不同频率全身振动疗法对痉挛型脑瘫患儿上肢运动功能的影响

doi:10.11852/zgetbjzz2024-1250

中国儿童保健杂志 ›› 2025, Vol. 33 ›› Issue (12): 1367-1371.DOI: 10.11852/zgetbjzz2024-1250

不同频率全身振动疗法对痉挛型脑瘫患儿上肢运动功能的影响

张秋^1,2,3, 张驰¹, 李卫平¹, 虞记华¹, 杜鑫萍¹, 王剑雄¹

1.西南医科大学附属医院康复医学科,四川泸州 646000;
2.西南医科大学康复医学系,四川泸州 646000;
3.康复医学与工程泸州市重点实验室,四川泸州 646000

收稿日期:2024-10-21 修回日期:2025-04-27 发布日期:2025-12-02 出版日期:2025-12-10
通讯作者: 张驰,E-mail: chizhang_swmu@126.com
作者简介:张秋(1995—),女,硕士学位,主要研究方向为儿童脑发育及行为障碍。
基金资助:
四川省科学技术厅社会发展项目(23ZDYF2793)

Effect of whole-body vibration therapy at different frequencies on upper extremities motor function in children with spastic cerebral palsy

ZHANG Qiu^1,2,3, ZHANG Chi¹, LI Weiping¹, YU Jihua¹, DU Xinping¹, WANG Jianxiong¹

1. Department of Rehabilitation,The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan646000, China;
2. Department of Rehabilitation Medicine, Southwest Medical University, Luzhou, Sichuan 646000, China;
3. Rehabilitation Medicine and Engineering Key Laboratory of Luzhou, Luzhou, Sichuan 646000, China

Received:2024-10-21 Revised:2025-04-27 Online:2025-12-10 Published:2025-12-02
Contact: ZHANG Chi,E-mail:chizhang_swmu@126.com

摘要/Abstract

摘要： 目的比较不同频率全身振动疗法(WBVT)对痉挛型脑瘫患儿上肢运动功能及日常生活活动能力(ADL)的影响,为脑瘫患儿康复提供依据。方法选取2023年12月—2024年10月在西南医科大学附属医院就诊的91例6~12岁痉挛型脑瘫患儿为研究对象,按随机数字表法分为对照组(n=23)、10Hz组(n=22)、15Hz组(n=24)及20Hz组(n=22)。4组均进行常规康复训练,10Hz组、15Hz组及20Hz组分别额外接受振动频率为10Hz、15Hz及20Hz的WBVT,均治疗6周。治疗前后使用改良Ashworth量表(MAS)、Carroll双上肢功能评定量表(UE-FT)以及儿童功能独立性量表(WeeFIM)对所有患儿进行测定。结果治疗6周后,4组儿童MAS评分(F=8.014)、UE-FT(F=15.737)、WeeFIM(F=17.525)得分比较,差异有统计学意义(P<0.05);LSD事后比较,10Hz组、15Hz组及20Hz组各项得分均优于对照组,其中20Hz组改善最显著(P<0.05)。结论常规康复训练联合WBVT可降低痉挛型脑瘫儿童上肢肌张力,改善上肢运动功能,并提高ADL,且20Hz的WBVT效果最佳。

关键词: 全身振动训练, 痉挛型脑瘫, 上肢运动, 日常生活活动

Abstract: Objective To compare the effects of whole-body vibration training (WBVT) at different frequencies on upper limb motor function and activities of daily living (ADL) in children with spastic cerebral palsy (CP), in order to provide evidence for rehabilitation strategies. Methods A total of 91 children with spastic CP (aged 6 - 12 years) from the Affiliated Hospital of Southwest Medical University were enrolled between December 2023 and October 2024.Participants were randomly assigned to four groups: control group (n=23), 10Hz group (n=22), 15Hz group (n=24), and 20Hz group (n=22).All groups received conventional rehabilitation training, while the 10Hz, 15Hz, and 20Hz groups additionally underwent WBVT at their respective frequencies for 6 weeks.Outcomes were assessed pre- and post-intervention using the Modified Ashworth Scale (MAS), Carroll Upper Extremity Function Test (UE-FT), and Functional Independence Measure for Children (WeeFIM). Results After 6 weeks of treatment, significant differences were observed among the four groups in MAS scores (F=8.014), UE-FT scores (F=15.737), and WeeFIM scores (F=17.525) (P<0.05).Post-hoc LSD tests revealed that the 10Hz, 15Hz, and 20Hz groups showed superior outcomes compared to the control group, with the 20Hz group demonstrating the most significant improvements (P<0.05). Conclusions Conventional rehabilitation combined with WBVT can reduce upper limb muscle tone, improve motor function, and enhance ADL in children with spastic CP.Notably, WBVT at 20Hz appears to be the most effective frequency.

Key words: whole body vibration, spastic cerebral palsy, upper extremities function, activity daily living

中图分类号:

R179

张秋, 张驰, 李卫平, 虞记华, 杜鑫萍, 王剑雄. 不同频率全身振动疗法对痉挛型脑瘫患儿上肢运动功能的影响[J]. 中国儿童保健杂志, 2025, 33(12): 1367-1371.

ZHANG Qiu, ZHANG Chi, LI Weiping, YU Jihua, DU Xinping, WANG Jianxiong. Effect of whole-body vibration therapy at different frequencies on upper extremities motor function in children with spastic cerebral palsy[J]. Chinese Journal of Child Health Care, 2025, 33(12): 1367-1371.

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不同频率全身振动疗法对痉挛型脑瘫患儿上肢运动功能的影响

Effect of whole-body vibration therapy at different frequencies on upper extremities motor function in children with spastic cerebral palsy

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