试探3种步态特性脑性瘫痪儿童下肢肌肉相关性

doi:10.16088/j.issn.1001-6600.2015.03.022

Journal of Guangxi Normal University(Natural Science Edition) ›› 2015, Vol. 33 ›› Issue (3): 144-150.doi: 10.16088/j.issn.1001-6600.2015.03.022

Previous Articles Next Articles

Relationship of Lower-Limb Muscle of Children During Three Kinds of Gait Characteristics Cerebral Palsy

DU Wen-jing^1,2,3, TAN En-min¹, LI Hui-hui^2,3, HU Bao-hua⁴, WANG Lei^2,3

1.Electronic Engineering and Automation, Guilin University of Electronic Technology,Guilin Guangxi 541004, China;
2.Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences,Shenzhen Guangdong 518055,China;
3.Shenzhen Key Lab for Low-cost Healthcare, Shenzhen Guangdong 518055, China;
4.School of Information Engineering, Nanchang Hangkong University,Nanchang Jiangxi 330063, China

Received:2015-04-10 Online:2015-05-10 Published:2018-09-20

Abstract

Abstract: To explore the correlation of lower-limb muscle of patients with different characteristics of the cerebral palsy, and analyze of the differences and the similarity in the patients with the different characteristics, which provide references for clinical research and treatment of children with cerebral palsy and rehabilitation. Twenty-two(2-12 years,18 males and 4 females; age 5.8±2.0 years) children with CP who came to the physical therapy rehabilitation center volunteered to participate in the experiment in Shenzhen Disabled Rehabilitation Center, Guangdong, China. The study was approved by the institutional review board of Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences. According to the experienced rehabilitation therapist’s clinical evaluations, among all the participants were divided into three groups, including 8 diagnosed to be cerebral palsy with spastic characteristic, and 9 diagnosed with hemiplegia, and 5 diagnosed with other features. There was no significant difference in the gender, age, mental, social and adaptive behavior, Gross motor function measure and balance of the three groups was no significant difference (P>0.05).The patients straight for 5 meters at their self-selected comfortable speed toward a target line on the floor,and were assessed on daily living function with the muscular tension of triceps and the subscale of Berg.Surface electromyography (EMG) from GM and TA were recorded and MP150 system(BioNomadix 2-Channel EMG system, BIOPAC Systems, Inc, Goleta, USA) was used to collect the data. SPSS Statistics, version 19.0 were used to analyze the statistics. Results and conclusion: There was great difference among the children with different characteristics. Spasticity and other features affected the relationship of lower-limb muscle of patients with cerebral palsy and improved the muscular tension of triceps, and the correlation of lower-limb muscle of children with hemiplegia was significant, which provided useful information to treat the children with different characteristics of cerebra palsy with different methods.

Key words: cerebral palsy, spasticity, hemiplegia, surface electromyographic, relationship

CLC Number:

R742.3

DU Wen-jing, TAN En-min, LI Hui-hui, HU Bao-hua, WANG Lei. Relationship of Lower-Limb Muscle of Children During Three Kinds of Gait Characteristics Cerebral Palsy[J].Journal of Guangxi Normal University(Natural Science Edition), 2015, 33(3): 144-150.

References

[1] 王宁,孙琳,邵翠霞,等.步态分析在小儿脑性瘫痪诊疗和康复中的作用[J].山东医药,2011,51(24): 22-23.
[2] 江晓峰,荣湘江. 踝足矫形器对脑瘫患儿异常步态的影响[J]. 中国康复医学杂志,2005,20(11):836-838.
[3] 高宝勤,杨伟力,邓欣,等.A型肉毒毒素治疗小儿脑性瘫痪下肢肌张力障碍[J].中国神经精神疾病杂志,2001,27(6):448-449.
[4] 侯晓晖,万宇,李初阳,等.Halliwick技术对学龄期痉挛型脑瘫儿童步态的影响[J].中国康复医学杂志,2010,25(9):870-874.
[5] 李威,章荣,刘仲书,等.步态诱发功能性电刺激对痉挛型脑瘫足下垂患儿的疗效[J].中国康复,2012,27(6):432-434.
[6] 申晓娜,李晓捷,孙奇峰,等.B超评定股四头肌厚度再痉挛型双瘫脑性瘫痪患儿康复评价中的应用[J].中国中西医结合儿科学,2011,3(2):116-118.
[7] 顾昭华,蔡可书,王翔,等.弹力带在偏瘫患者步态矫正训练中的临床应用[J].中国康复,2009,24 (4):241-243.
[8] 孟明,余青山,罗志增.HMM在下肢表面肌电信号步态识别中的应用[J].华中科技大学学报:自然科学版,2011,39:176-179.
[9] 吕静,张跃,汤健,等.表面肌电图在痉挛型脑瘫患儿坐位平衡功能疗效评估中的应用[J]. 中华物理医学与康复杂志,2010,32(3):223-225.
[10] 何庆华,吴宝明,彭承琳.表面肌电信号的分析与应用[J].国外医学生物医学工程分册,2000, 23(5):299-302.
[11] 李青青,吴宗耀,罗利平.表面肌电图的信度研究[J].中国康复医学杂志,2006,21(3):224-227.
[12] WANG Hui-yi, CHEN Chien-chih, HSIAO Shih-fen. Relationships between respiratory muscle strength and daily living function in children with cerebral palsy[J]. Research in Developmental Disabilities, 2012, 33(4):1176-1182.
[13] 盖洁,李晓捷.B超测量小腿三头肌厚度对痉挛型双瘫脑瘫患儿的康复评价[J].中国伤残医学,2012,20(60):94-96
[14] 许佳立,王永奉,刘庚谦,等.基于表面肌电信号的两侧下肢对应肌肉活跃差异性定量分析[J].中国生物医学工程学报,2013,32(5):572-579.
[15] KO I, KIM J, LEE B. Relationship between lower limb muscle structure and function in cerebral palsy[J]. Journal of Physical Therapy Science,2014, 26:63-66.
[16] 曾贞,李素萍.点穴对痉挛型小儿脑性瘫痪腓肠肌肌张力影响的临床观察[J].中医儿科杂志,2011,7(1):43-47.

Metrics

Viewed

Full text

Abstract

Cited

Shared

Discussed

Comments

Recommended 0

No Suggested Reading articles found!

Relationship of Lower-Limb Muscle of Children During Three Kinds of Gait Characteristics Cerebral Palsy

PDF (PC)

Abstract

Cite this article

share this article

References

Related Articles 3

Metrics

Comments

Recommended 0

[1]	WANG Jian, ZHENG Qifan, LI Chao, SHI Jing. Remote Supervision Relationship Extraction Based on Encoder and Attention Mechanism [J]. Journal of Guangxi Normal University(Natural Science Edition), 2019, 37(4): 53-60.
[2]	ZHANG Yong-de, ZENG Lan, BIN Shi-yu, DU Xue-song, YANG Hui-zan, CHEN Zhong, YU Yan-ling, LIN Yong. Genetic Diversity Analysis of Nile Tilapia Breeding Families [J]. Journal of Guangxi Normal University(Natural Science Edition), 2014, 32(3): 94-101.
[3]	XIAO Shi-bin, ZHAO Hong-gai, WANG Hong-jun, LU· Xue-qiang. Noun Phrase of “N₁+N₂+V” Structure in Search Engine Query Logs [J]. Journal of Guangxi Normal University(Natural Science Edition), 2011, 29(1): 116-122.