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痉挛性偏瘫型脑瘫患儿的步态分析

Gait analysis of children with spastic hemiplegic cerebral palsy.

作者信息

Wang Xin, Wang Yuexi

机构信息

Department of Human Sports Science, Shenyang Sport University, Shenyang 110102, Liaoning Province, China.

Recuperate Center, Shengjing Hospital of China Medical University, Shenyang 110021, Liaoning Province, China.

出版信息

Neural Regen Res. 2012 Jul 15;7(20):1578-84. doi: 10.3969/j.issn.1673-5374.2012.20.008.

Abstract

An experiment was carried out in the key laboratory for Technique Diagnosis and Function Assessment of Winter Sports of China to investigate the differences in gait characteristics between healthy children and children with spastic hemiplegic cerebral palsy. With permission of their parents, 200 healthy children aged 3 to 6 years in the kindergarten of Northeastern University were enrolled in this experiment. Twenty children aged 3 to 6 years with spastic hemiplegic cerebral palsy from Shengjing Hospital, China were also enrolled in this experiment. Standard data were collected by simultaneously recording gait information from two digital cameras. DVracker was used to analyze the standard data. The children with hemiplegic cerebral palsy had a longer gait cycle, slower walking speed, and longer support phase than did the healthy children. The support phase was longer than the swing phase in the children with hemiplegic cerebral palsy. There were significant differences in the angles of the hip, knee, and ankle joint between children with cerebral palsy and healthy children at the moment of touching the ground and buffering, and during pedal extension. Children with hemiplegic cerebral palsy had poor motor coordination during walking, which basically resulted in a short stride, high stride frequency to maintain speed, more obvious swing, and poor stability.

摘要

在中国冬季运动技术诊断与功能评估重点实验室开展了一项实验,以研究健康儿童与痉挛性偏瘫型脑瘫儿童在步态特征上的差异。经其父母同意,东北大学幼儿园200名3至6岁的健康儿童参与了本实验。来自中国盛京医院的20名3至6岁痉挛性偏瘫型脑瘫儿童也参与了本实验。通过两台数码相机同时记录步态信息来收集标准数据。使用DVracker分析标准数据。偏瘫型脑瘫儿童的步态周期更长、步行速度更慢、支撑期比健康儿童更长。偏瘫型脑瘫儿童的支撑期长于摆动期。脑瘫儿童与健康儿童在着地和缓冲瞬间以及蹬伸过程中,髋关节、膝关节和踝关节的角度存在显著差异。偏瘫型脑瘫儿童在行走过程中运动协调性较差,这基本上导致步幅短、步频高以维持速度、摆动更明显且稳定性差。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a0f/4308754/d7f4418d57b9/NRR-7-1578-g005.jpg

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