脑性瘫痪儿童坐位姿势控制障碍分析

Seating Postural Control Dysfunction in Children with Cerebral Palsy (review)

姿势控制障碍是影响脑瘫儿童运动功能的关键问题。而维持坐位对于脑瘫儿童执行手部前伸动作而言,是不可或缺的辅助因素。与正常儿童的姿势控制相比,脑瘫儿童的协同作用及动作策略表现较差,患儿有产生特定方向性调整的能力,但是在募集特定方向性调整的能力方面,则表现出明显的发育迟滞。目前,有关脑瘫儿童姿势控制的运动疗法主要包括应用特制座椅、倾斜和改变座椅面和角度以及各种平衡训练,而缺少对某一种特定治疗方式在脑瘫儿童中应用疗效的研究。

Postural control dysfunction is one of the key problems in children with cerebral palsy（CP）,which interferes with the activities of daily living.Seating is critical for upper extremity movement in children with CP.Compared with their typically developing peers,children with CP in general have the ability to generate direction-specific adjustments,but they show a delayed development in the capacity to recruit direction-specific adjustments in tasks with a mild postural challenge.At present,the treatment approaches of physical therapy mainly included： application of the special sitting system,change of the seat surface inclination and various balance exercise.However,there is limited number of studies on the effect of special training on postural development in children with CP and further researches are needed.