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1
Pediatric Rehabilitation for Walking Difficulty and Calf Muscle Pain in a 13-Year-Old Male With Spastic Diplegic Cerebral Palsy and Clubfoot Deformity: A Case Report.13岁痉挛性双侧瘫脑瘫合并马蹄内翻足畸形男性患儿步行困难及小腿肌肉疼痛的儿科康复:病例报告
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2
Whether the newly modified rhizotomy protocol is applicable to guide single-level approach SDR to treat spastic quadriplegia and diplegia in pediatric patients with cerebral palsy?新改良的神经根切断术方案是否适用于指导单节段选择性脊神经后根切断术(SDR)治疗小儿脑瘫患者的痉挛性四肢瘫和双瘫?
Childs Nerv Syst. 2020 Sep;36(9):1935-1943. doi: 10.1007/s00381-019-04368-w. Epub 2019 Sep 9.
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Association Between Calf Muscle Tone, Plantar Surface Area, and Gross Motor Function in Children with Spastic Diplegic Cerebral Palsy.痉挛型双侧瘫脑瘫患儿小腿肌张力、足底表面积与粗大运动功能之间的关联
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[Comorbidities in patients with cerebral palsy and their relationship with neurologic subtypes and Gross Motor Function Classification System levels].[脑瘫患者的合并症及其与神经学亚型和粗大运动功能分类系统水平的关系]
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Electrical stimulation improves gait in children with spastic diplegic cerebral palsy.电刺激改善痉挛性双瘫脑瘫儿童的步态。
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Developmental profiles of preschool children with spastic diplegic and quadriplegic cerebral palsy.痉挛型双瘫和四肢瘫脑瘫学龄前儿童的发育特征。
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Effects of Pediatric Rehabilitation on Children With Spastic Quadriplegia Primary to Seizure Disorder and Global Developmental Delay: A Case Report.小儿康复对痉挛性四肢瘫痪合并癫痫和全面发育迟缓患儿的影响:一例报告
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Neuromuscular electrical stimulation of the gluteus medius improves the gait of children with cerebral palsy.臀中肌的神经肌肉电刺激可改善脑瘫患儿的步态。
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Effects of the progressive walking-to-running technique on gait kinematics, ultrasound imaging, and motor function in spastic diplegic cerebral palsy - an experimenter-blind case study.渐进式行走-跑步技术对痉挛性双瘫脑瘫步态运动学、超声成像和运动功能的影响——一项实验者盲法病例研究。
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本文引用的文献

1
A Brief Overview of Recent Pediatric Physical Therapy Practices and Their Importance.近期儿科物理治疗实践及其重要性概述
Cureus. 2023 Oct 28;15(10):e47863. doi: 10.7759/cureus.47863. eCollection 2023 Oct.
2
Physical Therapy Interventions in Children With Cerebral Palsy: A Systematic Review.脑瘫患儿的物理治疗干预:一项系统综述
Cureus. 2023 Aug 21;15(8):e43846. doi: 10.7759/cureus.43846. eCollection 2023 Aug.
3
Physiotherapy management of children with cerebral palsy in low- and middle-income countries: a scoping review protocol.中低收入国家脑性瘫痪儿童的物理治疗管理:系统评价方案。
Syst Rev. 2023 Jul 1;12(1):110. doi: 10.1186/s13643-023-02280-8.
4
Critically appraised paper: A task-specific sit-to-stand training program for children with cerebral palsy improves mobility and self-care function [synopsis].严格评价的论文:针对脑瘫儿童的特定任务坐立训练计划可改善运动能力和自我护理功能[概要]
J Physiother. 2022 Jan;68(1):69. doi: 10.1016/j.jphys.2021.10.002. Epub 2021 Dec 8.
5
Sit-to-stand training for self-care and mobility in children with cerebral palsy: a randomized controlled trial.坐位到站位训练对脑瘫患儿自理和移动能力的影响:一项随机对照试验。
Dev Med Child Neurol. 2021 Dec;63(12):1476-1482. doi: 10.1111/dmcn.14979. Epub 2021 Jul 11.
6
Sit-to-stand movement in childrenwith cerebral palsy and relationships with the International classification of functioning, disability and health: A systematic review.儿童脑瘫患者的坐站运动与《国际功能、残疾和健康分类》的关系:系统评价。
Res Dev Disabil. 2020 Dec;107:103804. doi: 10.1016/j.ridd.2020.103804. Epub 2020 Nov 4.
7
Cerebral palsy in children: a clinical overview.儿童脑性瘫痪:临床概述
Transl Pediatr. 2020 Feb;9(Suppl 1):S125-S135. doi: 10.21037/tp.2020.01.01.
8
Effect of a Combined Stretching and Strength Training Program on Gait Function in Children with Cerebral Palsy, GMFCS Level I & II: A Randomized Controlled Trial.联合拉伸和力量训练计划对脑瘫儿童(GMFCS Ⅰ级和Ⅱ级)步态功能的影响:一项随机对照试验。
Medicina (Kaunas). 2019 Jun 6;55(6):250. doi: 10.3390/medicina55060250.
9
Evidence-based Approach to Physical Therapy in Cerebral Palsy.脑瘫物理治疗的循证方法
Indian J Orthop. 2019 Jan-Feb;53(1):20-34. doi: 10.4103/ortho.IJOrtho_241_17.
10
Active exercise interventions improve gross motor function of ambulant/semi-ambulant children with cerebral palsy: a systematic review.积极运动干预可改善能走动/半走动脑瘫儿童的粗大运动功能:系统评价。
Disabil Rehabil. 2019 May;41(10):1131-1151. doi: 10.1080/09638288.2017.1422035. Epub 2018 Jan 5.

