目的 分析全身振动训练结合束腹带对痉挛型脑性瘫痪运动能力的影响,为痉挛型脑性瘫痪的康复治疗提供依据。方法 选取广西医科大学第二附属医院康复医学科2018年6月-2019年5月诊治的痉挛型脑性瘫痪儿童90例,随机分为常规组、常规-振动训练组、常规-束腹带-振动训练组各30例,评估三组治疗前后运动功能改善情况。结果 1)三组治疗前后的组内比较,每组儿童的各指标均优于治疗前(P＜0.05);2)单因素方差分析显示,三组踝关节活动度、MMT、MAS、PBS、GMFM-C区、D区及E区、PEDI、6MWT比较,差异具有统计学意义(F=14.278、26.886、14.149、25.883、3.769、4.254、6.512、5.194、6.982,P<0.05),且常规-束腹带-振动训练组各指标改善明显优于其他两组,差异有统计学意义(P<0.05)。结论 全身振动训练结合束腹带更有利于改善痉挛型脑性瘫痪儿童痉挛程度,提高运动能力。
Abstract
Objective To investigate the application of whole-body vibration training and belly band for motor function of children with spastic cerebral palsy (CP), in order to provide reference for the rehabilitation treatment. Methods A total of 90 children with spastic CP admitted to the Second Hospital Affiliated to Guangxi Medical University were enrolled in this study from June, 2018 to May, 2019,and were randomly divided into three groups, including convention group(n=30), convention-vibration training group(n=30), convention-band-vibration training group (n=30) .The motor function among three groups were evaluated and compared before and after intervention. Results 1)After treatment, the scores of indicators all markedly improved among three groups (P<0.05).2)Univariate analysis indicated that there were significant difference on the number of ankle's range of motion, scores of manual muscle test(MMT), Modified Ashworth Scale (MAS), Pediatric Balance Scale(PBS), C,D,E zone of Gross Motor Function Measure(GMFM), Pediatric Evaluation of Disability Inventory(PEDI), 6-minute walk test (6MWT) among three groups(F=14.278,26.886,14.149,25.883,3.769,4.254,6.512,5.194,6.982,P<0.05).In addition, the improvement of these indicators in convention-vibration training group was greater than that in other two groups (P<0.05). Conclusion Whole-body vibration training combined with belly band can improve the motion function and spastic level for spastic cerebral palsy more effectively.
关键词
全身振动 /
束腹带 /
脑性瘫痪 /
痉挛型 /
运动能力
Key words
whole-body vibration /
belly band /
cerebral palsy /
spastic /
motor function
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参考文献
[1] 郭爽, 李晓捷, 张尚, 等.生物力学矫形鞋垫对脑瘫伴足外翻儿童下肢功能的疗效[J].中国儿童保健杂志,2018,26(5):575-578.
[2] 李晓捷, 邱洪斌, 姜志梅, 等.中国十二省市小儿脑性瘫痪流行病学特征[J].中华实用儿科临床杂志, 2018,33(5):378-383.
[3] 任雪松, 蔡志军, 张小安, 等.全身振动训练联合肉毒毒素注射对痉挛型双瘫脑瘫儿童尖足及粗大运动功能的影响[J].中华物理医学与康复杂志, 2019,41(9):688-692.
[4] 梁文锐, 吴小平, 张启富, 等.束带强化核心稳定性训练对痉挛型脑性瘫痪患儿运动功能及平衡的效果[J].中国康复理论与实践, 2018,24(1):97-100.
[5] Han YG, Lee SW, Yun CK.The immediate influence of various whole-body vibration frequency on balance and walking ability in children with cerebral palsy:a pilot study[J].J Exerc Rehabil, 2019,15(4):597-602.
[6] Marin-Puyalto J, Gomez-Cabello A, Gonzalez-Aguero A, et al.Effects of whole-body vibration training on bone density and turnover markers in adolescent swimmers[J].J Pediatr Endocrinol Metab, 2020.doi:10.1515/jpem-2019-0400.
[7] Emerenziani GP, Ferrari D, Fittipaldi S, et al.Effects of acute whole-body vibration practice on maximal fat oxidation in adult obese males:a pilot study[J].Obes Facts, 2020:1-13.doi:10.1159/000505665.
[8] Pin TW, Butler PB, Purves S.Use of whole body vibration therapy in individuals with moderate severity of cerebral palsy- a feasibility study[J].BMC Neurol, 2019,19(1):80.
[9] Song S, Lee K, Jung S, et al.Effect of horizontal whole-body vibration training on trunk and lower-extremity muscle tone and activation, balance, and gait in a child with cerebral palsy[J].Am J Case Rep, 2018,19:1292-1300.
[10] Krause A, Schönau E, Gollhofer A, et al.Alleviation of motor impairments in patients with cerebral palsy:Acute effects of whole-body vibration on stretch reflex response, voluntary muscle activation and mobility[J].Front Neurol, 2017,8:416.
[11] Park C, Park ES, Choi JY, et al.Immediate effect of a single session of whole body vibration on spasticity in children with cerebral palsy[J].Ann Rehabil Med, 2017,41(2):273-278.
[12] 孟文彬,刘锋伟,董婵,等.全身振动训练对1~3岁痉挛型脑瘫患儿下肢运动功能的影响[J].郑州大学学报:医学版, 2017,52(6):740-745.
[13] 林红.悬吊运动训练系统对不随意运动型脑瘫的康复效果分析[J].中国儿童保健杂志, 2019,27(12):1384-1387.
[14] 徐磊,康贝贝,谭丽萍,等.可调重服对脑瘫儿童上肢功能及日常活动能力的影响[J].中国儿童保健杂志, 2018,26(8):924-926.
基金
广西壮族自治区卫生和计划生育委员会项目(Z2016299);广西壮族自治区临床重点专科建设项目(桂卫医发2018-6号)
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