中国组织工程研究Issue(41)：7329-7334,6.DOI:10.3969/j.issn.2095-4344.2013.41.022
脑性瘫痪儿童的步态特征分析
Gait analysis in cerebral palsy children
冉茂群 1周世林 2肖农 1任永平 1张红运 1陈玉霞 1刘玲1
作者信息
- 1. 重庆医科大学儿童医院康复科，重庆市 400014
- 2. 重庆福尔泰矫形康复器材有限公司，重庆市 400010
- 折叠
摘要
Abstract
BACKGROUND:Abnormal gaits are very common in children with cerebral palsy, and how to improve the gait is the focus of rehabilitation therapy. OBJECTIVE:To analyze the biomechanical parameters of gaits in cerebral palsy children and to observe the effects of brace control on the exercise capacity of dyskinetic cerebral palsy children. METHODS:In this paper, we compared the biomechanical parameters of children with cerebral palsy and normal children in the initial process of walking and during walking. Biomechanical parameters in the initial process of walking include spatial and temporal parameters, kinematic and kinetic parameters of the range of motion of the knee and ankle. Biomechanical parameters during walking include spatial and temporal parameters. With the aid of hand brace, dyskinetic cerebral palsy received postural control, gait training, and sling exercise therapy for 3 months. The Gross Motor Function Measure (GMFM-88) assessment and video control were conducted for evaluation of therapeutic efficiency. RESULTS AND CONCLUSION:Biomechanical parameters in the initial process of walking showed significant differences between children with cerebral palsy and normal children except for the peak of ground reaction force at frontal axis with the right foot to start walking. Biomechanical parameters during walking showed that the stance phase and bipedal stance phase were prolonged, while the step length and stride length were shortened in the children with cerebral palsy compared with the normal children. For cerebral palsy children with brace control, the GMFM-88 scores were significantly decreased after treatment, involuntary movements were reduced shown on the video, the neck and body were stable, and life skil s were improved. Children with epilepsy and cognitive impairment or who had imaging changes in the basal ganglia showed a little improvement, and children with dance-athetoid type and dystonia type had a better progress than those with athetoid spasm.关键词
组织构建/组织构建学术探讨/脑瘫/三维/步态/生物力学/运动学/发育障碍/癫痫/膝关节/踝关节Key words
nervous system diseases/dyskinesias/chorea/gait disorders, neurologic/gait apraxia分类
医药卫生引用本文复制引用
冉茂群,周世林,肖农,任永平,张红运,陈玉霞,刘玲..脑性瘫痪儿童的步态特征分析[J].中国组织工程研究,2013,(41):7329-7334,6.
