Objective To systematically evaluate the effect of core stability training on improving the motor ability of children with spastic cerebral palsy, in order to provide evidence for guiding the motor function rehabilitation training of children with spastic cerebral palsy. Methods Literature published from establishment to October 23rd, 2021 was retrieved from eight databases using boolean logical link keywords and free words, then was selected according to inclusion and exclusion criteria. Results A total of 17 articles with a sample of 1 085 children were included, of whom 542 were in the control group and 543 were in the experimental group. The walking ability (MD=4.58, 95%CI:3.73 - 5.43), fine motor ability (MD=1.96, 95%CI:0.47 - 3.45), balance ability (MD=6.03, 95%CI:3.87 - 8.20), functional independence (MD=6.35, 95%CI:5.49 - 7.25) and gross motor function (MD=3.37, 95%CI:1.40 - 5.34) of children in experimental group were significantly higher than those in control group. Conclusions Core stability training can effectively improve the motor abilities of children with spastic cerebral palsy and promote the development of movement and posture. However, due to the lack of homogenous literature and low quality of literature, it is still necessary to include a large sample, randomized double-blind trial to further evaluate the therapeutic effect of core stability training.
Key words
core stability training /
spastic cerebral palsy /
motor function /
Meta-analysis
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] 中国康复医学会儿童康复专业委员会. 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): 747-754.
[2] Ali M,Elazem F,Anwar G. Effect of core stabilizing program on balance in spastic diplegic cerebral palsy children[J]. Int J Pharm Tech Res, 2016, 9(5): 129-136.
[3] Ali M. Impact of core stability education on postural control in children with spastic cerebral palsy [J]. Bull Fac Phys Ther, 2019, 24(2): 85-89.
[4] 金国圣, 丁洁, 侯梅. 悬吊训练对痉挛型脑瘫患儿核心稳定性的影响 [J]. 中国儿童保健杂志, 2020,28(3):349-351.
[5] 李卓, 邢亮, 张丽. 核心稳定性训练对脑瘫患儿平衡功能的影响 [J]. 中国医学创新, 2016, 13(24): 132-135.
[6] 梁文锐, 吴小平, 张启富. 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.
[7] 任丽, 李淑琴. 核心稳定性训练对痉挛型脑性瘫痪患儿精细运动功能的影响 [J]. 康复学报, 2018, 28(5): 21-24.
[8] 王永峰, 李晓捷, 吕洋. 核心稳定性训练对痉挛型脑瘫患儿粗大运动功能及步行能力的影响 [J]. 中国康复理论与实践, 2012, 18(4): 350-353.
[9] 朱利强. 核心稳定性训练在痉挛型脑瘫儿童康复中的应用价值研究[J]. 临床医药实践, 2019, 28(3): 202-204.
[10] 郭云龙, 李晓捷, 孙奇峰. 核心稳定性训练对痉挛型脑性瘫痪患儿精细运动功能及日常生活活动能力的影响[J]. 中国中西医结合儿科学, 2014, 6(5): 434-436.
[11] 解清云, 侯梅, 赵建慧. 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.
[12] 韩雪. 对痉挛型脑瘫患儿进行核心稳定性训练的效果探讨[J].当代医药论丛,2019,17(20): 78-79.
[13] 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.
[14] 刘跃琴, 张惠佳, 覃蓉. 核心控制训练对痉挛型脑性瘫痪的疗效[J].中国康复理论与实践, 2014, 20(11): 1071-1073.
[15] 尚培民, 李燕萍. 核心稳定性训练对痉挛型脑性瘫痪患儿运动功能及步行能力的影响[J]. 中国中西医结合儿科学, 2019, 11(5): 372-375.
[16] 魏翔. 束带强化核心稳定性训练对痉挛性脑瘫患儿平衡及运动功能的影响[J]. 青岛医药卫生, 2019, 51(1): 59-61.
[17] 田红转. 核心稳定训练结合运动疗法对痉挛型脑瘫患儿粗大运动功能及行走能力的影响[J]. 齐齐哈尔医学院学报, 2019, 40(1): 75-76.
[18] 王景刚, 庞伟, 王爱虹. 核心稳定性训练对痉挛型脑瘫立位平衡功能的影响 [J]. 中华物理医学与康复杂志, 2014, 36(11): 870-871.
PDF(1245 KB)
