The Research Of3DGA Guided Rehabilitation On Spastic Cerebral Palsy Children

Cerebral palsy (CP) is a group of permanent disorders in the development of movement and posture that continue to evolve throughout an individual’s lifetime. CP is caused by non-progressive impairments in the brain and is the most common cause of physical disability in childhood. Spastic paresis is the most common type of CP in children, accounting for83%of cases, and is characterized by a posture-and movement-dependent tone regulation disorder. Most of the spastic CP children combine with severe ambulation function obstacle, but because of the no clear of brain damage causes and mechanism in CP children, the main treatments are the function training and deformity correction. These methods are dependent on the function assessment of CP children. In our study we investigate the application value of3DGA that a new movement function evaluation technology in spastic CP children.PART1THE STUDY OF GAIT CHARACTERISTIC BEFORE AND AFTER REHABILITATION ON SPASTIC CEREBRAL PALSY CHILDREN Objective:To study changes in gait parameters using a three-dimensional gait analysis (3DGA) system during rehabilitation of children with cerebral palsy (CP).Methods:A total of21children with spastic cerebral palsy and16normal children were selected. Firstly, both the normal children and the spastic CP children accept3DGA assessment. The CP children received individual rehabilitation guided by3DGA, and the normal children got nonintervention.4weeks later, they accept3DGA assessment again.Results:After four weeks of treatment, the velocity, stride length, step length, peak ankle dorsiflexion, peak ankle plantar flexion, peak back ground reaction forces (GRF) and peak vertical GRF in stance of CP children improved significantly (P<0.05). After four weeks of treatment, peak ankle dorsiflexion and peak ankle plantar flexion in children with CP did not significantly differ from that of normal children (P>0.05).Conclusion:This study demonstrated that some aspects of gait function improve after comprehensive rehabilitation in children with CP.3DGA provides information that can guide individual rehabilitation for cerebral palsy. PART2THE COMPARATIVE STUDY OF3DGA AND GMFM GUIDED REHABILITATION ON CEREBRAL PALSY CHILDRENObjective:To study the superiority of rehabilitation guided by3DGA and the correlation between3DGA and GMFM-88.Methods:The experimental group:choose21spastic CP children in the first part; the control group:choose17spastic CP children who had accepted treatments in our center. Compare the e district score of GMFM-88before and after treatment in both groups, and does the correlation analysis between the e districts score of GMFM-88and3DGA parameters.Results:After four weeks treatments, the e district score of GMFM-88was significant increasing in the experimental group (P<0.05); and the score before and after treatment were not statistically difference in the control group (P>0.05). The e district score of GMFM-88and peak knee extension in stance in3DGA were correlative.Conclusion:The rehabilitation guided by3DGA is better than that guided by the score of GMFM-88; GMFM-88can’t predict3DGA parameters.