摘要
目的:探讨运动疗法对痉挛性脑性瘫痪的疗效以及不同类型对疗效的影响。方法:对4个月～5岁各年龄组痉挛性脑性瘫痪患儿74例,采取Vojta法、Bobath法和上田法相结合应用,疗程为2个月,在治疗前、后及随访分别进行量化评分,并进行比较。结果:脑瘫患儿治疗后运动发育率比治疗前明显改善,差异有显著性意义(t=2.96,P<0.01);其中单瘫、偏瘫、双重瘫之间差异无显著性意义(q<1.18,P>0.05),而与四肢瘫差异有显著性(q≥4.41,P<0.01);随访中90%以上患儿完成翻身、坐和爬行功能,72%患儿获独立行走能力。结论:运动疗法对痉挛性各型脑性瘫痪的运动功能均有明显改善,其中单瘫、偏瘫、双重瘫疗效较好,四肢瘫疗效较差。
AIM :To study the therapeutic effect of cinesiateics on spastic cere bral palsy and the in fluence of different types of cere bral palsy on the therapeutic effect. METHODS:Seventy four children with spastic cerebral palsy aged 4 months to 5 years old were treated with combination of Vojta,Bobath,and Shangtian methods for two months,all the children were graded quantitatively before and after treatment and follow up,respectively,and the results were compared. RESULTS:The rate of movement development after treatment was improved obviously,significantly different from that before treatment(t=2.96,P< 0.01).There were insignificant differences among monoplegia,hemiplegia and double paralysis(q< 1.18,P >0.05),while significant difference existed as compared with tetraplegia (q ≥4.41,P< 0.01).During follow up,90%of the children could turn over,sit and crawl,72%could walk by themselves. CONCLUSION:The cinesiateics can greatly improve the motor function of children with spastic cerebral palsy of different types,especially for monoplegia,hemipiegia and double paralysis,but the effect for tetraplegia is not as so good as others.
出处
《中国临床康复》
CSCD
2004年第18期3582-3583,共2页
Chinese Journal of Clinical Rehabilitation
