目的 分析情景式运动训练对运动发育迟缓儿童的康复效果。方法 通过前瞻性随机对照试验设计,选取运动发育迟缓儿童80例,随机分成2组,每组40例。两组均进行综合早期干预,治疗组在综合早期干预的基础上加情景运动训练,并分别于治疗前及1个大疗程后对其运动功能及平衡功能进行评估。结果 治疗前,两组患儿的粗大运动功能量表(GMFM-88)、Peabody量表中的大运动及精细运动DQ及Berg平衡量表评分比较,差异无统计学意义(P>0.05)。两组内治疗前后比较显示,GMFM-88量表中的D区及E区、Peabody量表的大运动及精细运动DQ评分及Berg平衡量表评分较治疗前明显提高(P<0.05);治疗后,两组间比较显示,观察组的GMFM-88量表中的D区及E区、Peabody量表的大运动及精细运动DQ评分及Berg平衡量表评分较对照组明显提高(P<0.05)。结论 情景式运动训练对运动发育迟缓儿童的早期干预具有良好的效果。
Abstract
Objective To investigate the rehabilitation efficacy of scene type training on children with motor development retardation. Methods According to the prospective randomized controlled trial,80 children with motor retardation were randomly divided into two groups,with 40 cases in each group.The two groups were treated with comprehensive early intervention,and the treatment group was added with the scene type training.Motor and balance function were assessed before and after the treatment of the trial. Results The score of Gross Motor Function Measure scale (GMFM-88),Peabody Scale and Berg Balance Scale before treatment in two groups had no significant difference (P>0.05).In the two groups,the difference between before and after treatment showed the score of GMFM-88 scale、Peabody scale and Berg balance scale was statistically significant (P<0.05);After treatment,difference between the two groups on the score of GMFM-88 Scale、Peabody Scale and Berg Balance Scale was statistically significant (P<0.05). Conclusion The effect of scene type training has good effect on early development of children with motor retardation.
关键词
情景式运动 /
运动发育迟缓 /
儿童
Key words
Key words: scene type training /
motor development retardation /
children
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参考文献
[1] 刘振寰,戴淑凤.儿童运动发育迟缓康复训练图谱[M].北京:北京大学出版社,2007:1-5.
[2] 刘威,孙光洋,邬奎,等.智障学生千以内加减法各知识点掌握现状调查——以清远市特殊教育学校为例[J].现代特殊教育(高教),2015,14(7):21-25.
[3] Krügeloh-Mann I.Imaging of early brain injury and cortical plasticity[J].Experimental Neurology,2004,190(Suppl 1):84-90.
[4] Morgan C,Novak I,Dale RC,et al.GAME (Goals-Activity-Motor Enrichment): protocol of a single blind randomised controlled trial of motor training,parent education and environmental enrichment for infants at high risk of cerebral palsy[J].Bmc Neurology,2014,14(1):1-9.
[5] Holt RL,Mikati MA.Care for child development: basic science rationale and effects of interventions[J].Pediatr Neurol,2011,44(4):239-253.
[6] Morgan C,Novak I,Badawi N.Enriched environments and motor outcomes in cerebral palsy: systematic review and meta-analysis[J].Pediatrics,2013,132(3):e735-e746.
[7] Vaccarino FM,Ment LR.Injury and repair in developing brain[J].Arch Dis Child Fetal Neonatal Ed,2004,89(3):190-192.
[8] Johnston MV.Plasticity in the developing brain: implications for rehabilitation[J].Dev Disabil Res Rev,2009,15(2):94-101.
[9] 王小燕,陈庆亮,曾丽云,等.目标细化结合游戏对痉挛型脑瘫患儿粗大运动功能的影响[J].中国康复医学杂志,2012,27(5):467-469.
[10] 王蕾,姚春美,高宝勤.脑性瘫痪的早期识别和早期干预[J].中华实用儿科临床杂志,2016,31(14):1116-1118.
[11] 李文兰,曾祥斌,任凯,等.Q4情景互动式康复训练系统对痉挛型偏瘫型脑瘫患儿下肢运动功能的影响[J].医学信息,2015,28(37):15-16.
[12] 赵斌,高晶,薛晶晶,等.情景式训练在脑性瘫痪中的应用研究[J].中国妇幼健康研究,2015,26(5):964-966.
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