神经肌肉激活技术对脑瘫患儿治疗效果的临床研究

Clinical study of neuromuscular activation technology in the treatment of children with cerebral palsy

摘要:

目的：探索神经肌肉激活（neuromuscular activation，NEURAC）技术对提高脑瘫患儿治疗效果的研究，为脑瘫治疗提供合理、规范、有效的康复治疗方法。方法：将步态异常、步行能力差、能执行一定指令的脑瘫患儿，在治疗前进行三维步态分析检查和粗大运动功能评估量表（gross motor function measure，GMFM）评估，确定引起异常步态的肌肉问题，设计训练方案，治疗1～2个月后再进行评估检查。结果：（1）治疗后步长较治疗前增大（t=-2.352，P=0.033），步宽较治疗前缩小（t=2.726，P=0.001）；（2）总支撑时间治疗前为（55.15±19.30） ms，治疗后（60.19±7.79） ms （t=-1.031，P=0.319）、双支撑时间治疗后为（20.42±17.12）％较治疗前（14.55±7.28）％增加（t=-1.496，P=0.155）；（3）摆动相和单支撑时间，治疗前后无明显改变；（4）GMFM80分值较治疗前明显提高（t=4.99，P=0.001）。结论：NEURAC技术可以在较短时间改善脑瘫患儿的步行能力。

Abstract:

Objective：To explore the neuromuscular activation（NEURAC） technology in the treatment of children with cerebral palsy and to provide reasonable，standard and effective rehabilitation treatment method for cerebral palsy. Methods：3-D gait exanimation and gross motor function measure（GMFM） evaluation were performed for cerebral palsy children with abnormal gait，poor ability but certain executive capability before the treatment to determine the cause of abnormal gait muscle. Training program was designed and assessment was conducted after training for 1-2 months. Results：（1）Step length was increased（t=-2.352，P=0.033） and step width was decreased（t=2.726，P=0.001） compared with that before the treatment，with statistically significant differences. （2）Total supporting time was （55.15±19.30） ms before the treatment and （60.19±7.79） ms after the treatment（t=-1.031，P=0.319）. Double supporting time was （20.42±17.12）% after the treatment，significantly increased before the treatment of （14.55±7.28）% （t=-1.496，P=0.155）. （3）There was no significant change in swing time and single supporting time.（4）GMFM score after the treatment was obviously improved than before treatment（t=4.99，P=0.001）. Conclusion：Nerve muscle activation technology can improve the walking ability of cerebral palsy children in a comparatively short time.