文章摘要
戴燕琼,陈 丽,周慧玉,陈秀华,单园菲,唐 亮.小儿脑瘫数字化社区康复系统在拇内收畸形中的应用研究[J].,2017,17(22):4250-4253
小儿脑瘫数字化社区康复系统在拇内收畸形中的应用研究
Application of the Cerebral Palsy Rehabilitation System in the Digital Community on the Thumb Adduction Deformity
投稿时间:2017-02-15  修订日期:2017-03-10
DOI:10.13241/j.cnki.pmb.2017.22.011
中文关键词: 小儿脑瘫  家庭康复  拇内收  数字化社区康复系统
英文关键词: Cerebral palsy  Rehabilitation  Adductor pollicis  Digital community rehabilitation system
基金项目:上海市科委科研基金项目(13DZ1941604);上海市残疾人联合会科研项目(K2014006)
作者单位E-mail
戴燕琼 上海市儿童医院/上海交通大学附属儿童医院康复科 上海 200062 dreamingqiongqiong@126.com 
陈 丽 上海市儿童医院/上海交通大学附属儿童医院康复科 上海 200062  
周慧玉 上海市儿童医院/上海交通大学附属儿童医院康复科 上海 200062  
陈秀华 上海市儿童医院/上海交通大学附属儿童医院康复科 上海 200062  
单园菲 上海市儿童医院/上海交通大学附属儿童医院康复科 上海 200062  
唐 亮 上海市儿童医院/上海交通大学附属儿童医院康复科 上海 200062  
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中文摘要:
      摘要 目的:探讨数字化康复系统对于小儿脑瘫拇内收畸形的康复效果。方法:选择普陀区残联系统下脑瘫患儿21例及上海市儿童医院康复门诊家庭康复每月随访的脑瘫患儿21例,将其分成两组,每组21例。对照组由家长行常规OT训练后佩戴为患儿定制的拇外展支具进行治疗,治疗组除以上治疗外加用数字化康复系统随访治疗。三个月后,对疗效进行评估和比较。结果:经3个月治疗后,两组拇指内收肌肌张力改善总有效率(显效率与有效率之和)分别为90.5%和81%,治疗组显著高于对照组(P<0.05)。两组患儿治疗后PROM均较治疗前有所改善(P<0.01),且治疗组治疗后PROM显著高于对照组(P<0.05)。两组FMFM比较两组治疗后FMFM均较治疗前显著升高(P<0.01),且治疗组治疗后FMFM显著高于(P<0.01)。结论:家庭(社区)数字化康复系统干预可有效提高小儿脑瘫拇内收畸形的康复效果。
英文摘要:
      ABSTRACT Objective: To explore the effect of digital rehabilitation system on the recovery of infants with cerebral palsy. Methods: Twenty - one children with cerebral palsy were treated with residual cerebral palsy in Putuo District, and 21 children with cerebral palsy were followed up. The patients were divided into two groups (n = 21). The control group was treated by routine OT training by the parents, and the treatment group was treated with the digital rehabilitation system. Three months later, the efficacy was evaluated and compared. Results: After 3 months of treatment, the total effective rate (effective rate and effective rate) of the two groups was 90.5% and 81%, respectively, and the treatment group was significantly higher than the control group (P <0.05). The PROM of the two groups was improved (P <0.01), and the PROM in the treatment group was significantly higher than that in the control group (P <0.05). FMFM was significantly higher than that before treatment (P <0.01), and FMFM was significantly higher in the treatment group than in the control group (P <0.01). Conclusion: Family (community) digital rehabilitation system can effectively improve the rehabilitation of children with cerebral palsy.
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