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目的:探讨弹性绷带的应用对脑瘫儿立位及步行功能的影响。方法:立位及步行功能异常的脑瘫患儿71例,随机分为矫正组50例和对照组21例,两组均采用以Bobath技术为主的综合康复治疗,矫正组同时据患儿情况配备弹性绷带进行训练。2组治疗前后用粗大运动功能评定量表(GMFM)对爬和跪、立位、步行等项进行功能评定。结果:治疗3个月后2组患儿GMFM得分较治疗前明显提高(P<0.001),矫正组得分高于对照组(P<0.05)。结论:配备弹性绷带并采用神经生理学疗法为主的综合康复治疗更有利于患儿立位及步行功能的提高。
Objective: To investigate the effect of elastic bandage on cerebral palsy position and walking function. Methods: 71 children with cerebral palsy who had abnormal standing and walking function were randomly divided into two groups: control group (50 cases) and control group (21 cases). The two groups were all treated by Bobath technique, Elastic bandage for training. Before and after treatment, the functional assessment of climbing and kneeling, standing position, walking and other items were performed with the Gross Motor Function Rating Scale (GMFM). Results: The GMFM scores of the two groups were significantly increased (P <0.001) and the scores of the correction group were higher than those of the control group (P <0.05) after 3 months of treatment. Conclusion: The comprehensive rehabilitation treatment with elastic bandage and neuropsychological therapy is more conducive to the improvement of children’s standing and walking function.