Objective To compare the differences of electrical activity in calf muscle of children with growing pains from normal children when standing and heel raising. Methods 32 children with growing pains and foot pronation were as growing pains group, and 32 normal children as control group. All the children were measure with surface electromyography (sEMG) of tibialis anterior, peroneus longus, medial gastrocnemius and tibialis posterior when standing and heel raising. Results The root mean square (RMS) of peroneus longus increased significantly in growing pains group when standing (P<0.01). The RMS decreased significantly in medial gastrocnemius (P<0.05) and increased significantly in tibialis posterior (P<0.01) when heel raising. Conclusion The characteristics of electrical activity in calf muscle is difference from the normal in the growing pains children with foot pronation during standing and heel raising.

Objective To explore the parallel validity of Alberta infant motor scale (AIMS) and Peabody developmental motor scale-2 (PDMS-2) in assessing motor function of high risk infants. Methods 60 high risk infants, aged from 1 month to 9 months, were assessed by both the AIMS and PDMS-2. The total scores of AIMS and the total original scores of PDMS-2 gross motor scale (GMS) were compared by the Spearman's analysis. The AIMS's percentage and PDMS-2 gross motor quotient (GMQ) were compared with qualitative analysis by Kappa value. The examination time of the two scales was also compared. Results The correlation coefficient of the total scores of AIMS and the original scores of GMS was 0.91 (P<0.001). The correlation coefficient of AIMS's percentage and GMQ was 0.6. The mean time of AIMS was (10.47±3.63) min, and that of PDMS-2 was (26.5±7.77) min for examination (t=28.895, P<0.001). Conclusion AIMS and PDMS-2 are in a high level of consistency when assessing the motor function of 1-month-old to 9-month-old high risk infants.

Objective To observe the effect of core control training on gross motor function for children with cerebral palsy. Methods 40 cases were divided into 2 groups, 20 cases in each group. The control group accepted comprehensive rehabilitation, and the treatment group accepted core control training in addition. They were assessed with Gross Motor Function Measure (GMFM-88) before and 3 months after treatment. Results The score of GMFM-88 increased in both groups after treatment (P<0.001), and increased more in the treatment group than in the control group (P<0.05). The difference of GMFM-88 score was more in the treatment group than in the control group (P<0.001). Conclusion Core control training can improve gross motor function for the children with cerebral palsy.

Objective To explore the effect of manipulation on muscle tension and motor function of children with spastic cerebral palsy.Methods 80 children with spastic cerebral palsy were divided into observation group and control group with 40 cases in each group.Both groups were treated with exercise, acupuncture, electrotherapy, Chinese medicine steam bath. The observation group received massage treatment before and during exercise treatment. Modified Ashworth Scale (MAS) and Gross Motor Function Measure-88 (GMFM-88) were used to evaluate the muscle tension and motor function. Results 3 months after treatment, the MAS score decreased and the score of GMFM-88 increased significantly in both groups (P<0.001), and the MAS score was lower, and the score of GMFM-88 was higher in the observation group than in the control group (P<0.001). Conclusion Manipulation can further improve the muscle tension and the motor function of children with spastic cerebral palsy.

Objective To investigate if Carroll Uupper Extremities Functional Test (UEFT) is an effective rating scale for evaluatingfine motor of upper limbs in children with hemiplegic cerebral palsy. Methods 45 children with hemiplegia were assessed by 2 certified valuersat the same week. Their upper limbs function was evaluated by the Peabody Developmental Motor Scale (PMDS)-2 and Carroll UEFT.The relationship of the scores of Carroll UEFT and PDMS-2 was analyzed. The scores of Carroll UEFT were compared between 2 limbs.Results The score of Carroll UFET significantly correlated with the PDMS-2 grasping raw scores and vision - integration raw scores of bothlimbs (P<0.001), was not correlated with the score of fine movement quotient (FMQ) both in the healthy side (r=0.165, P=0.278) and thehemiplegic side (r=0.022, P=0.888). There was significant difference in the scores of Carroll UEFT between 2 limbs (Z=4.475, P<0.001).Conclusion Carroll UEFT is effective used clinically in evaluating fine motor function of children with hemiplegic cerebral palsy.

Objective To discuss the differences of the types of cerebral palsy and the comorbidity between premature and full-term infants. Methods 233 children with cerebral palsy were divided into premature group (n=98) and full-term group (n=125). The types of cerebral palsy and the complications were analyzed. Results The high risk factors were low birth weight, jaundice, asphyxia, intracranial hemorrhage and cord around neck in sequence in the premature group, and were asphyxia, jaundice, fetal distress, intracranial hemorrhage and intrauterine infection in sequence in the full-term group. Besides auditory handicap. The frequency of spastic diplegia was higher in the premature group than in the full-term group (P<0.001), and the incidence of spastic hemiplegia was higher in the full-term group than in the premature group (P<0.01). There was no significant difference in dysgnosia, epilepsy and visual disturbance (P>0.05), but auditory handicap (P<0.05) between 2 groups. Conclusion The main clinical types of premature and full-term children with cerebral palsy were spastic diplegia and spastic hemiplegia respectively. The prevalence of auditory handicap was higher in preterm children

Objective To evaluate the effect of Botulinum Toxin A (BTX-A) on spastic diplegia by surface electromyography (sEMG). Methods 50 children with cerebral palsy following spastic diplegia were recruited and injected with BTX-A in triceps surae. They were assessed with the clinical test and the sEMG before and after the treatment. Results After the treatment, the integrated electromyography(iEMG) of triceps surae and foot dorsiflexion angle all decreased. Conclusion sEMG is an objective tool to assess the change of spasticity in children with diplegia after BTX-A injection.

ObjectiveTo evaluate the effect of electromyography biofeedback on motor function in children with spastic hemiplegia. Methods40 children with spastic hemiplegia were divided into control group (n=20) and treatment group (n=20). Both groups received comprehensive rehabilitation treatment. The treatment group received electromyography biofeedback in addition. They were assessed with Gross Motor Functional Measure (GMFM-88) in D and E items before and after treatment. ResultsThe scores of GMFM-88 in both D and E items were significantly different (P<0.01) before and after treatment in both groups, and significantly different between the treatment group and control group (P<0.05) after treatment. ConclusionElectromyography biofeedback can improve the motor capacity in children with spastic hemiplegia.

Objective To investigate the methods and effectiveness of the physical therapy team management mode.MethodsAccording to the type of cerebral palsy and a certain ratio of beds and staff, the therapists were divided into 3 groups, and relatively fixed. They treated children with differrent types of CP and different beds by turn. The implementation of treatment was 3 years.ResultsAfter the physical therapy team management mode was executed, the therapist's theoretical knowledge and technical skill were upgraded, patient satisfaction raised, and the occurrence of accidental injury reduced.ConclusionThe physical therapy team management mode is conducive to standardize therapist behavior, improve the capacity of theory and practice of therapists and promote patient recovery.

ObjectiveTo explore the effects of Botulinum toxin type A （BTX-A） on upper extremities function of children with spastic cerebral palsy. Methods27 children with spastic cerebral palsy who were treated with comprehensive rehabilitation training and BTX-A were arranged as treatment group, and other 30 children who were treated with comprehensive rehabilitation training only as control group. They were assessed with upper extremities functional test (UEFT) before and after treatment. ResultsAfter 3 months of treatment, the scores of UEFT improved more in the treatment group than in the control group (P<0.01). ConclusionBTX-A can improve upper extremities function of the children with spastic cerebral palsy.