| Objective: To explore the effects of repetitive facilitative exercise on walking function of children with spastic hemiplegic cerebral palsy. Methods: A total of 40 children with spastic hemiplegia cerebral palsy were selected and randomly divided into two groups, each with 20 cases. The control group received routine rehabilitation training for 60 min per day, and the observation group received repetitive facilitative exercise training for 60 min per day for a total of 4 weeks. Before and after training, a 10-m walking test (10MWT) was used to evaluate walking speed, and a three-dimensional gait analysis system was used to evaluate the hip, knee, and ankle joint angles of the affected lower limb during the mid support and swing phases, as well as the ankle joint angles during the heel landing phase. Results: After training, the self-selected walking speed (SWS) and maximum walking speed (MWS) of the two groups significantly increased compared to those before treatment (P<0.01), and those in the observation group were significantly higher than in the control group (P<0.01). After training, when the affected lower limb was in the middle support phase, the hip joint flexion angle on the affected side was significantly reduced (P<0.05), the knee joint flexion angle on the affected side was significantly increased (P<0.05), and the ankle joint dorsiflexion angle on the affected side was significantly increased (P<0.05) in both groups compared to those before training. Moreover, the observation group showed better improvement in all aspects than the control group (P<0.05). After training, when the affected lower limb was in the middle swing phase, the flexion angles of the affected hip and knee joints in the two groups were significantly increased as compared with those before training (P<0.05), and the improvement degree of the observation group was better than that of the control group (P<0.05). After training, when the affected lower limb was in the middle swing phase, the observation group had a significant increase in the dorsiflexion angle of ankle joint compared to before training and the control group (P<0.05), while there was no significant difference in the dorsiflexion angle of ankle joint before and after training in the control group. When the affected lower limb was in the heel landing phase, there was no significant difference in the dorsifl-exion angle of ankle joint between the two groups before and after training, as well as within the group. Conclusion: Repetitive facilitative exercise can better improve the walking function of children with spastic hemiplegic cerebral palsy. |
