目的 分析悬吊运动训练系统对不随意运动型脑瘫的康复效果,为临床治疗提供科学依据。方法 选取2015年8月-2017年8月荆州市妇幼保健院收治的42例不随意运动型脑瘫患儿为研究对象,采用数字随机法均分为观察组与对照组,各21例,对照组患儿接受常规康复治疗,观察组患儿在常规康复治疗基础上运用悬吊运动训练系统,连续康复治疗3个月。采用Berg平衡量表(BBS)、粗大运动功能评分(GMFM)评价两组患儿平衡及粗大运动功能,记录步长、步宽以及10 m最大步行速度(MWS)评价步行能力,并比较不同年龄、粗大运动功能分级系统(GMFCS)分级对步行能力的影响。结果 两组患儿治疗前GMFM 评分、BBS评分差异无统计学意义(P>0.05),治疗后均显著增加,且治疗后观察组均显著高于对照组,差异有统计学意义(t=4.767、3.543,P＜0.01);两组治疗前步行能力相关评分差异无统计学意义(P>0.05),治疗后步宽显著降低,步长、MWS显著增加,且治疗后观察组步长、MWS显著高于对照组,步宽显著低于对照组(t=4.767、3.985、4.221,P＜0.001);治疗后不同年龄及GMFCS分级患儿步宽、步长、MWS比较,差异具有统计学意义(年龄:t=3.986、2.878、2.986,P＜0.001;GMFCS分级:t=4.043、4.173、3.875,P＜0.001)。结论 在常规康复治疗的基础上加用悬吊运动训练系统能提升不随意运动型脑瘫患儿粗大运动及平衡能力,降低步行宽度,提升步速及步长,也能显著提升其康复效果,同时患儿年龄及GMFCS分级影响治疗效果。
Abstract
Objective To study the rehabilitation effect of suspension exercise training system on athetoid cerebral palsy,in order to provide scientific reference for clinical treatment. Methods A total of 42 children with athetoid cerebral palsy treated in Jingzhou Maternal and Child Health Care Hospital from August 2015 to August 2017 were selected as the participants,and were randomly divided into observation group and control group using digital randomization method,with 21 cases in each group.The control group received routine rehabilitation treatment,while the observation group was treated with the suspension exercise training system additionally for 3 months.Berg Balance Scale(BBS) and Gross Motor Function Measure(GMFM) were used to evaluate the balance and gross motor function of children in two groups.The step size,step width and 10 m maximum walking speed(MWS) were recorded to evaluate walking ability.The effects of different age and gross motor function grading system(GMFCS) grading on walking ability were analyzed. Results There was no significant difference on GMFM score and BBS score between observation group and control group before treatment(P>0.05).After treatment,GMFM score and BBS score both increased in the two groups,and were higher in observation group than that in control group(t=4.767,3.543,P＜0.01).Likewise,the difference on the scores of walking ability was not significant before treatment between two groups(P>0.05).After treatment,the stride width significantly decreased,while the step size and MWS significantly increased.And the step size and MWS of observation group were significantly higher than that of control group after treatment(t=4.767,3.985,4.221,P＜0.01).There were significant differences on step width,step size and MWS between different age and GMFCS grade groups(age:t=3.986,2.878,2.986,P<0.001;GMFCS grade:t=4.043,4.173,3.875,P＜0.001). Conclusions Suspension exercise training system based on the basis of conventional rehabilitation therapy can improve the large exercise and balance ability of children with athetoid cerebral palsy,increase the pace and step length, reduce the walking width,and significantly improve the rehabilitation effect.At the same time, the age of children and GMFCS classification have influence on the treatment effect.
关键词
悬吊运动训练系统 /
不随意运动型脑瘫 /
粗大运动功能评分 /
Berg平衡量表
Key words
suspension exercise training system /
athetoid cerebral palsy /
gross motorfunction grading system /
Berg Blance Scale
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