【目的】 调查痉挛性脑性瘫痪患儿扁平足患病率及足部运动情况。 【方法】 采用足印法、目测法,对天津儿童医院康复科治疗的56例2~6岁痉挛性脑性瘫痪患儿进行检查,对扁平足罹患率及程度、足跟骨内外翻及足拇趾内外翻、足踝及足趾能否跖屈和背屈情况进行统计分析。 【结果】 56名2~6岁痉挛性脑性瘫痪患儿共获得106个患足足印、目测检查106只患足。扁平足发病率为100%,扁平足程度轻度0.00%、中度2.83%、重度97.17%,足跟骨内翻0%、正位0.94%、外翻99.06%,足踝能跖屈100%,足踝能背屈0.94%,足趾能跖屈100%,足趾能背屈16.98%,不同年龄组差异均无显著性意义(P＞0.05);足拇趾内翻0.94%、正位5.66%、外翻93.40%,不同年龄组差异具有显著性意义(P＜0.05)。 【结论】 2~6岁痉挛性脑性瘫痪患儿扁平足患病率高,足部运动差,足跖屈肌痉挛及挛缩是致痉挛性脑瘫患儿足部异常的主要因素。康复治疗中应重视足部问题。

【Objective】 To explore the growth of instep and the incidence rate of flatfoot and the kinesis of feet in 2~6 years old children with spastic cerebral palsy. 【Methods】 The study involved 56 in 2~6 years old children with spastic cerebral palsy from the Tianjin Children's Hospital. Footprint was used to observe and classify the insteps, and then counted the incidence rate of flatfoot. Visual method was used to observe the calcaneus and toes, and then counted the incidence rate of calcaneus varus or valgus, hallux varus or valgus,toe plantar flexion or dorsiflexion. 【Results】 Among 56 children, 106 feet were observed. The incidence rate was as follows: 100% for flatfoot, 0% For slight、2.83% for medium、97.17% for maximum,0% for calcaneus varus、0.94% for nomal、99.06% for calcaneus valgus, 100% for ankle plantar flexion, 0.94% for ankle dorsiflexion,100% for toe plantar flexion, 16.98% for toe dorsiflexion, the difference among age wasn't worth(P＞0.05); 0.94% for hallux varus, 5.66% for normal, 93.40% for hallux valgus, the difference among age was worth(P＜0.05). 【Conclusions】 In 2~6 years old children with spastic cerebral palsy, the incidence rate of flatfoot is high, the kinesis of feet is poor. We should pay more attention to it.