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【目的】调查痉挛性脑性瘫痪患儿扁平足患病率及足部运动情况。【方法】采用足印法、目测法,对天津儿童医院康复科治疗的56例2~6岁痉挛性脑性瘫痪患儿进行检查,对扁平足罹患率及程度、足跟骨内外翻及足拇趾内外翻、足踝及足趾能否跖屈和背屈情况进行统计分析。【结果】56名2~6岁痉挛性脑性瘫痪患儿共获得106个患足足印、目测检查106只患足。扁平足发病率为100%,扁平足程度轻度0.00%、中度2.83%、重度97.17%,足跟骨内翻0%、正位0.94%、外翻99.06%,足踝能跖屈100%,足踝能背屈0.94%,足趾能跖屈100%,足趾能背屈16.98%,不同年龄组差异均无显著性意义(P>0.05);足拇趾内翻0.94%、正位5.66%、外翻93.40%,不同年龄组差异具有显著性意义(P<0.05)。【结论】2~6岁痉挛性脑性瘫痪患儿扁平足患病率高,足部运动差,足跖屈肌痉挛及挛缩是致痉挛性脑瘫患儿足部异常的主要因素。康复治疗中应重视足部问题。
【Objective】 To investigate the prevalence of flatfoot and foot movement in children with spastic cerebral palsy. 【Methods】 Fifty-six children aged 2 to 6 years old with spastic cerebral palsy who were treated by Department of Rehabilitation, Children’s Hospital of Tianjin were enrolled in this study. The prevalence and degree of flat foot, internal and external heel valgus and thumb foot Toe, valgus, ankle and toes can plantar flexion and dorsiflexion statistical analysis. 【Results】 Fifty-six children with spastic cerebral palsy aged 2 to 6 years old had a total of 106 footprints and 106 eyes were examined by visual inspection. The incidence of flatfoot was 100%, flatfoot degree was mild 0.00%, moderate 2.83%, severe 97.17%, heel varus 0%, anteroposterior 0.94%, valgus 99.06%, plantar and ankle plantar flexion 100% Ankle dorsiflexion 0.94%, 100% of plantar flexion toes, toes can dorsiflexion 16.98%, no significant difference between different age groups (P> 0.05); Foot hallux valgus 0.94%, positive 5.66% , Valgus 93.40%, the difference between different age groups was significant (P <0.05). 【Conclusion】 The prevalence of flatfoot in children aged 2 to 6 years with spastic cerebral palsy is high, the foot movement is poor, plantar flexor spasm and contracture are the main causes of foot abnormalities in children with spastic cerebral palsy. Rehabilitation should pay attention to the foot problem.