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目的评估痉挛肌治疗仪配合运动疗法等在小儿痉挛型瘫痪康复治疗中的作用。方法90例痉挛型瘫痪患儿在进行运动疗法等治疗的同时予以痉挛肌治疗,治疗开始前及治疗2个疗程后用改良Ashworth量表评测肌张力变化,关节量角器法测定手掌屈角、足背屈角、股角。结果治疗后,所有痉挛型瘫痪患儿肌痉挛均不同程度缓解,平均降低到1级左右,且关节活动范围明显改善,手掌屈角、足背屈角分别改善至(78.23±3.69)°、(78.17±2.94)°,股角扩大至(73.56±1.05)°(t=22.84,28.81,22.29,P均<0.01)。结论痉挛肌治疗仪配合运动疗法治疗小儿痉挛型瘫痪,可降低肌张力,改善运动能。
Objective To evaluate the role of spasmodic muscle therapy apparatus in combination with exercise therapy in the rehabilitation of children with spastic paralysis. Methods Ninety children with spastic paralysis were treated with spastic muscle during exercise therapy. Before treatment and after 2 courses of treatment, muscle tone was evaluated by modified Ashworth scale. Curvature, stock corner. Results After treatment, all patients with spastic paraplegia had mild to moderate muscle spasms, which were reduced to about grade 1 on average, and the range of joint activities was significantly improved. The flexion of the hands and the dorsiflexion of the dorsiflexion improved to (78.23 ± 3.69) ° and ( 78.17 ± 2.94) °, and the angle of femoris increased to (73.56 ± 1.05) ° (t = 22.84,28.81,22.29, P <0.01). Conclusion Spasmodic Muscle Therapy Instrument combined with exercise therapy for children with spastic paralysis can reduce muscle tone and improve motor energy.