中国康复Issue(3)：198-200,3.DOI:10.3870/zgkf.2015.03.011
体外冲击波治疗脑瘫肌痉挛的疗效观察
Curative effect of extracorporeal shock wave treatment for muscle spasticity in children with cerebral palsy
摘要
Abstract
Objective:To investigate the curative effects and security of extracorporeal shock wave treatment for muscle spasticity in children with cerebral palsy .Methods:Fifty children with cerebral palsy of muscle spasticity were divided into the observation group (n=24) and control group (n=26) .Two groups received routine rehabilita‐tion .The observation group was given extracorporeal shock wave treatment additionally .Before and after treat‐ment ,muscle spasticity was evaluated by passive range of motion (PROM ) ,modified Ashworth scale (MAS) , Gross Motor Function Measure (GMFM) ,and foot contact area .Results:One week and 4 weeks after treatment , the MAS scores of triceps surae muscle were decreased in the observation group as compared with those before treat‐ment (P<0 .05) ,showing a gradually descent trend (P<0 .05) ,and the score of every item at any time point was significantly different as compared with that in the control group (P<0 .05) .One week after treatment ,the MAS scores of triceps surae muscle in the control group showed no statistically significant difference from those before treatment .Four weeks after treatment ,the scores of MAS in control group were decreased as compared with those pretreatment and one week after treatment (P<0 .05) .One week and 4 weeks after treatment ,the scores of ankle PROM ,Gross Motor Function Measure ,foot contact area ,and foot pressure were increased in the observation group as compared with those before treatment (P< 0 .05) ,showing a gradually descent trend (P< 0 .05) .The score of every item in the observation group was increased as compared with the control group at any time point (P<0 .05) .One week after treatment ,the scores of ankle PROM ,Gross Motor Function Measure ,foot contact ar‐ea ,and foot pressure showed no statistically significant difference in the control group as compared with those before treatment .Four weeks after treatment ,the scores of ankle PROM ,Gross Motor Function Measure ,foot contact ar‐ea ,and foot pressure were increased in the control group as compared with those before treatment and one week af‐ter treatment (P<0 .05) .Conclusion:Extracorporeal shock wave treatment can decrease triceps surae muscle ten‐sion ,release muscle spasm ,and improve gross motor function .关键词
体外冲击波/脑瘫/痉挛Key words
extracorporeal shock wave/cerebral pal-sy/spasticity分类
医药卫生引用本文复制引用
贠国俊,刘青,杨雪,王玉娟,曹建国..体外冲击波治疗脑瘫肌痉挛的疗效观察[J].中国康复,2015,(3):198-200,3.基金项目
深圳市科技计划项目 （）
