生物力学矫形鞋垫对脑瘫伴足外翻儿童下肢功能的疗效

doi:10.11852/zgetbjzz2018-26-05-31

中国儿童保健杂志 ›› 2018, Vol. 26 ›› Issue (5): 575-578.DOI: 10.11852/zgetbjzz2018-26-05-31

生物力学矫形鞋垫对脑瘫伴足外翻儿童下肢功能的疗效

郭爽, 李晓捷, 张尚, 范艳萍, 陈美慧, 梁玉琼

佳木斯大学附属第三医院,黑龙江佳木斯 154002

收稿日期:2017-10-15 发布日期:2018-05-10 出版日期:2018-05-10
通讯作者: 李晓捷,E-mail:xiaojljms@vip.163.com
作者简介:郭爽(1993-),女,山东人,硕士研究生,主要研究方向为小儿脑损伤发病机制及早期防治研究。

Efficacy of biomechanical orthopedic insoles for lower extremity function of spastic cerebral palsy children with foot valgus

GUO Shuang, LI Xiao-jie, ZHANG Shang, FAN Yan-ping, CHEN Mei-hui, LIANG Yu-qiong

The Third Affiliated Hospital of Jiamusi University, Jiamusi, Heilongjiang 154002, China

Received:2017-10-15 Online:2018-05-10 Published:2018-05-10
Contact: LI Xiao-jie,E-mail:xiaojljms@vip.163.com

摘要/Abstract

摘要： 目的探讨生物力学矫形鞋垫对脑瘫伴足外翻儿童下肢功能的疗效。方法选取2017年3月-9月在佳木斯大学附属第三医院收治的痉挛型双瘫伴足外翻儿童30例,随机分为对照组(n=15)和观察组(n=15)。对照组只接受常规康复训练,观察组在此基础上结合生物力学矫形鞋垫进行训练,两组均治疗3个月。治疗前后对两组儿童分别应用立姿跟骨休息位(RCSP)、粗大运动功能评定量表(GMFM)88项、Berg平衡量表(BBS)和足印分析法进行评定。结果两组治疗后RCSP、GMFM-88项D区和E区评分、BBS评分、步长及步速均优于治疗前(P<0.05),且观察组优于对照组(P<0.05)。结论生物力学矫形鞋垫可改善痉挛型双瘫儿童的足外翻畸形,提高粗大运动功能,改善步态及平衡功能。

关键词: 脑性瘫痪, 足外翻, 生物力学矫形鞋垫, 下肢功能

Abstract: Objective To explore the effect of biomechanical orthopedic insoles for lower extremity function of spastic cerebral palsy children with foot valgus.Methods Totally 30 children with spastic cerebral palsy children with foot valgus in the Third Affiliated Hospital of Jiamusi University were randomly divided into control group(n=15) and observation group (n=15) from March to September in 2017. The control group received routine rehabilitation, while the observation group received biomechanical orthopedic insoles additionally. The two groups were treated for 3 months. Before and after treatment, two groups were assessed by rest standing position of calcaneus(RCSP),gross motor function measure (GMFM-88),Berg Balance Scale(BBS)and footprint analysis. Results RCSP,D and E score of GMFM,BBS score,step length and walking speed of the two groups were better than before treatment (P<0.05), and the efficacy in observation group was better than that in the control group (P<0.05). Conclusions Biomechanical orthopedic insoles could improve valgus deformity,gross motor function, gait and balance function of spastic cerebral palsy children with foot valgus.

Key words: cerebral palsy, foot valgus, biomechanical orthopedic insoles, lower extremity function

中图分类号:

R179

郭爽, 李晓捷, 张尚, 范艳萍, 陈美慧, 梁玉琼. 生物力学矫形鞋垫对脑瘫伴足外翻儿童下肢功能的疗效[J]. 中国儿童保健杂志, 2018, 26(5): 575-578.

GUO Shuang, LI Xiao-jie, ZHANG Shang, FAN Yan-ping, CHEN Mei-hui, LIANG Yu-qiong. Efficacy of biomechanical orthopedic insoles for lower extremity function of spastic cerebral palsy children with foot valgus[J]. journal1, 2018, 26(5): 575-578.

参考文献

[1] 李晓捷, 唐久来, 马丙祥, 等. 脑性瘫痪的定义、诊断标准及临床分型[J]. 实用儿科临床杂志, 2014, 29(19): 1520.
[2] Fauconnier J, Dickinson HO, Beckung E, et al. Participation in life situations of 8-12 year old children with cerebral palsy: cross sectional European study[J]. BMJ, 2009, 338(7703):1116-1121.
[3] Karamitopoulos MS, Nirenstein L. Neuromuscular foot: spastic cerebral palsy[J]. Foot Ankle Clin, 2015, 20(4): 657-668.
[4] Guo J, Wang L, Mo Z, et al. Biomechanical behavior of valgus foot in children with cerebral palsy: A comparative study[J]. J Biomech, 2015, 48(12): 3170-3177.
[5] Church C, Lennon N, Alton R, et al. Longitudinal change in foot posture in Longitudinal change in foot posture in children with cerebral palsy[J]. J Child Orthop, 2017, 11(3): 229-236.
[6] 韩秀兰, 许轶, 王楚怀, 等. ICB鞋垫矫治对慢性非特异性下背痛患者的治疗作用[J]. 中国康复医学杂志,2014, 29(11): 1066-1069.
[7] 高政, 杨婷, 林强. 体外冲击波联合ICB矫形鞋垫治疗慢性跟腱炎的临床研究[J]. 重庆医学, 2016, 45(23): 3275-3277.
[8] Kadhim M, Miller F. Pes planovalgus deformity in children with cerebral palsy: review article [J]. J Pediatr Orthop B, 2014, 23(5): 400-405.
[9] Danino B, Erel S, Kfir M, et al.Influence of orthosis on the foot progression angle in children with spastic cerebral palsy[J]. Gait Posture, 2015,42(4):518-522.
[10] Kedem P, Scher DM. Foot deformities in children with cerebral palsy[J]. Curr Opin Pediatr, 2015, 27(1): 67-74.
[11] Davids JR. The foot and ankle in cerebral palsy[J]. Orthop Clin North Am, 2010,41(4): 579 -593.
[12] Gross MT, Mercer VS, Lin FC. Effects of foot orthoses on balance in older adults[J]. J Orthop Sports Phys Ther, 2012, 42(7): 649-657.
[13] Neto HP, Grecco LA, Duarte NA, et al. Immediate effect of posture insoles on gait performance of children with cerebral palsy:preliminary randomized controlled double-blind clinical trial[J]. J PhysTher Sci,2014,26(7):1003-1007.
[14] Christovao TC, Pasini H, Grecco LA, et al. Effect of postural insoles on static and functional balance in children with cerebral palsy: a randomized controlled study[J]. Braz J Phys Ther,2015,19(1): 44-51.

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生物力学矫形鞋垫对脑瘫伴足外翻儿童下肢功能的疗效

Efficacy of biomechanical orthopedic insoles for lower extremity function of spastic cerebral palsy children with foot valgus

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