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目的观察神经节苷酯结合Bobath技术治疗对步行痉挛型脑瘫患儿三维步态时空和表面肌电等指标的影响。方法将97例步行痉挛型脑瘫患儿随机分为神经节苷酯治疗组(A组,n=32)、Bobath治疗组(B组,n=32)、神经节苷酯联合Bobath治疗组(C组,n=33),分别予以相应的方法治疗2个疗程,检测治疗前、后三维步态时空参数和左下肢腓肠肌和胫骨前肌的表面肌电参数(i EMG)、AEMG、CR等指标。结果 3组患儿治疗后的三维步态参数,胫骨前肌和腓肠肌屈伸最大等长收缩状态下的i EMG、MF、CR,腓肠肌被动活动状态下的i EMG,均有不同程度的改善,差异有统计学意义(P<0.05,P<0.01);与治疗后的A、B组比较,治疗后的C组上述指标均有改善,差异有统计学意义(P<0.05)。结论神经节苷酯联合Bobath技术能较好地改善步行痉挛型脑瘫患儿三维步态时空和表面肌电等参数,值得临床推广。
Objective To observe the effects of ganglioside and Bobath on the spatial and temporal distribution of three-dimensional gait and surface myeoplasma in children with walking spastic cerebral palsy. Methods Ninety-seven children with spastic cerebral palsy were randomly divided into three groups: ganglioside treatment group (group A, n = 32), Bobath treatment group (group B, n = 32), ganglioside plus Bobath treatment group (N = 33, n = 33) .Meanwhile, the corresponding methods were used for 2 courses of treatment. The spatial and temporal parameters of the three-dimensional gait before and after treatment and the surface EMG, AEMG and CR indexes of the gastrocnemius and tibialis anterior muscle of the left lower limbs . Results The three-dimensional gait parameters, i EMG, MF, CR and i EMG in the gastrocnemius muscle under the isometric condition of the tibialis anterior muscle and the gastrocnemius flexor and extension were all improved to some extent in the three groups. The differences (P <0.05, P <0.01). Compared with A and B groups after treatment, the above indexes of C group improved after treatment, the difference was statistically significant (P <0.05). Conclusion Ganglioside combined with Bobath technology can improve the spatial and temporal three-dimensional gait space and surface myoelectricity parameters of children with walking spastic cerebral palsy, which is worthy of clinical promotion.