑瘫患儿膝过伸,提高粗大运动功能。

关键词: 脑性瘫痪, 弹性绷带, 膝过伸, 关节活动度, 粗大运动功能

Abstract: Objective To observe the application of elastic bandage in cerebral palsy with knee hyperextension. Methods 20 spastic diplegia children were radomly divided into control group and experimental group with 10 cases in each group. Both of them received conventional rehabilitation, including exercise therapy, occupational therapy and speech therapy. The experimental group worn elastic bandages additionally when orthostatic walk preparing and walking training. The knee range of motion (ROM), D and E zones of Gross Motor Function Measure (GMFM) were evaluated before and 3 months after treatment. Results The ROM decreased, and the score of GMFM increased after treatment in both groups (P<0.01), especially in the experimental group (P<0.01). Conclusion The elastic bandage can improve the knee function and the gross motor function of cerebral palsy children with knee hyperextension.

Key words: cerebral palsy, elastic bandage, knee hyperextension, range of motion, gross motor function