MOTOmed虚拟情景训练结合肌电生物反馈治疗痉挛型双瘫脑瘫患儿的临床观察

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Abstract Objective To observe clinical effect of MOTOmed virtual scene training combined with electromyographic biofeedback in the treatment of spasmodic diplegia with cerebral palsy. Methods Seventy-one cerebral palsy children with spastic diplegia treated in Department of Child Rehabilitation of Huai′an Maternal and Child Health Care Hospital from January 2015 to December 2017 were collected and divided into control group of 33 cases and treatment group of 38 cases according to random number table. The routine rehabilitation therapy was used in control group. MOTOmed virtual scene training combined with electromyographic biofeedback therapy were used in treatment group in addition to routine rehabilitation therapy. Before and after treatment, the modified Ashworth scale was used to evaluate the gastrocnemius muscle tension of children′s lower extremities, the joint protractor was used to measure the foot dorsiflexion angle, and the two functional areas of D and E in the 88 items of gross motor function measure scale were used to evaluate the standing, walking and running and jumping functions. Results The score of gastrocnemius muscle tension in two groups after treatment was significantly lower than that before treatment, the difference was statistically significant (P ＜ 0.05). There was no significant difference in the score of gastrocnemius muscle tension between two groups after treatment (P > 0.05). The dorsiflexion angle of foot in two groups after treatment was significantly smaller than that before treatment, the difference was statistically significant (P < 0.05). There was no significant difference in dorsiflexion angle between two groups after treatment (P > 0.05). D-area score of two groups after treatment was significantly higher than that before treatment, and treatment group was higher than control group, the difference was statistically significant (P < 0.05). E-area score of two groups after treatment was significantly higher than that before treatment, and treatment group was higher than control group, the difference was statistically significant (P < 0.05). Conclusion MOTOmed virtual scene training combined with electromyographic biofeedback for spasmodic diplegic cerebral palsy has a clear curative effect, which can significantly promote the recovery of lower limb motor function in children.

Key words： Spastic diplegia MOTOmed virtual scene training Electromyographic biofeedback Motor function

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	HE Lu′na GAO Jing▲ WANG Li′na ZHAO Bin

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HE Lu′na GAO Jing▲ WANG Li′na ZHAO Bin. Clinical observation of MOTOmed virtual scene training combined with electromyographic biofeedback in the treatment of spasmodic diplegia with cerebral palsy[J]. 中国医药导报, 2020, 17(15): 112-115.

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http://www.yiyaodaobao.com.cn/EN/ OR http://www.yiyaodaobao.com.cn/EN/Y2020/V17/I15/112

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