功能性电刺激对痉挛型双瘫型脑瘫患儿运动功能的影响

Effects of functional electrical stimulation on motor function in children with spastic diplegia

目的:探讨功能性电刺激对痉挛型双瘫型脑瘫患儿运动功能的影响。方法:选择痉挛型双瘫型脑瘫患儿共60例,将全部患儿随机分为治疗组与对照组,每组各30例,对照组采用常规综合康复治疗,治疗组在此基础上增加功能性电刺激治疗。刺激部位:胫骨前肌、股四头肌、臀大肌。2组患儿均持续治疗1个疗程,在康复治疗前及治疗后均进行粗大运动功能测试量表(gross motor function measure scale,GMFM)检测徒手肌力法(manualmuscle testing,MMT)测试。结果:康复治疗后,治疗组肌力提高总有效率为83.33%。对照组肌力提高总有效率为66.67%,2组肌力比较有显著性差异(P<0.05);治疗后,2组GMFM总分均显著高于治疗前(P<0.01),治疗组GMFM总分显著高于对照组(P<0.05)。结论:功能性电刺激有助于改善脑瘫患儿的运动功能。

Objective： To investigate the effects of functional electrical stimulation（FES） on motor function in children with spastic diplegia. Methods： 60 children with spastic diplegia were randomly divided into treatment group（ n = 30 ） and control group（ n = 30 ）. All patients received combined therapy, while the treatment group was added with FES. The surface electrodes were applied on the anterior tibialis, quadriceps and gluteus maximus. The treatment was performed for 3 months and the measurements of gross motor function measure scale（GMFM） and manual muscle testing（MMT） were made before and after the rehabilitation training for both groups. Results： The total effective rate of strength improvements in the treatment group was 83. 33% ,which was 66. 67% in the control group. There was significant difference between the two groups（ P 〈 0.05 ）. It was found that the total of GMFM increased significantly after 3 months in both groups（ P 〈 0. 01 ） and it was significantly higher in the treatment group than in the control group （ P 〈 0.05 ）. Conclusion ： Functional electrical stimulation could improve the functional performance in children with spastic diplegia.