Halliwick技术对学龄期痉挛型脑瘫儿童步态的影响

关键词：水中运动疗法  Halliwick技术  痉挛型脑瘫  步态

Keywords:hydrokinesiotherapy  Halliwick therapy  spastic cerebral palsy  gait

摘要：

      摘要 目的：探讨Halliwick技术对痉挛型脑瘫儿童步态的影响，探索适宜于我国学龄期痉挛型脑瘫儿童的水中运动疗法的技术与方法。 方法：本研究选取在广州市脑瘫康复学校就读的痉挛型脑瘫儿童24例，自愿选择进入对照组和实验组，各12例。两组在性别、年龄、智力、社会适应行为能力、粗大运动功能及平衡能力上差异无显著性意义（P＞0.05），具有可比性。对照组采用常规康复疗法，实验组在常规康复疗法基础上增加Halliwick技术，于实验前后分别对两组儿童的步态功能进行评测。 结果：实验组步态时空参数组内前后对比（除负荷反应左、预摆动右）差异均有显著性意义(P＜0.05)，足底压力重心偏移轨迹图和足底压力曲线图前后观察也有改善。对照组步态时空参数组内前后对比差异无显著性意义(P＞0.05)，足底压力重心偏移轨迹图和足底压力曲线图前后比较基本没有变化。实验组与对照组实验后组间比较跨步长差异有显著性意义(P＜0.05)，其他参数差异都无显著性意义(P＞0.05)。 结论：在常规康复疗法的基础上，运用Halliwick技术能明显改善痉挛型脑瘫儿童步态功能，是学龄期痉挛型脑瘫儿童康复的一种有效的方法和手段。

Abstract:

      Abstract Objective: To study the effect of Halliwick technique on the gait of school age children with spastic cerebral palsy. Method: Twenty-four spastic cerebral palsy children of Guangzhou Cerebral Palsy Rehabilitation School were selected as subjects. These subjects were divided into the control group (treated with conventional rehabilitation therapy, n=12) and the experimental group (treated with conventional rehabilitation plus Halliwick technique, n=12). The gait functions were assessed before and after 4·month treatment. Result: After treatment, evident differences were found on gait function (P＜0.05) and on the time-space parameter of gait (except for the load response of left，pre-swing of right) in experiment group(P＜0.05). Favorable changes were also found by comparing the locus diagram of centroid offsets of plantar pressure and plantar pressure curves. There was no significant change on the time-space parameters of gait in control group before and after treatment(P＞0.05), slight change was found by comparing the locus diagram of centroid offsets of plantar pressure and plantar pressure curves. Significant difference was found on stride length between the two groups after treatment(P＜0.05), while no evident significant change was found on other parameters(P＞0.05). Conclusion: The conventional rehabilitation plus Halliwick therapy has significant effectiveness on the gait functions, which indicating that the Halliwick therapy based on conventional rehabilitation is an effective rehabilitation approach for spastic cerebral palsy children in school age.