Cerebral palsy
Conditions
Interventions
control group:Traditional ankle-foot orthosis combined with routine training
experimental group:Intelligent ankle-foot orthosis combined with routine training
Sponsors
Affiliated Hospital of Sichuan Vocational College of Nursing
Eligibility
Sex/Gender
All
Age
3 Years to 12 Years
Inclusion criteria
Inclusion criteria: 1. It meets the diagnostic criteria set by the Chinese Guidelines for Rehabilitation of Cerebral Palsy (2015), excludes other diagnoses, and clearly diagnosed with cerebral palsy; 2. The clinical classification is mainly one of the following three categories: 1) Spastic quadriplegia is mainly due to damage to the cone system, including damage to the cortical motor area. Hyperfucnction stretch is a feature of this type. Increased muscle tone in the extremities, back extension, adduction, and internal rotation of the upper extremity, adduction of the thumb, forward flexion of the trunk, adduction of the lower extremity, internal rotation, crossover, knee flexion, scissor step, pointed foot, valgus, and arched back, tendon reflex hyperactivity, ankle clonus, clasp knife phenomenon and pyramid beam sign. 2) Spastic diplegia (spastic diplegia): The symptoms are the same as spastic quadriplegia, mainly manifested as spasticity and dysfunction of the lower limbs than the upper limbs. 3) Spastic hemiplegia (spastic hemiplegia): Symptoms are the same as spastic quadriplegia, manifested in one limb. Those with high calf triceps and ankle tension; those who have been on medication for more than six months and are in a state of seizure stability 3. Gross motor function classification (GMFCS classification) is I-II grade, GMFCS classification I-II grade standards are as follows: 1) Aged 2-4 years Level I: Children can sit on the floor and play with their hands. They can complete the posture transition between sitting and standing positions on the floor without the help of an adult. Children use walking as their preferred method of movement and do not need the help of any walking aids. Level II: Children can sit on the floor, but may not be able to control the balance when holding the object with both hands. They can freely change positions without the help of an adult. They can pull the object and stand in a stable place. They can crawl alternately with your hands and knees, and They can slowly move the furniture, and their preferred method of movement is to walk with a walker. 2) Aged 4-6 years Level I: Children can sit, leave, or sit in a chair without the help of both hands. They can stand up from the floor or from a chair without any objects supporting them. They can walk around indoors and outdoors, climb stairs, and are developing the ability to run and jump. Level II: Children can sit firmly on a chair while playing with their hands, and can stand up from the floor or chair, but often need a stable surface for their hands to pull or push. They can walk indoors without the help of any walkers, or walk a short distance on the outdoor horizontal ground.They can support the handrail to climb the stairs, but they cannot run and jump. 3) Aged 6-12 years Level I: Children can walk indoors and outdoors without any restrictions and can climb stairs. They can show gross athleticism such as running and jumping, but their speed, balance, and coordination have all declined. Level II: Children can walk indoors and outdoors, and can climb stairs by holding handrails, but walking on uneven ground or slopes is restricted, and walking in crowds or narrow places is also restricted. They can barely reach the level of running and jumping. 4. Age between 3 years old (including) to 12 years old (including), can actively cooperate with simple instructions. 5. Muscle tension of triceps and tibialis anterior are improved Ashworth score I-II. 6. The pa
Exclusion criteria
Exclusion criteria: 1. Patients who are accompanied by complications such as severe cognition, sensory disturbances, and current allergies, and those with recent seizure; 2. Those who have undergone orthopedic surgery within the past year or have participated in other clinical trials in the last 3 months; 3. Patients with other neurological diseases, vestibular function or cerebellar dysfunction, patients with progressive severe disease or severe comorbidities and complications; 4. Children who have contraindications for rehabilitation training; 5. Children with serious long and short legs and other gait problems.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Modified Ashworth score for calf triceps and tibialis anterior muscle tone;Ankle joint plantar flexion, dorsiflexion, varus, valgus joint movement angle determination;Plantar pressure test;Gross motor function (GMFM) (D / E function area); | — |
Secondary
| Measure | Time frame |
|---|---|
| Tyro-motion sit and balance system; | — |
Countries
China
Contacts
Public ContactYayongping
Affiliated Hospital of Sichuan Vocational College of Nursing
Outcome results
None listed