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目的:探讨数字化康复系统对于小儿脑瘫拇内收畸形的康复效果。方法:选择普陀区残联系统下脑瘫患儿21例及上海市儿童医院康复门诊家庭康复每月随访的脑瘫患儿21例,将其分成两组,每组21例。对照组由家长行常规OT训练后佩戴为患儿定制的拇外展支具进行治疗,治疗组除以上治疗外加用数字化康复系统随访治疗。三个月后,对疗效进行评估和比较。结果:经3个月治疗后,两组拇指内收肌肌张力改善总有效率(显效率与有效率之和)分别为90.5%和81%,治疗组显著高于对照组(P<0.05)。两组患儿治疗后PROM均较治疗前有所改善(P<0.01),且治疗组治疗后PROM显著高于对照组(P<0.05)。两组FMFM比较两组治疗后FMFM均较治疗前显著升高(P<0.01),且治疗组治疗后FMFM显著高于(P<0.01)。结论:家庭(社区)数字化康复系统干预可有效提高小儿脑瘫拇内收畸形的康复效果。
Objective: To explore the effect of digital rehabilitation system on rehabilitation of thumb adductor deformity in children with cerebral palsy. Methods: Twenty-one children with cerebral palsy under the CDPF system in Putuo District and 21 children with cerebral palsy who were followed up every month from the rehabilitation clinic of Shanghai Children’s Hospital were divided into two groups (21 in each group). The control group was treated by the parents after conventional OT training and worn for the children with customized hallux braces. In addition to the above treatment, the treatment group followed up with digital rehabilitation system. Three months later, the efficacy was assessed and compared. Results: After 3 months of treatment, the total effective rate (sum of effective rate and effective rate) of adductor muscle tone in both groups was 90.5% and 81% respectively, which was significantly higher in the treatment group than in the control group (P <0.05) . PROM in both groups was improved after treatment (P <0.01), and the PROM in the treatment group was significantly higher than that in the control group (P <0.05). The FMFM in both groups was significantly higher than that before treatment (P <0.01), and the FMFM was significantly higher in the treatment group after treatment (P <0.01). Conclusion: Family (community) digital rehabilitation system intervention can effectively improve the cerebral palsy thumb thumb deformity rehabilitation effect.