| 张丽华,王景刚,李晓捷,姜志梅.痉挛型脑瘫患儿平衡障碍程度的测定及特点[J].中国康复医学杂志,2008,23(12):1074~1076 |
| 痉挛型脑瘫患儿平衡障碍程度的测定及特点 点此下载全文 |
| 张丽华 王景刚 李晓捷 姜志梅 |
| 黑龙江省小儿脑性瘫痪防治疗育中心，佳木斯大学儿童神经康复实验室， 黑龙江省佳木斯,154003 |
| 基金项目：黑龙江省科技公关项目（GC06C409） |
| DOI： |
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| 摘要： |
| 目的：评定12—48个月龄痉挛型脑瘫患儿的平衡障碍程度及特点，为患儿制订合理的康复计划及提供有效的训练方案。方法：正常组为97例年龄在12—48个月的健康儿童，均能够无辅助装置维持静态站立位至少持续1min。脑瘫组为110例具有站立能力的年龄在12—48个月的脑瘫患儿。其中双瘫82例，偏瘫28例。利用JB-PHY-Ⅱ型平衡测试仪测试其静态立位平衡功能。结果：痉挛型双瘫与正常儿童各月龄组的平衡数据比较（左右偏移除外）有显著差异(P<0.01)。痉挛型偏瘫各月龄组左右偏移与正常儿童比较有显著性意义(P<0.05)，痉挛型偏瘫12—24个月龄组和24—36个月龄组的外周面积和单位面积轨迹长与正常儿童比较均有显著性意义(P<0.05)，而轨迹长和矩形面积无显著性意义(P>0.05)；36—48个月龄组各平衡参数与正常儿童比较都具有显著性意义(P<0.05)；正常儿童重心轨迹图大多呈球心型，双瘫患儿重心轨迹图大部分介于球心型和弥散型之间，少部分呈弥散型和球心型。偏瘫患儿以前后型为主，少部分呈弥散型和球心型。结论：痉挛型双瘫患儿平衡功能与正常儿童有较大差异，但重心不存在明显左右差异。痉挛型偏瘫患儿重心存在明显的左右差异，随着年龄的增大平衡功能与正常儿童比较差异变大。 |
| 关键词：平衡功能 平衡测试仪 定量评定 痉挛型脑性瘫痪 |
| A study on equilibrium function of children with spastic cerebral palsy Download Fulltext |
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| College of Rehabilitation Medicine,Jiamusi University,154002 |
| Fund Project: |
| Abstract: |
| Objective:To evaluate extent and characteristic of equilibrium disturbance in spastic cerebral palsy children and to make reasonable rehabilitation program for them. Method:Ninety-seven children aged 12—48 months in normal group could stand without assistive device for at least 1 minute and 110 children(82 diplegia, 28 hemiplegia) aged 12—48 months were able to stand as cerebral palsy group. Two groups were measured with JB-PHY-Ⅱ to get equilibrium parameter through posturography. Result: There were significant differences in all parameters except left and right shift between spastic hemiplegia and normal children(P<0.01). There were significant differences on left and right shift between spastic diplegia and normal children (P<0.05), and there were significant differences of Rec Area and L/Earea between the two spastic hemiplegia groups aged 12 to 24 months and 24 to 36 months and normal groups(P<0.05), and there was no significant difference in Lng and Rec Area（P>0.05）; There were significant differences on all equilibrium parameter between the two groups aged 36to 48 months(P<0.05). Center of gravity locus map of normal children mainly presented centripetal, diplegia mainly presented between centripetal and diffusive, and few centripetal and diffusive, hemiplegia mainly presented forward-backward and few centripetal and diffusive. Conclusion:There were significance differences of equilibrium function between spastic diplegia and normal children, and no obvious difference between left and right in center of gravity. There were obvious differences in center of gravity between left and right in spastic hemiplegia, and the difference of equilibrium function would become obvious as they grew up. |
| Keywords:equilibrium function balance of performance monitor quantitive evaluation spastic cerebral palsy |
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