目的 分析悬吊训练对痉挛型脑瘫患儿核心稳定性的影响,为脑瘫患儿的康复治疗提供科学依据。方法 将2016年10月-2018年3月在青岛市妇女儿童医院治疗的60例痉挛型脑瘫患儿随机分成对照组和实验组各30例,对照组采用常规康复训练,实验组常规康复训练基础上增加悬吊训练,两组均治疗3个月。治疗前和治疗后3个月采用核心稳定性评估方法、粗大运动功能量表(GMFM-88)、Berg平衡量表(BBS)、10 m步行测试(10MWT)分别对两组患儿进行评估,并对评估结果进行比较和分析。结果 治疗3个月后,两组患儿的平板支撑时间、仰卧双腿上举角度、仰卧静态卷腹维持时间、GMFM-88 D、E区评分、BBS评分、10MWT时间、步数相比于治疗前均有改善(P＜0.05),且实验组明显优于对照组(t=2.95、3.78、3.46、3.37、2.89、4.52、7.33、3.96,P＜0.01)。结论 悬吊训练能有效地提高痉挛型脑瘫患儿的核心稳定性,改善患儿的运动功能。
Abstract
Objective To explore the effect of sling exercise training on the core stability of children with spastic cerebral palsy,So as to provide scientific basics for the rehabilitation treatment of children with cerebrd palsy. Methods Sixty patients with spastic cerebral palsy treated in Qingdao Women and Children′s Hospital were randomly divided into control group and experimental group from October 2016 to March 2018 with 30 cases in each group.The control group was giver routine rehabilitation training,and the experimental group received sling exercise training additionally.Both groups were treated for 3 months,and were assessed with core stability assessment,D and E domains of Gross Motor Function Measure 88 (GMFM-88),Berg Balance Scale (BBS) and the timed 10 meters walk test (10MWT) before and after 3 months of treatment. Result After 3 months of treatment,flat support time,supine legs raised angle,supine static belly support time,the scores of GMFM-88 D、E,BBS,time and steps of 10MWT in two groups were both improved than before (P＜0.05),and the experimental group was significantly better than the control group (t=2.95、3.78、3.46、3.37、2.89、4.52、7.33、3.96,P＜0.01). Conclusion The sling exercise training could effectively improve the core stability and the motion function of children with spastic cerebral palsy.
关键词
悬吊训练 /
脑瘫 /
核心稳定性
Key words
sling exercise therapy /
cerebral palsy /
core stability
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 唐久来,秦炯,邹丽萍,等.中国脑性瘫痪康复指南(2015):第一部分[J].中国康复医学杂志,2015,30(7):749-750.
[2] 吕楠,尚清,马彩云,等.悬吊训练对运动障碍患儿粗大运动功能的疗效分析[J].中国实用神经疾病杂志,2017,20(5):76-78.
[3] Lee JS,Lee HG.Effects of sling exercise therapy on trunk muscle activation and balance in chronic hemiplegic patients[J].J Phys Ther Sci,2014,26(5):655-659.
[4] Park JH,Hwangbo G.The effect of trunk stabilization exercises using a sling on the balance of patients with hemiplegia[J].J Phys Ther Sci, 2014,26(2):219-221.
[5] Ko KJ,Ha GC,Yook YS,et al.Effects of 12-week lumbar stabilization exercise and sling exercise on lumbosacral region angle,lumbar muscle strength,and pain scale of patients with chronic low back pain[J].J Phys Ther Sci,2018,30(1):18-22.
[6] You YL,Su TK,Liaw LJ,et al.The effect of six weeks of sling exercise training on trunk muscular strength and endurance for clients with low back pain[J].Physical Therapy Science,2015,27(8):2591-2596.
[7] Lee D,Park J,Lee S.Effects of bridge exercise on trunk core muscle activity with respect to sling height and hip joint abduction and adduction[J].J Phys Ther Sci,2015,27(6):1997-1999.
[8] 解清云,侯梅,赵建慧,等.核心稳定训练对痉挛型脑性瘫痪患儿运动功能的影响[J].中国康复医学杂志,2014,29(6):528-532,556.
[9] 吕仁华,李晓捷,范艳萍,等.神经肌肉激活技术对偏瘫型脑性瘫痪患儿平衡及步行能力的效果[J].中国康复理论与实践,2016,22(3):310-313.
[10] 李小萍,邹碧花,王诚婷.核心稳定力量训练对脑瘫患儿步行能力影响的临床研究[J].白求恩医学杂志,2015,13(6):613-614.
[11] 任素伟,林春,孟兆祥,等.肌内效贴结合悬吊训练对痉挛型偏瘫患儿运动功能的效果[J].中国康复理论与实践,2016,22(11):1310-1313.
[12] Cugliari G,Boccia G.Core muscle activation in suspension training exercises[J].J Hum Kinet,2017,15(56):61-71.
[13] 晏小华,熊建忠,李生伟,等.悬吊下躯干控制训练对脑卒中后遗症期运动功能的康复作用[J].中国现代神经疾病杂志,2017,17(4):266-269.
[14] Chang WD,Huang WS,Lee CL,et al.Effects of open and closed kinetic chains of sling exercise therapy on the muscle activity of the vastus medialis oblique and vastus lateralis[J].J Phys Ther Sci,2014,26(9):1363-1366.
[15] Chen L,Chen J,Peng Q,et al.Effect of sling exercise tra ining on balance in patients with stroke:A meta-analysis[J].PLoS One,2016,11(10):e0163351.
PDF(502 KB)
