减重支持训练对脑瘫痉挛性双瘫患儿步行能力的影响

Effect of Partial Body Weight Support Training on Cerebral Palsy Children with Spasticity Diplegia

目的观察减重支持训练(PBWST)对脑瘫痉挛性双瘫患儿步行能力的影响。方法60例脑瘫痉挛性双瘫患儿随机分为减重组和传统运动疗法组各30例,均给予传统的运动疗法,减重组在此基础上进行PBWST训练,观察两组患儿治疗前后步行能力和耐力的变化。结果治疗后,两组患儿的步行能力和耐力均有明显提高,但减重组的效果优于传统运动疗法组(P<0.05),特别是耐力提高尤为显著(P<0.001)。结论PBWST可进一步提高已有步行能力的脑瘫痉挛性双瘫患儿的步行能力。

Objective To observe the effect of partial body weight support training （PBWST） on walking ability of cerebral palsy （CP） children with spasticity diplegia. Methods 60 CP children with spasticity dilegia were randomly divided into the PBWST group and control group with 30 cases in each group. All cases were treated by traditional physical treatment, but those of the PBWST group were added with PBWST. The changes of walking ability and endurance of all cases before and after treatment were observed. Results After treatment, the walking ability and endurance of the cases in two groups improved significantly, but the effect of the PBWST group was obviously superior to the control group （ P 〈0.05）, especially in walking endurance （ P 〈0. 001）. Conclusion PBWST can improve the walking ability of CP children with spasticity diplegia and already having walking ability.