论文部分内容阅读
目的研究附加神经认知疗法的综合康复治疗对痉挛型双瘫患儿肌张力改善和运动功能提高的疗效。方法73例痉挛型双瘫患者随机分为治疗组(37例)与对照组(36例)。对照组采取运动疗法、神经肌肉电刺激、水疗法、下肢踝足矫形器佩戴、药物疗法综合康复治疗,治疗组在上述治疗基础上加用神经认知疗法治疗。比较2组治疗前后肌张力、关节活动度及步态分析的改变。结果治疗后患儿肌张力、关节活动度均较治疗前改善,治疗组肌张力、关节活动度的改善优于对照组(P均<0.05);步态分析显示治疗组显效31例(83.8%),对照组显效26例(72.2%),总有效率治疗组高于对照组(97.3%vs 86.1%,P<0.05)。结论附加神经认知疗法的综合康复手段,有利于缓解患儿肌肉痉挛、纠正异常步态。
Objective To study the effect of comprehensive rehabilitation therapy with additional neurocognitive therapies on the improvement of muscle tension and motor function in children with spastic diplegia. Methods 73 patients with spastic diplegia were randomly divided into treatment group (37 cases) and control group (36 cases). The control group received exercise therapy, neuromuscular electrical stimulation, hydrotherapy, lower limb ankle and foot orthosis wear, drug therapy comprehensive rehabilitation treatment group based on the above treatment plus neurocognitive therapy. The changes of muscle tone, joint mobility and gait analysis before and after treatment were compared between the two groups. Results After treatment, the improvement of muscle tone and joint activity was better than that of the control group. The improvement of muscle tone and joint activity was better in the treatment group than in the control group (P <0.05). The gait analysis showed that the treatment group was markedly effective in 31 cases (83.8% ), 26 cases (72.2%) in the control group, and the total effective rate in the treatment group was higher than that in the control group (97.3% vs 86.1%, P <0.05). Conclusion The comprehensive rehabilitation of neurocognitive therapy is helpful to relieve muscle spasms in children and correct abnormal gait.