Objective To explore the efficacy of lower limb rehabilitation robot training combined with family posture management on motor function of children with cerebral palsy, so as to provide theoretical basis for rehabilitation treatment of children with cerebral palsy. Methods From March 2020 to March 2021, a total of 120 children with spastic cerebral palsy treated in the outpatient or inpatient Department of Pediatric Rehabilitation of the Third Affiliated Hospital of Zhengzhou University were randomly divided into 4 groups: control group,observation group A, observation group B and observation group C, with 30 cases in each group.The control group only received routine rehabilitation training, observation group A was given Lokomat Pro lower limb rehabilitation robot training and family posture management additionally, observation group B was given lower limb rehabilitation robot training combined with routine rehabilitation training, observation group C was given family posture management combined with routine rehabilitation training. All children in four groups were treated for 3 months. Their gross motor function, balance function and daily living activities were evaluated by Gross Motor Function Measure-88 (GMFM-88) D and E, Berg Balance Scale (BBS) and Modified Marthel Index (MBI) before and 3 months after treatment, respectively. Then the evaluation results were analyzed and compared among the four groups. Results After 3 months of treatment, the total scores of GMFM-88 D and E dimension, BBS and MBI in the 4 groups were improved compared with those before treatment(P<0.01). The total scores of GMFM-88 D and E dimension and BBS significantly decreased in sequence: observation group A> observation group B> observation group C>control group (F=14.083, 13.051,P<0.001). MBI score was higher in the following sequence: observation group A> observation group B (observation group C)> control group, and the difference was statistically significant (F=6.177,P=0.001), but there was no significant difference between observation group B and observation group C (t＝0.057, P>0.05). Conclusion Lower limb rehabilitation robot training combined with family posture management is more effective in improving gross motor function, balance function and activities of daily living in children with cerebral palsy, which is worth popularizing and being applied in children with cerebral palsy.
Key words
children with cerebral palsy /
lower limb rehabilitation robot training /
family posture management
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