目的 探讨数字OT训练系统结合MOTOmed智能运动训练系统对痉挛型偏瘫患儿上肢精细运动功能及日常生活活动能力的影响,为改善偏瘫患儿的精细运动功能提供临床参考依据。方法 回顾性分析2018年1月1日至2021年12月31日在淮安市妇幼保健院门诊康复治疗的痉挛型偏瘫患儿60例,分为常规组(20例):采用作业治疗、生物反馈等常规康复治疗;MOTOmed组(20例):在常规组基础上加用MOTOmed智能运动训练系统;联合治疗组(20例):在MOTOmed组基础上增加数字OT训练系统。治疗前、治疗3个月后采用精细运动能力测试量表(FMFM)、日常生活活动能力量表(ADL)及手功能分级系统(MACS)进行评定。结果 三组治疗前后得分差值在FMFM量表D区、E区、ADL组间比较,差异具有统计学意义(HD、E、ADL=11.972、13.511、17.188,P<0.05),进一步两两比较,联合治疗组分别与MOTOmed组(HD、E、ADL=2.954、2.784、3.803)、常规组(HD、E、ADL=3.037、3.470、3.331)比较差异均具有统计学意义(P<0.05);三组治疗后手功能分级组间比较差异具有统计学意义(χ2=17.250,P<0.05),进一步两两比较,联合治疗组分别与MOTOmed组、常规组比较差异具有统计学意义(χ2=10.733,10.092,P<0.05)。结论 在常规康复治疗基础上配合数字OT训练系统及MOTOmed智能运动训练系统能够明显提高痉挛型偏瘫患儿上肢精细运动功能及日常生活活动能力。
Abstract
Objective To analyze the effect of digital OT training system combined with MOTOmed intelligent exercise training system on the fine motor function of upper limbs and activities of daily living in children with spastic hemiplegia, so as to provide clinical reference for improving fine motor function in children with hemiplegia. Methods A retrospective study was conducted. Totally 60 children with spastic hemiplegia who received rehabilitation treatment in the Outpatient Department of Huai′an Maternal and Child Healthcare Hospital from January 1st, 2018 to December 31st, 2021 were enrolled in this study, and were divided into conventional group(n=20), MOTOmed group(n=20) and combined treatment group(n=20). Children in the conventional group were given occupational therapy and biofeedback, while children in the MOTOmed group received MOTOmed intelligent motion training additionally, children in the combined treatment group received digital OT training in addition to MOTomed intelligent motion training. Before treatment and 3 months after treatment, fine motor function measure FMFM), activity of daily living (ADL) and manual ability classification system (MACS) were used for evaluation. Results The differences in the scores of FMFM-D, FMFM-E, ADL before and after treatment was significant among three groups(H=11.972, 13.511, 17.188, P<0.05), which in the combined treatment group were significantly higher than those in MOTOmed group (H=2.954, 2.784, 3.803) and the conventional group(H=3.037, 3.470, 3.331, P<0.05). After treatment, the difference in MACS grade was significantly different among three groups (χ2=17.250, P<0.05), which in the combined treatment group was significantly different from that in MOTOmed group (χ2=10.733, P<0.05) and the conventional group (χ2=10.092, P<0.05). Conclusion In addition to conventional rehabilitation treatment, the combination of digital OT training system and MOTOmed intelligent motor training system can significantly improve the fine motor function and daily living activities of upper limbs in children with spastic hemiplegia.
关键词
痉挛型偏瘫 /
数字OT训练系统 /
MOTOmed智能运动训练系统 /
精细运动功能 /
日常生活活动能力
Key words
spastic hemiplegia /
digital OT training system /
MOTOmed intelligent exercise training system /
fine motor function /
activities of daily living
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基金
淮安市科技项目(创新能力建设计划-重点实验室建设)(HAP202104);淮安市卫生健康科研项目(面上项目)(HAWJ202019);江苏省妇幼健康科研项目(F202062)
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