偏瘫型脑瘫儿童肢体差异与功能状况的相关性研究

摘要

Objective: To evaluate side-to-side discrepancies in children with hemiplegic cerebral palsy (HCP), and investigate associations of these discrepancies with patients’ age at function.Method: We obtained information including eight indexes for experiment, initiation of physical therapy,motor and cognitive function, and degree of activities and social participation from 30 children with HCP.SPSS software was applied to analyze the association between indexes and function.Result: The affected side was shorter than unaffected side in HCP. Muscle strength was negative associated with HW, FL, TC, UPRS was negative associated with ULTL, HL, GMFM was negative associated with ULTL,HL,HW,FL.Conclusion:Discrepancy which plays a larger role in HCP children is associated with degree of activity/social participation.%目的：评估偏瘫型脑瘫（HCP）儿童双侧肢体差异，并探讨差异与患者年龄段相匹配的功能状况的相关性。方法：测量30位HCP儿童受影响侧与未受影响侧肢体8项实验指标与运动、认知多个功能状态指标，采用统计学软件分析实验指标与功能状态指标之间的相关性。结果：受影响的偏瘫侧肢体长度较未受影响的肢体长度偏短，肌力与手宽（HW）、腿长（FL）、大腿围（TC）指标呈负相关， UPRS与上肢总长（ULTL）、手长（HL）指标呈负相关，粗大运动功能（GMFM）与ULTL、HL、HW、FL指标呈负相关。结论：肢体差异程度在HCP儿童发育中起到重要的作用，可能对运动/社会参与功能起到很大的影响。