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感觉统合训练结合常规康复训练对痉挛型脑瘫患儿平衡控制及运动功能的影响

Effect of Sensory Integration Training Combined with Routine Rehabilitation Training on Balance Control and Motor Function in Children with Spastic Cerebral Palsy
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摘要 目的:探讨感觉统合训练结合常规康复训练对痉挛型脑瘫患儿平衡控制及运动功能的影响。方法:选取2016年1月到2017年12月期间成都市妇女儿童中心医院康复科收治的痉挛型脑瘫患儿80例为研究对象,根据随机数字表法将80例患儿分为对照组(40例)和观察组(40例)。对照组患儿采用常规康复训练进行治疗,观察组患儿采用感觉统合训练结合常规康复训练进行治疗。比较两组脑瘫患儿的平衡控制功能、步态、粗大运动功能测试量表-88(GMFM-88)D区和E区的评分。结果:治疗3个月后两组患儿的Rivermead活动指数、Berg平衡量表得分均明显升高,且观察组患儿的Rivermead活动指数、Berg平衡量表得分高于对照组(P<0.05)。治疗3个月后两组患儿的步行足长、步速明显增加,步宽明显减小(P<0.05),且观察组患儿步行足长、步速大于对照组,步宽小于对照组(P<0.05)。治疗3个月后两组患儿的GMFM-88 D区、GMFM-88 E区得分均分别明显升高(P<0.05),且观察组患儿的GMFM-88 D区、GMFM-88 E区得分均分别高于对照组(P<0.05)。结论:感觉统合训练结合常规康复训练可有效改善痉挛型脑瘫患儿的平衡控制功能、步态以及粗大运动功能。 Objective:To explore the effects of sensory integration training combined with routine rehabilitation training on balance control and motor function in children with spastic cerebral palsy.Methods:80 cases of children with spastic cerebral palsy who were admitted to the Department of Rehabilitation of Chengdu Women’s and Children’s Central Hospital from January 2016 to December2017 were selected as subjects.80 children were divided into control group(40 cases)and observation group(40 cases)according to the random number table method.The control group was treated with routine rehabilitation training,while the observation group was treated with sensory integration training combined with routine rehabilitation training.The scores of balance control function,gait,gross motor function test-88(GMFM-88)D area and E area were compared between the two groups.Results:3 months after treatment,the scores of Rivermead activity index and the Berg balance scale were significantly higher in two groups,and the scores of Rivermead activity index and the Berg balance scale in observation group were higher than those in control group(P<0.05).3 months after treatment,the walking length,walking speed of the two groups were significantly increased,and walking width of the two groups were significantly decreased(P<0.05).The walking length and walking speed of the observation group were larger than those of the control group,and the walking width was smaller than that of the control group(P<0.05).3 months after treatment,the scores of GMFM-88 D area and GMFM-88 E area in the two groups were significantly increased(P<0.05).The scores of GMFM-88 D area and GMFM-88 E area in the observation group were higher than those in the control group(P<0.05).Conclusion:Sensory integration training combined with routine rehabilitation training can effectively improve balance control function,gait and gross motor function in children with spastic cerebral palsy.
作者 杨霞 周文智 田萍 冉莉莉 刘淑萍 YANG Xia;ZHOU Wen-zhi;TIAN Ping;RAN Li-li;LIU Shu-ping(Department of Rehabilitation,Chengdu Women's and Children's Central Hospital,Chengdu,Sichuan,610091,China)
出处 《现代生物医学进展》 CAS 2019年第13期2543-2546,共4页 Progress in Modern Biomedicine
基金 四川省卫计委科技发展基金资助项目(2015120279).
关键词 痉挛型脑瘫 感觉统合训练 康复训练 平衡控制 步态 运动功能 Spastic cerebral palsy Sensory integration training Rehabilitation training Balance control Gait Motor function
作者简介 杨霞(1974-),女,本科,主管技师,从事康复物理治疗方法与疗效评估方面的研究,E-mail:aqmelm@163.com
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