中央轴空病的康复治疗:1例报告

Rehabilitation for central core disease:one case report

目的:探讨中央轴空病的康复治疗效果。方法:对1例9岁中央轴空病患儿进行康复治疗4个月,比较治疗前后的肌力、平衡功能、步态分析和残疾儿童综合运动功能评定的变化,2年后随访。结果:治疗后双下肢挛缩得以改善,步态分析各参数基本恢复正常,双下肢关键肌的肌力提高11.5%—18.5%,Berg平衡功能评分提高22.5%,残疾儿童综合功能评分提高42%。随访时前述指标仍在继续提高,分别较治疗前肌力提高19.0%—33.3%,Berg平衡功能评分提高40.0%,残疾儿童综合功能评分提高52.0%,患儿运动功能基本恢复正常。结论:对中央轴空病患儿早期进行康复干预,能最大限度地促进儿童运动系统的正常发育,规避因骨关节系统发育畸形可能手术导致恶性高热的风险。

Objective： To explore the rehabilitation treatment for central core disease（CCD）. Method： One case of 9-years old boy with CCD was administered rehabilitation treatment for 4 months. The changes of muscle strength, balance function, gait analysis and scores of comprehensive functional evaluation of children with disabilities were compared before treatment, after treatment and during 2-years follow-up. Result： After treatment,contracture of both lower limbs of the child improved, gait analysis parameters returned to normal, the strength of key muscles of both lower limbs raised 11.5%-18.5%, Berg balance function scores raised 22.5%, the scores of comprehensive functional evaluation of children with disabilities raised 42%. In 2-year follow- up, compared with pre-treatment the aforementioned indicators improved continuous, muscle strength raised 19.0%-33.3%, Berg balance function score raised 40.0%, the scores of comprehensive functional evaluation of children with disabilities raised 52.0%. Motor function of this child returned to normal. Conclusion： Early rehabilitation of child with CCD can maximize the promotion of child＇s normal development of locomotion system and avoid the risk of malignant hyperthermia due to the orthopedic operation on bone and joint deformity later.