摘要
目的报道1例脑性瘫痪(脑瘫)继发髋关节脱位患儿在超早期系统化康复下的临床疗效。方法将我院2021年3月办理入院的1例5岁8月的脑瘫继发髋关节脱位患儿实施超早期系统化康复,于术前、术后4个月后、术后9个月后采用格塞尔发育诊断量表、粗大运动功能分级系统、粗大运动功能测试、Berg平衡量表、儿童功能独立性评定量表及股骨头偏移百分比对患儿疗效进行评估。结果患儿治疗10个月后较治疗前上述疗效指标的分值均有不同程度的提高。结论超早期系统化康复有助于加速脑瘫患儿继发髋关节脱位康复,能有效改善患儿大运动、精细运动、平衡功能及日常生活能力,促进患儿的全面康复。
Objective To report the clinical effect of a child with cerebral palsy secondary to hip dislocation under ultra-early systematic rehabilitation.Methods A case of cerebral palsy with secondary hip dislocation admitted to our hospital in March 2021,aged 5 years and 8 months,was combined with ultra-early systematic rehabilitation treatment measures.Gesell Developmental Diagnostic Scale,gross motor function rating System,gross motor function test,Berg balance scale,Children Functional Independence Rating Scale and percentage of femoral head deviation were used to evaluate the therapeutic effect of the children before surgery,4 months after surgery and 9 months after surgery.Results After 10 months of treatment,the scores of the above therapeutic indexes were improved in different degrees.Conclusion The ultra-early systematic rehabilitation can accelerate the rehabilitation of secondary hip dislocation in children with cerebral palsy,effectively improve the general motor,fine motor,balance function and daily living ability of children,and promote the comprehensive rehabilitation of children.
作者
杨归华
张小丁
范桃林
YANG Guihua;ZHANG Xiaoding;FAN Taolin(Department of Child Rehabilitation,Xiangya Boai Rehabilitation Hospital,Changsha Hunan,410000,China)
出处
《反射疗法与康复医学》
2023年第12期191-194,共4页
Reflexology And Rehabilitation Medicine
关键词
脑性瘫痪
髋关节脱位
超早期系统化康复
Cerebral palsy
Dislocation of hip joint
Ultra-early systematic rehabilitation
作者简介
杨归华(1993-),男,苗族,贵州凯里人,本科,主管康复治疗师,研究方向:脑性瘫痪、发育迟滞、儿童肌骨疾病等康复评估与治疗;通信作者:范桃林(1990-),男,湖南邵阳人,本科,主管康复治疗师,研究方向:脑性瘫痪、高危儿、智力障碍等儿童康复评估与治疗,邮箱:505904299@qq.com。
