运动疗法预防产瘫后肩关节内旋挛缩

Prevention of medial rotation contracture of shoulder joint in birth palsy by rehabilitation

目的 通过运动疗法解除或减轻产瘫在自然恢复中出现的肩关节内旋挛缩 ,增加产瘫后肢体功能的恢复率。方法 对 2 4例产瘫Ⅰ～Ⅲ型自然恢复期内的患儿 ,按就诊先后顺序随机分成 2组。A组在医生指导下严格进行运动疗法。B组采用等待自然恢复。结果 经 9个月的运动疗法治疗后A组肩关节挛缩比例明显较B组肩关节挛缩比例低 ,用四格表的确切概率法P =0 .0 2 72 ,P <0 .0 5。

Objective To relieve or diminish the medial rotation contracture of shoulder joint in birth palsy in the course of natural recovery by rehabilitation, to improve recovery rate of limb function. Methods 24 children with birth palsy (Ⅰ Ⅲ type) in the process of natural recovery were randomly divided into 2 groups according to the examining sequence. Motor therapy was applied in group A under strict guide of doctor. In group B, natural recovery was applied without rehabilitation. Results The rate of shoulder joint contracture after 9 months exercises in group A is lower than that in group B. There was statistically significant difference. Conclusions Rehabilitation can effectively relieve or diminish the medial rotation contracture of shoulder joint in birth palsy.