计算机辅助三维步态评价脑性瘫痪儿童的肌力及骨盆控制能力

Computer-aided three-dimensional gait evaluation of muscle strength and pelvic control capability of the children with cerebral palsy

背景:脑性瘫痪儿童骨盆控制能力差,目前治疗时间较长且效果不明显。目的:观察三维步态监控下针对性肌力训练对改善骨盆控制能力的疗效。方法:60例(≥2岁)痉挛型脑性瘫痪儿分为2组,治疗组在三维步态监控下骨盆肌肉针对性肌力训练结合手法治疗;对照组手法治疗。比较治疗前后两组患儿粗大运动功能量表评分,Berg平衡评分、粗大运动功能分级。结果与结论:摄像显示治疗组治疗后步态改善明显,运动能力明显提高,好于对照组。治疗前两组Berg平衡评分、粗大运动功能量表评分及粗大运动功能分级分值差异无显著性意义(P>0.05)。治疗组治疗后Berg平衡评分、粗大运动功能量表评分均显著高于治疗前(P<0.01),粗大运动功能分级分值低于治疗前(P<0.01)。治疗组治疗后Berg平衡评分、粗大运动功能量表评分均显著高于对照组治疗后(P<0.01)。结果证实,三维步态监控下骨盆肌肉针对性肌力训练,结合手法治疗能有效改善患儿骨盆控制能力,从而提高脑性瘫痪儿童的步态及运动能力。

BACKGROUND： The pelvic control ability is poor in cerebral palsy children. The time for treatment is long, and the effect is not obvious. OBJECTIVE： To observe the curative effect of appropriateness exercise for power on pelvic control ability under the guidance of three-dimensional gait analysis. METHODS： A total of 60 cerebral palsy children with spastic palsy （≥2 years old） were randomly divided into two groups： treatment group and control group. Treatment group got appropriateness exercise for power under the guidance of three-dimensional gait analysis and chirismus treatment, while the control group only got chirismus treatment. The gross motor function measure, Berg balance score and gross motor function classification system were evaluated before and after treatment. RESULTS AND CONCLUSION： The video showed that both the gait and the motor ability were improved obviously in treatment group, and were better than those in the control group. There was no significant difference of the gross motor function measure score, Berg balance score and gross motor function classification system between two groups （P 0.05）. The post-treatment Berg balance score and gross motor function measure score in the treatment group were significantly higher than those pre-treatment （P 0.01）, and the post-treatment gross motor function classification was lower than that pre-treatment （P 0.01）. The post-treatment Berg balance score and gross motor function measure score in the treatment group were significantly higher than those in the control group （P 0.01）. On the base of the chirismus treatment, appropriateness exercise for power under the guidance of three-dimensional gait analysis can effectively improve the pelvic control ability and accordingly improve the gait and elevate motor ability in the cerebral palsy children.