目的 任务导向性训练对痉挛型脑瘫患儿移动功能疗效研究, 以帮助脑瘫儿童提高各项运动功能及日常生活能力。方法 将60例痉挛型脑瘫患儿进行随机分组, 对照组30例, 实验组30例。对照组采用常规康复训练, 实验组采用常规康复训练结合任务导向性训练, 两组均治疗3个月。在治疗前后对患儿分别应用粗大运动功能量表评定(Gross Motor Function Scale Assessment, GMFM-88) 、定时起身行走测试(Time Up and Go Test, TUG)、儿童残疾评定量表(Pediatric Evaluation of Disability Inventory, PEDI)进行评定。结果 两组治疗后GMFM的D区和E区评分、TUG时间及PEDI移动能力部分评分均优于治疗前(P<0.05), 实验组优于对照组(P<0.05)。结论 任务导向性训练结合常规康复训练有利于改善痉挛型双瘫患儿移动运动功能及日常生活移动活动能力。
Abstract
Objective To explore the application of the task-oriented training method in the spastic cerebral palsy children's rehabilitation. Methods A total of 60 children with spastic cerebral palsy were randomly divided, 30 cases in control group, 30 cases in treatment group.Control group received conventional rehabilitation training, the treatment group received conventional rehabilitation training combined with task-orientated training, the two groups were treated for 3 months.Respectively analysis method was taken with children before and after treatment.Gross Motor Function Scale Assessment (GMFM-88), Time Up and Go Test (TUG), Pediatric Evaluation of Disability Inventory (PEDI) were assessed. Results The D and E rating scores of GMFM, TUG times and PEDI mobile ability part scores of two groups after treatment were better than those before treatment (P<0.05), the indexes of the treatment group were better than those of control group (P<0.05). Conclusion Conventional rehabilitation training combined with task-orientated training can improve movement function and daily life activities ability of children with spastic cerebral palsy observably.
关键词
脑性瘫痪 /
任务导向性训练 /
移动功能
Key words
cerebral palsy /
task-orientated training /
mobile capabilities
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参考文献
[1] 黄真.“运动学习”相关理论及其在脑性瘫痪康复中的应用[J].中国康复医学杂志, 2007, 22(7):652-655.
[2] Ivey FM, Hafer-Macko CE, Macko RF.Task-oriented treadmill exercise training in chronic hemiparetic stroke[J].Journal of Rehabilitation Research and Development, 2008, 45(2):249.
[3] 陈秀洁, 李树春.小儿脑性瘫痪的定义, 分型和诊断条件[J].中国物理医学与康复医学杂志, 2007, 29(5):309.
[4] Van de Port IGL, Wevers L, Roelse H, et al.Cost-effectiveness of a structured progressive task-oriented circuit class training programme to enhance walking competency after stroke:the protocol of the FIT-Stroke trial[J].BMC Neurology, 2009, 9(1):43.
[5] Ament MGA, Cox AL, Blandford A, et al.Making a task difficult:Evidence that device-oriented steps are effortful and error-prone[J].Journal of Experimental Psychology:Applied, 2013, 19(3):195.
[6] Ferguson GD, Jelsma D, Jelsma J, et al.The efficacy of two task-orientated interventions for children with developmental coordination disorder:neuromotor task training and nintendo wii fit training[J].Research in Developmental Disabilities, 2013, 34(9):2449-2461.
[7] Salem Y, Godwin EM.Effects of task-oriented training on mobility function in children with cerebral palsy[J].NeuroRehabilitation, 2009, 24(4):307-313.
[8] Song CS.Effects of Task-oriented Approach on Affected Arm Function in Children with Spastic Hemiplegia Due to Cerebral Palsy[J].Journal of Physical Therapy Science, 2014, 26(6):797.
[9] Schneiberg S, Mckinley PA, Sveistrup H, et al.The effectiveness of task-oriented intervention and trunk restraint on upper limb movement quality in children with cerebral palsy[J].Developmental Medicine & Child Neurology, 2010, 52(11):e245-e253.
[10] Au MK, Chan WM, Lee L, et al.Core stability exercise is as effective as task-oriented motor training in improving motor proficiency in children with developmental coordination disorder:a randomized controlled pilot study[J].Clinical Rehabilitation, 2014:0269215514527596.
基金
佳木斯大学校级科技创新项目(Cxtd-2013-02)