■探讨髋部连续被动运动(hCPM)对痉挛型脑瘫合并髋关节发育不良患儿骨骼成熟时的髋关节发育和粗大运动功能的影响。
■目标导向训练与单纯目标导向训练的hCPM前瞻性病例对照研究。在目标导向训练的基础上,hCPM组使用髋关节CPM器械(外固定器连接动力装置使髋关节进行连续被动运动)40-60分钟,一天两次,一周五次,同时接受为期8周的连续训练。对照组仅接受为期8周的目标指导训练。通过粗大运动功能测量(GMFM)评估受影响髋关节的功能结果,迁移百分比(MP),髋臼指数(AI),入组时和干预结束时的Harris髋关节功能评分(HHS)。
■病例对照研究包括65名参与者(平均年龄=46.20个月,SD=17.09个月;粗大运动功能分级系统水平:III=41,IV=24),随机选择hCPM(n=45)或对照组(n=20)。基线(采集阶段)GMFM没有发现差异,MP,AI,或HHS(t=-1.720,P=0.090;t*=1.836,P*=0.071;t#=-1.517,P#=0.139;t*=-1.310,P*=0.195;t#=-1.084,P#=0.097;t=-1.041,P=0.301)。在为期8周的随访中,GMFM,MP,AI,和HHS在hCPM组显著改善(hCPM组:t=18.59,20.172*,40.291#,16.820*,32.900#,28.081;P<0.001)。8周随访时间点的组间差异有利于GMFM的hCPM组(t=-2.637,P=0.011),MP(t*=2.615,P*=0.014;t#=3.000,P#=0.006),AI(t*=2.055,P*=0.044;t#=2.223,P#=0.030),HHS(t=-4.685,P<0.001)(*:左侧;#:右侧)。
■患有髋关节发育不良的痉挛型脑瘫儿童在接受hCPM治疗的8周目标指导训练后,获得了有意义的功能改善。
UNASSIGNED: To investigate the effectiveness of hip continuous passive motion (hCPM) on hip development at skeletal maturity and gross motor function for spastic cerebral palsy children with hip dysplasia.
UNASSIGNED: Prospective case-control research of hCPM with goal-directed training versus merely goal-directed training. On the basis of goal-directed training, the hCPM group used the hip joint CPM instrument (the external fixator was connected to the power device to make the hip joint carry out continuous passive movement) for 40-60 min, twice a day, and five times a week, and received continuous training for 8 weeks simultaneously. The control group received only goal-directed training for 8 weeks. Functional outcomes pertaining to the affected hip joints were assessed via gross motor function measure (GMFM), migration percentage (MP), acetabular index (AI), and Harris hip functional score (HHS) at the time of enrollment and the end of the intervention.
UNASSIGNED: The case-control research included 65 participants (mean age = 46.20 months, SD = 17.09 months; Gross Motor Function Grading System level: III = 41, IV = 24) who were randomly selected to either the hCPM (n = 45) or the control group (n = 20). No differences were found in baseline (acquisition phase) GMFM, MP, AI, or HHS (t = -1.720, P = 0.090; t* = 1.836, P* = 0.071; t# = -1.517, P# = 0.139; t* = -1.310, P* = 0.195; t# = -1.084, P# = 0.097; t = -1.041, P = 0.301). At the 8-week follow-up, GMFM, MP, AI, and HHS significantly improved over baseline in the hCPM group (hCPM group: t = 18.59, 20.172*, 40.291#, 16.820*, 32.900#, 28.081; P < 0.001). Between-group differences at 8-week follow-up times points favored the hCPM group for GMFM (t = -2.637, P = 0.011), MP (t* = 2.615, P* = 0.014; t# = 3.000, P# = 0.006), AI (t* = 2.055, P* = 0.044; t# = 2.223, P# = 0.030), HHS (t = -4.685, P < 0.001) (*: left side; #: right side).
UNASSIGNED: Spastic cerebral palsy children with hip dysplasia achieved meaningful functional improvement after 8 weeks of goal-directed training with hCPM therapy.