13岁痉挛性双侧瘫脑瘫合并马蹄内翻足畸形男性患儿步行困难及小腿肌肉疼痛的儿科康复:病例报告

Pediatric Rehabilitation for Walking Difficulty and Calf Muscle Pain in a 13-Year-Old Male With Spastic Diplegic Cerebral Palsy and Clubfoot Deformity: A Case Report.

作者信息

Zade Aakanksha, Sharath H V, Gangwani Nikita

机构信息

Department of Pediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research (Deemed to be University), Wardha, IND.

Department of Musculoskeletal Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research (Deemed to be University), Wardha, IND.

出版信息

Cureus. 2024 Mar 7;16(3):e55697. doi: 10.7759/cureus.55697. eCollection 2024 Mar.

DOI:10.7759/cureus.55697
PMID:38586773
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10998005/
Abstract

Cerebral palsy (CP) manifests as atypical muscle tone, posture, and movement, and is classified into four main types: extrapyramidal (dyskinetic), spastic quadriplegia, spastic hemiplegia, and spastic diplegia. Patients with CP might move awkwardly because of this since it indicates that their muscles are tense. We report the case of a 13-year-old child who complained of soreness in his right calf muscle and trouble walking over the previous two years. His condition is recognized as spastic diplegic CP. This report aims to understand the impact of neurophysiotherapy procedures in the context of CP. Physical therapy employs various therapeutic techniques to help patients become more independent in carrying out their everyday tasks and enhance their quality of life, including stretching, proprioceptive neuromuscular facilitation, limb strengthening exercises, and gait training. Early rehabilitation aids in treating various motor functions, such as balance, posture, oral motor functioning, fine motor skills, gross motor skills, muscle control, muscle tone, reflexes, and body movement. It also helps children with CP reach their full potential for physical independence and fitness and enhances the quality of life for both the child and the family. Pediatric rehabilitation yields significant benefits in alleviating walking difficulty and calf muscle pain in individuals with spastic diplegic CP and clubfoot deformity.

摘要

脑瘫(CP)表现为异常的肌张力、姿势和运动,并主要分为四种类型:锥体外系型(运动障碍型)、痉挛性四肢瘫、痉挛性偏瘫和痉挛性双瘫。患有脑瘫的患者可能会因此行动笨拙,因为这表明他们的肌肉处于紧张状态。我们报告了一名13岁儿童的病例,该儿童在过去两年中一直抱怨右小腿肌肉酸痛且行走困难。他的病情被诊断为痉挛性双瘫型脑瘫。本报告旨在了解神经物理治疗程序在脑瘫背景下的影响。物理治疗采用各种治疗技术,帮助患者在日常任务中更加独立,并提高他们的生活质量,包括拉伸、本体感觉神经肌肉促进法、肢体强化训练和步态训练。早期康复有助于治疗各种运动功能,如平衡、姿势、口腔运动功能、精细运动技能、粗大运动技能、肌肉控制、肌张力、反射和身体运动。它还帮助患有脑瘫的儿童充分发挥身体独立和健康的潜力,并提高儿童及其家庭的生活质量。小儿康复对于缓解痉挛性双瘫型脑瘫和马蹄内翻足畸形患者的行走困难和小腿肌肉疼痛具有显著益处。