体外冲击波治疗对痉挛型脑瘫儿童 足背屈角的影响.pdfVIP

·3598 · 中华临床医师杂志( 电子版)2014 年10 月第8 卷第20 期 Chin J Clinicians(Electronic Edition),October 15,2014,Vol.8,No.20 ·临床论著· 体外冲击波治疗对痉挛型脑瘫儿童 足背屈角的影响 杜琳 王冰 王刚 贾飞勇 冯俊燕 单玲 【摘要】 目的 探讨体外冲击波治疗对痉挛型脑瘫儿童足背屈角的改善效果。方法 将痉挛 型脑瘫患儿随机分为综合康复对照组和体外冲击波治疗组，综合康复对照组只接受常规的综合康复 训练进行治疗，体外冲击波治疗组则在综合康复训练的同时进行体外冲击波治疗，应用被动足背屈 角对两组患儿进行评价，比较两组患儿治疗1 个月和3 个月后的被动足背屈角变化有无统计学差异， 分别比较治疗组初始治疗时、治疗 1 个月和3 个月后当次治疗前后的被动足背屈角变化有无统计学 差异，以此观察体外冲击波治疗的治疗效果。结果 治疗1 个月后和3 个月后，治疗组患儿被动足 背屈角的缩小均优于对照组（P ＜0.05 ），治疗组患儿初始治疗、治疗后1 个月和治疗后3 个月的当 次治疗后足背屈角的缩小均优于当次治疗前（P ＜0.05 ）。结论 体外冲击波治疗可以有效缩小痉挛 型脑瘫儿童的足背屈角，即时效果明确，并在3 个月内持续出现。 【关键词】 脑性瘫痪； 痉挛； 体外冲击波治疗； 足背屈角 A preliminary application of extracorporeal shock wave therapy in children with spastic cerebral * * palsy Du Lin , Wang Bing, Wang Gang, Jia Feiyong, Feng Junyan, Shan Ling. Department of Pediatric Neurological Rehabilitation, the First Hospital of Jilin University, Changchun 130021, China Corresponding author: Shan Ling, Email: shanlin163.com 【Abstract 】 Objective To investigate the effects of extracorporeal shock wave therapy on foot dorsiflexion angle of children with spastic cerebral palsy. Methods The children with spastic cerebral palsy were randomly divided into two groups, control group and treatment group. The control group only accepted conventional comprehensive rehabilitation and the treatment group accepted extracorporeal shock wave therapy during comprehensive rehabilitative training. Evaluating children with passive foot dorsiflexion angle after the first month and the third month, comparing the difference of improvement in passive foot dorsiflexion angle between two groups, respectively comparing the difference of improvement in passive foot dorsiflexion angle between pre-t