Objective To analyze the effect of children's sling exercise training (SET) on walking ability in children with spastic diplegia cerebral palsy after selective posterior rhizotomy (SPR),in order to provide clinical basis for the rehabilitation of children with spastic diplegia cerebral palsy. Methods A total of 69 children with spastic diplegia cerebral palsy in Xiangya Boai Rehabilitation Hospital from May to December 2018 were enrolled in this study,and were randomly divided into control group(n＝35) and experiment group(n=34). The control group received routine rehabilitation training after SPR,while the experimental group was given SET additionally. Gross Motor Function Measurement E zone (GMFM-E),Gross Motor Function Classification System(GMFCS),10 m Maximum Walking Speed (10 mMWS) and walking parameter (step length and step width) were used to assess the gross motor function and classification,walking ability and the gait situation before the operation,1 month,3 months and 6 months after the operation. Results There were no significant differences on GMFM-E area,10m MWS,step length and step width scores between the two groups before operation and 1 month after treatment. The above indexes of two groups were all improved in 3 and 6 months after treatment(t3月＝-2.727、-2.468、-2.595、2.597,t6月＝-3.218、-3.479、-5.132、4.677,P<0.05).And the indexes of walking ability of the two group in 6 months of treatment were better than those in 1 month and 3 months of treatment. Additionally,improvement of walking ability in the experiment group was more significant than that in the control group (P＜0.05). The total rate of change in GMFCS of the experiment group (32.35%) was higher than that in the control group(14.29%). Conclusion Sling exercise training after SPR play a crucial role in improving the gross motor function,walking ability and gait performance of children with spastic diplegia cerebral palsy.
Key words
cerebral palsy with spastic diplegia /
selective posterior rhizotomy /
sling exercise training /
gross motor function /
walking ability
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