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论文摘要

小儿脑性瘫痪类型与手功能分级相关性初探

The Relationship Between the Damages of Hand Functions and the Type of Cerebral Palsy in Children

作者:石薇, 罗蓉, 蒋华莹等

Author:SHI Wei, LUO Rong, JIANG Hua-ying. et al

收稿日期:          年卷(期)页码:2015,46(6):876-879

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:肿瘤 PICC 知信行水平

Key words:Cerebral palsy The type of cerebral palsy Hand functions

基金项目:

中文摘要

目的 探讨脑瘫患儿的脑瘫类型和手功能受损情况以及两者之间的相关性。方法 采用中文版脑瘫患儿手功能分级系统 ( Manual Ability Classification System, MACS)对成都市20个区市县残疾人联合会登记在册的4~12岁脑瘫患儿手功能进行评定,并分析其与脑瘫类型的关系。结果 在调查的280例患儿中,痉挛型脑瘫195例(69.64%),其中痉挛型双瘫最多见(56.41%),痉挛型偏瘫最少见(1.03%);在痉挛型脑瘫中,65.13%的患儿MACS分级为Ⅰ~Ⅱ级,而在混合型脑瘫和不随意运动型脑瘫中, 84.44%和80.95%的患儿MACS分级分别为Ⅲ~Ⅴ级。脑瘫患儿认知功能障碍程度的增加,其MACS功能分级水平也在增加(r=0.613, P Pr=0.541, P P>0.05)。结论 脑瘫类型与MACS手功能分级有关,临床上根据脑瘫类型可预测脑瘫患儿的手功能受损情况,尽早制定有针对性的康复计划和分级管理措施。

英文摘要

Objective To establish correlations between joint proprioception, muscle flexion and extension peak torque, and functional ability in patients with knee osteoarthritis (OA). Methods Fifty-six patients with symptomatic knee OA were recruited in this study. Both proprioceptive acuity and muscle strength were measured using the isomed-2000 isokinetic dynamometer. Proprioceptive acuity was evaluated by establishing the joint motion detection threshold (JMDT). Muscle strength was evaluated by Max torque (Nm) and Max torque/weight (Nm/kg). Functional ability was assessed by the Western Ontario and McMaster Universities Osteoarthritis Index physical function (WOMAC-PF) questionnaire. Correlational analyses were performed between proprioception, muscle strength, and functional ability. A multiple stepwise regression model was established, with WOMAC-PF as dependent variable and patient age, body mass index (BMI), visual analogue scale (VAS)-score, mean grade for Kellgren-Lawrance of both knees, mean strength for quadriceps and hamstring muscles of both knees, and mean JMDT of both knees as independent variables. Results Poor proprioception (high JMDT) was negatively correlated with muscle strength ( Pr=0.659, Pr=-0.511, Pr=-0.408, PB)=0.385, PB=0.347, P

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