|本期目录/Table of Contents|

[1]倪钰飞,陈建华,李 强.不同角度楔形板矫正对痉挛型双瘫下肢关节活动度的影响研究[J].医学研究与战创伤救治(原医学研究生学报),2012,14(05):404-406.
　NI Yu-fei,CHEN Jian-hua,LI Qiang.Impact on range of motion in children with spastic cerebral palsy of lower extremity by different angles wedge correction[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2012,14(05):404-406.
点击复制

不同角度楔形板矫正对痉挛型双瘫下肢关节活动度的影响研究()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第14卷
期数:
2012年05期
页码:
404-406
栏目:
出版日期:
2012-09-20

文章信息/Info

Title:
Impact on range of motion in children with spastic cerebral palsy of lower extremity by different angles wedge correction
文章编号:
1672-271X(2012)05-0404-03
作者:
倪钰飞; 陈建华; 李 强
226006 江苏南通，南通市妇幼保健院儿童康复医学中心
Author(s):
NI Yu-fei; CHEN Jian-hua; LI Qiang
Children Rehabilitation Center，Nantong Maternity and Child Health Hospital,Nantong,Jiangsu 226006,China
关键词:
不同角度; 楔形板矫正; 痉挛型双瘫; 下肢关节活动度
Keywords:
different angle;  correction wedge;  spastic cerebral palsy;  range of lower limb joints
分类号:
R682.22
DOI:
-
文献标志码:
A
摘要:
目的 观察不同角度楔形板矫正对痉挛型双瘫患儿下肢关节活动度的影响，以选取最佳治疗角度。方法 随机选取可扶站能配合的痉挛型双瘫患儿60例作为观察组，另取20例同龄健康儿童作为对照组。①将观察组和对照组儿童采取控髋位，让其正向(踝关节背伸)站立到不同角度的(5°、10°、15°、20°)楔形板上，测量其膝关节角度。②将观察组和对照组儿童采取自主位，让其正向(踝关节背伸)站立到不同角度的(5°、10°、15°、20°)楔形板上，测量其膝关节和髋关节角度。结果 观察组踝关节背伸时，控髋位和自主位膝关节平均角度比较无显著性差异(P>0.05)。对照组踝关节背伸时，控髋位和自主位膝关节平均角度比较均有显著性差异(P＜0.05)。踝关节背伸时，观察组和对照组的膝关节和髋关节平均角度比较皆在5°和10°时，两组有显著性差异(P＜0.05)；而在15°和20°时，两组无显著性差异(P>0.05)。结论 利用楔形板进行踝背伸牵伸时，最佳角度为稍大于伸膝位最大被动背伸角度，尤其适用于伴有膝关节屈曲时，大多数为0°~10°。
Abstract:
Objective To observe different angles wedge correction of children with spastic cerebral palsy of lower extremity range of motion impact,and to select the best treatment angle.Methods Case selection: randomly selected 60 children stations can cope with spastic cerebral palsy,selected 20 healthy children at the same age as control group.① the observe group and the control group of children to take control of hip places to positive (ankle dorsiflexion) standing to the different angles (5 °,10 °,15 °,20 °) wedge-shaped plate,measured the angle of knee joint.②the observe group and the control group of children to take their own place,its positive (ankle dorsiflexion) standing to the different angles (5 °,10 °,15 °,20 °) wedge-shaped plate,measuring their knee and hip joint angle.Results Observer group ankle dorsiflexion and plantar flexion,the hip place and self-control-bit knee angle compared with the average,the two groups had no significant difference (P> 0.05).The control group ankle dorsiflexion,the hip place and self-control-bit knee angle compared with the average,two groups have significant difference (P<0.05).Ankle dorsiflexion,the observation group and control group of knee and hip angle compared with the average within 5 ° and 10 ° when P<0.05,two groups have significant difference; but in the 15 ° and 20 ° when both P> 0.05,the two groups no significant difference.Conclusion The use of wedge-shaped drawing board for ankle dorsiflexion,the best angle for the slightly larger than the largest digital extensor passive dorsiflexion angle,especially for the knee with flexion,the majority of 0° ~ 10 °.

参考文献/References:

[1]阮毅燕.脑性瘫痪高危儿监测及早期干预[J].实用医学杂志,2009,25(3):337-338.
[2]金 岚,吴 德,张功纯,等.早产儿和足月儿脑性瘫痪的临床特征[J].实用儿科临床杂志,2008,23(22):1768-1789.
[3]Gibson CS,MacLennan AH,Goldwater PN,et al.Antenatal causes of cerebral palsy:associations between inherited thrombophilias,viral and bacterial infection,and inherited susceptibility to infection[J].Obstet Gynecol Surv,2003,58(3):209-220.
[4]林 庆,李 松,刘建蒙,等.我国六省(区)小儿脑性瘫痪患病率及临床类型的调查分析[J].中华儿科杂志,2001,39(10):613-615.
[5]徐开寿,麦坚凝.脑性瘫痪的诊断、评价与治疗[J].实用儿科临床杂志,2010,25(12):950-952.
[6]吕智海,李晓捷,王立苹,等.腕手矫形器提高脑性瘫痪痉挛型偏瘫患儿上肢功能疗效观察[J].中国中西医结合儿科学,2010,2(2):188-189.
[7]吕智海,李晓捷,王立苹.脑性瘫痪的矫形器治疗进展[J].中国伤残医学,2008,16(6):132-134.
[8]宁秀琴,张君平,蒋 波,等.早期干预降低高危新生儿脑性瘫痪发生率的效果[J].实用儿科临床杂志,2007,22(18):1377.
[9]芮 芳，吴 德,唐久来,等.引导式教育疗法对脑性瘫痪患儿粗大运动功能和日常生活活动能力的疗效[J].实用儿科临床杂志,2010,25(13):1005-1007.
[10]干振华,杨国斌,汪春晖,等.医学伦理学在医疗质量管理中的作用[J].东南国防医药，2010,12(4):366-368.
[11]Dovak I,Cusick A,Lowe K.A pilot study on the impact of occupational therapy home programming for young child with cerebral palsy[J].Am J Occup Ther,2007,61(4):463-468.
[12]王 玲.脑瘫儿童的康复治疗特点及综合康复措施[J].临床医药,2009,18(11):66-67.
[13]谭维国,朱乐明.加强科技单位科研管理的途径探讨[J].东南国防医药，2011,13(2):183-184.

相似文献/References:

备注/Memo

备注/Memo:
江苏省南通大学自然科学项目(10Z097);国家财政部专项基金合作项目(2008C-4);江苏省南通市优秀新技术引进奖(2011-61)
更新日期/Last Update: 2012-09-20